THE EFFECT OF LOW DOSE OF BUPIVACAINE+FENTANYL IN SPINAL ANESTHESIA ON HEMODYNAMIC, NAUSEA AND VOMITING IN CESAREAN SECTION

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SEYED HEJAZI M.; MADAREK E.; RASOULI S.

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Journal: Iranian Journal of Obstetrics, Gynecology and Infertility Year:2005 | Volume:7 | Issue:2 Page(s): 12-17

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Title

THE EFFECT OF LOW DOSE OF BUPIVACAINE+FENTANYL IN SPINAL ANESTHESIA ON HEMODYNAMIC, NAUSEA AND VOMITING IN CESAREAN SECTION

Author(s)

SEYED HEJAZI M. | MADAREK E. | RASOULI S. | Issue Writer Certificate

Keywords

SPINAL ANESTHESIAQ2

FENTANYLQ2

CESAREAN SECTIONQ2

HYPOTENSIONQ4

NAUSEA AND VOMITINGQ2

BUPIVACAINEQ4

Abstract

Objective: SPINAL ANESTHESIA for CESAREAN SECTION is associated with high incidence of HYPOTENSION, NAUSEA AND VOMITING. The synergism between intratecal opioids and local anesthetics may make it possible to achieve reliable SPINAL ANESTHESIA in CESAREAN SECTION with minimal side effects.Materials and Methods: 40 patients aged 17-35 years old underwent CESAREAN SECTION were randomized into two groups. Half of them in group A received SPINAL ANESTHESIA with 6mg of BUPIVACAINE and 10µg FENTANYL; and group B received only 12mg BUPIVACAINE. HYPOTENSION was defined as a systolic blood pressure of less than 90 mmHg or 25% decrease in mean arterial blood pressure from baseline.Results: All patients in both groups had satisfactory anesthesia. The mean dose of ephedrine was 4mg in group A, and 11.75mg in group B (P=0.006). The mean ratio of lowest systolic pressure to baseline systolic pressure was 0.75 for group. A and 0.65 for group B.(P=0.04). NAUSEA AND VOMITING was observed in 10% of group A and 20% of group B.Conclusion: Small dose of BUPIVACAINE and FENTANYL provides good SPINAL ANESTHESIA for CESAREAN SECTION with less HYPOTENSION, NAUSEA AND VOMITING.

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APA: Copy

SEYED HEJAZI, M., MADAREK, E., & RASOULI, S.. (2005). THE EFFECT OF LOW DOSE OF BUPIVACAINE+FENTANYL IN SPINAL ANESTHESIA ON HEMODYNAMIC, NAUSEA AND VOMITING IN CESAREAN SECTION. IRANIAN JOURNAL OF OBSTETRICS, GYNECOLOGY AND INFERTILITY, 7(2), 12-17. SID. https://sid.ir/paper/64684/en

Vancouver: Copy

SEYED HEJAZI M., MADAREK E., RASOULI S.. THE EFFECT OF LOW DOSE OF BUPIVACAINE+FENTANYL IN SPINAL ANESTHESIA ON HEMODYNAMIC, NAUSEA AND VOMITING IN CESAREAN SECTION. IRANIAN JOURNAL OF OBSTETRICS, GYNECOLOGY AND INFERTILITY[Internet]. 2005;7(2):12-17. Available from: https://sid.ir/paper/64684/en

IEEE: Copy

M. SEYED HEJAZI, E. MADAREK, and S. RASOULI, “THE EFFECT OF LOW DOSE OF BUPIVACAINE+FENTANYL IN SPINAL ANESTHESIA ON HEMODYNAMIC, NAUSEA AND VOMITING IN CESAREAN SECTION,” IRANIAN JOURNAL OF OBSTETRICS, GYNECOLOGY AND INFERTILITY, vol. 7, no. 2, pp. 12–17, 2005, [Online]. Available: https://sid.ir/paper/64684/en

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