STUDY OF EFFECT OF INTRADERMAL EPHEDRINE INJECTION BEFORE SPINAL ANESTHESIA FOR CESAREAN SECTION SURGERY FOR PREVENTION FROM SYSTEMIC HYPOTENSION

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HASANI V.A.; MANOUCHEHRI POUR M.; AMIRKHANIAN S.

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Paper Information

Journal: JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE Year:2004 | Volume:26 | Issue:48 Page(s): 21-27

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Title

STUDY OF EFFECT OF INTRADERMAL EPHEDRINE INJECTION BEFORE SPINAL ANESTHESIA FOR CESAREAN SECTION SURGERY FOR PREVENTION FROM SYSTEMIC HYPOTENSION

Author(s)

HASANI V.A. | MANOUCHEHRI POUR M. | AMIRKHANIAN S. | Issue Writer Certificate

Keywords

INTRADERMAL INJECTIONQ3

SPINAL ANESTHESIAQ4

CESAREAN SECTION SURGERYQ4

Abstract

Selection of anesthesia techniques in cesarean section is related to condition of surgery, emergency physical status of patient and request of the patient. Anesthesiologist must select a method of anesthesia that is simple, careful and safe for the mother and the fetus. This study was done on 50 patients in ASA Class I, who were candidates for elective CESAREAN SECTION SURGERY after consent and without contraindication for SPINAL ANESTHESIA. Patients were divided into two groups, 25 patients in each group. Group A was control group and patients in group B received 10mg intradermal ephedrine. All patients received 3-5 ml/kg crystalloid, fluid and then comforted under SPINAL ANESTHESIA with 75 mg lidocaine 5%. 20% reduction in systolic blood pressure was considered for hypotension. Patients received 3-5 ml/kg crystalloid, fluid and then 5 mg intravenous ephedrine which were repeated if it was necessary. In comparison to group A, hypotension occurred less frequently in group B, during the first 20 minutes after administration of SPINAL ANESTHESIA (p: 0.05) We found that 10 mg intradermal ephedrine can reduce risk of hypotension after SPINAL ANESTHESIA in CESAREAN SECTION SURGERY (especially during the first 20 minutes which is the most common time for hypotension after SPINAL ANESTHESIA) and can reduce necessity for fluid therapy, but there were not any significant changes between two groups after 20 minutes. So intradermal ephedrine may be significantly reduce the occurrence of hypotension after SPINAL ANESTHESIA.

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APA: Copy

HASANI, V.A., MANOUCHEHRI POUR, M., & AMIRKHANIAN, S.. (2004). STUDY OF EFFECT OF INTRADERMAL EPHEDRINE INJECTION BEFORE SPINAL ANESTHESIA FOR CESAREAN SECTION SURGERY FOR PREVENTION FROM SYSTEMIC HYPOTENSION. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, 26(48), 21-27. SID. https://sid.ir/paper/63404/en

Vancouver: Copy

HASANI V.A., MANOUCHEHRI POUR M., AMIRKHANIAN S.. STUDY OF EFFECT OF INTRADERMAL EPHEDRINE INJECTION BEFORE SPINAL ANESTHESIA FOR CESAREAN SECTION SURGERY FOR PREVENTION FROM SYSTEMIC HYPOTENSION. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE[Internet]. 2004;26(48):21-27. Available from: https://sid.ir/paper/63404/en

IEEE: Copy

V.A. HASANI, M. MANOUCHEHRI POUR, and S. AMIRKHANIAN, “STUDY OF EFFECT OF INTRADERMAL EPHEDRINE INJECTION BEFORE SPINAL ANESTHESIA FOR CESAREAN SECTION SURGERY FOR PREVENTION FROM SYSTEMIC HYPOTENSION,” JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, vol. 26, no. 48, pp. 21–27, 2004, [Online]. Available: https://sid.ir/paper/63404/en

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