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ISSN 2063-5346
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Comparison of Preloading and Wrapping of Legs for Prevention of Hypotension Following Spinal Anaesthesia in Elective Caesarean Section

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Nivash Ram.K , Selvakumaran P, Thirumaaran U G
» doi: 10.48047/ecb/2023.12.si5a.0627

Abstract

Spinal anaesthesia can leads to hypotension for the reason of sympathetic blockade producing in more deleterious effects such as vasodilatation and decreased cardiac output. Prevention of spinal hypotension is a one of themost important especially in pregnant women as the life of mother and fetus is at risk. The preloading of intravenous fluids to optimize the blood volume before spinal anaesthesia has been used first line of therapy. In the present study comparison between two simple techniques between Preloading and wrapping of legs in prevention of hypotension following spinal anesthesia in elective caesarean section.60 Patients who were posted for caesarean section were selected and were divided into two groups (30 in each group) A and B. Group A patients received preloading with 15ml/kg intravenous crystalloids. Group B patients had wrapping of the legs using elasticated crepe bandages from ankle to mid-thigh.About 10% of the patients had developed hypotension in Group A while 33% of Group B patients B developed hypotension. The incidence was significantly (p<0.05) higher in Group B when compared to Group A hypotension patients.The incidence of hypotension and use of ephedrine was significantly (p<0.05) higher in leg wrapping group when compared to preloading group. In the present study we conclude that volume preloading with 15ml/kg intravenous crystalloids significantly reduces the incidence of spinal hypotension and results in a significantly decrease the use of vasopressor agents when compared with wrapping the legs from ankle to mid-thigh with elasticated crepe bandages

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