The effects of solutions of hypertonic saline, hydraxyethyl starch and ringer lactate on hypotension before spinal or combined spinal epidural anesthesia in cesarean sections
Küçük Resim Yok
Tarih
2007
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
AVES İbrahim KARA
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Aim: We aimed to compare the effectiveness of different hydration fluids on prevention of maternal hypotension during spinal or combined spinal cpidural anaesthesia (CSEA). Materials and Methods: Sixty nine patients undergoing elective caesarcan section were included in the study. 3% Hypertonie saline solution (4 ml kg-1), 6% hydroxyethyl starch HES (5 mL kg -1) and lactated Ringer's solution (15 mL kg-1) were administered to Group HS (n=23), Group HES (n=23) and Group LR (n=23), respectively. The patients were performed CSEA with 0.5% hyperbaric bupivacainc 2.2 mL. For electrolyte measurements, serum samples were obtained before preloading the solutions and after CSEA, and from the umbilical cord after delivery. Results: There were no significant differences among the groups in the incidence of hypotension (in groups HS, HES, and LR, % 56, % 47, % 60, respectively) and the amount of ephedrine consumption. Maternal sodium, chloride and osmolarity values after preloading were higher in Group HS than in Group HES (p<0.05). Maternal glucose value after preloading was higher in Group LR than in Group HS and HES (p<0.05). Maternal potassium values were similar among groups. Sodium and nsmnlarity values of the umbilical cord were higher in Group HS than in Group HES and LR (p<0.05). The values of umbilical venous1 pH were similar among groups. Conclusion: Although the incidence of maternal hypotension and the amount of ephedrinc consumption were not different among the loading solutions, we hold the opinion that due to hypertonic saline may allow smaller preloading volume it may be an alternative.
Açıklama
Anahtar Kelimeler
Cesarean section, HES, Hypertonic sodium, Hypotension
Kaynak
Turk Anesteziyoloji ve Reanimasyon Dernegi Dergisi
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
35
Sayı
1
