Title: Prophylactic Efficiency of Oral Ephedrine in Preventing Hypotension Due to Spinal Anaesthesia for Caesarean Section
Authors: Ceena Panicker, Parvathy.G
DOI: https://dx.doi.org/10.18535/jmscr/v6i8.178
Abstract
The commonest form of anaesthesia for caesarean section is spinal anaesthesia. It is associated with a fall in blood pressure with a comparable fall in uteroplacental blood flow. This leads to fetal hypoxia and acidosis. Baseline and intra operative heart rate and blood pressure were compared in sixty patients. The hemodynamic variables were noted in patients given oral ephedrine 30mg thirty minutes before subarachnoid block and patients given intravenous fluid preload alone. Statistically significant variation in heart rate and blood pressure were noted in the two groups. Lowest incidence of hypotension and change in heart rate was observed in the ephedrine group. The incidence of hypotension was less in the ephedrine group. No adverse effect of ephedrine was noted in the mother or fetus. Oral ephedrine is a simple and effective prophylactic measure to prevent hypotension due to spinal anaesthesia.
Keywords: Oral ephedrine, intravenous fluid, heart rate, blood pressure, hypotension.
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