COLLOID VERSUS CRYSTALLOID COLOAD FOR THE PREVENTION OF SPINAL ANEASTHESIA INDUCED HYPOTENSION OF ELECTIVE CAESAREAN SECTION
Abstract
Background
Spinal anaesthesia is the standard technique for elective caesarean section, but hypotension remains the main complication with this technique. This hypotension has detrimental effects on both mother and foetus. To prevent hypotension, crystalloid or colloid coload with vesopressor may be an alternate choice.
Aim
To compare the efficacy of crystalloid and colloid coload in presence of phenylephrine infusion for the prevention of spinal anaesthesia induced hypotension.
Methods
Forty subjects (40) are randomly allocated into two groups. Subjects were infused either crystalloid or colloid within 10 minutes after spinal anaesthesia (coload).Heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP), mean blood pressure (MBP) and oxygen saturation were recorded in three minutes interval throughout the surgery. Continuous ECG monitoring was done. Adverse events (nausea, vomiting etc) if any were recorded in case report form (CRF). Â Phenylephrine infusion was continued at the rate of 40 mcg/min throughout the surgery.
Results
Demographic parameters were comparable. HR, SBP, DBP, MBP, Oxygen saturation all are comparable between the groups and within the group in various time period. There was no episode of nausea or vomiting and no requirement of rescue medication of phenylephrine 100 mcg intravenously.
Conclusion
There is no difference of efficacy of crystalloid and colloid, when use as coload with phenylephrine infusion for the prevention of spinal anaesthesia induced hypotension.
Â
Key words –spinal anaesthesia, crystalloid, colloid, hypotension
DOI
https://doi.org/10.22270/jddt.v3i4.540Published
Abstract Display: 429 
PDF Downloads: 668 How to Cite
Issue
Section
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
How to Cite
.