Two syringes technique for spinal anesthesia to prevent hypotension in patients undergoing elective cesarean section

Authors

  • Saurav Shrestha Department of Anesthesiology and Critical Care, Nepal APF Hospital
  • Jeju Nath Pokhrel Department of Anesthesiology, NAMS, Bir Hospital
  • Tara Gurung Department of Anesthesiology, Paropakar Maternity and Women’s Hospital
  • Sagar Devkota Department of Anesthesiology and Critical Care, Sindhuli Hospital
  • Apurb Sharma Department of Anesthesiology and Critical Care, Nepal Mediciti Hospital

DOI:

https://doi.org/10.3126/njog.v17i2.52370

Keywords:

fentanyl, hyperbaric bupivacaine, hypotension, spinal anesthesia

Abstract

Aims: To compare the incidence of hypotension after intrathecal administration of hyperbaric bupivacaine and fentanyl in two different syringes against standard injection of mixed fentanyl with hyperbaric bupivacaine.

Methods: This was a prospective comparative study conducted in 174 parturients undergoing elective caesarean section at Paropakar Maternity & Women’s Hospital. Hemodynamic effects and characteristics of block were monitored and recorded and compared between the two groups, group S (single syringe) and group D (double syringe).

Results: The incidence of hypotension was almost similar in the two groups but the drop in systolic blood pressure and mean arterial pressure at 5 minutes and 7.5 minutes after subarachnoid block was significant in group S as compared to group D (p<0.005 and p<0.005 respectively).

Conclusion: Hyperbaric bupivacaine with fentanyl, which when injected separately without mixing, is associated with lesser incidence of hypotension following subarachnoid block.

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Published

2022-12-31

How to Cite

Shrestha, S., Pokhrel, J. N., Gurung, T., Devkota, S., & Sharma, A. (2022). Two syringes technique for spinal anesthesia to prevent hypotension in patients undergoing elective cesarean section. Nepal Journal of Obstetrics and Gynaecology, 17(2), 20–25. https://doi.org/10.3126/njog.v17i2.52370

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Section

Original Articles