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  3. 21.Comparison of Crystalloid Preload Rapid Administration after Induction of Spinal Anesthesia in Women Undergoing Elective Caesarean Section
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21.Comparison of Crystalloid Preload Rapid Administration after Induction of Spinal Anesthesia in Women Undergoing Elective Caesarean Section

Ravi Kumar1, Aruna Kumari Hira3, M. Aneeque Alam Khan4, Kashif Ali5, Pavan Kumar6 and Mukhtiar Begum Noonari2

ABSTRACT

Objective: To compare crystalloid preload with prompt administration post induction of spinal anesthesia in women undergoing elective caesarian section.

Study Design: Randomized controlled trial study

Place and Duration of Study: This study was conducted at the Department of Anesthesia, Jinnah Postgraduate Medical Centre, Karachi from July, 2018 to January, 2019 for a period of six months.

Materials and Methods: One hundred and fifty-four patients underwent elective caesarian section under spinal anesthesia were included and divided into two groups, coload and pre load (Group C and Group P). All patients were given bupivacaine. In group P, patients were injected 15 ml/kg ringer lactates solution for over 20 minutes prior to spinal block whereas in group C patients, ringer lactate was injected over 20 min post CSF tapping. Presence of nausea and vomiting were recorded. Maternal hypotension was assessed.

Results: The mean age in Group P was 36.32±6.68 years and Group C was 34.77±5.61 years. In Group P, nausea was 27.3%, vomiting was 37.7% and hypotension was 64.9%. In Group C nausea was 16.9%, vomiting was 9.1% and hypotension was 42.9%. Vomiting and hypotension were significantly association with two study groups but nausea was not found any significance.

Conclusion: Crystalloid preload observed more nausea, vomiting, and hypotension as compared to patients of coload.

Key Words: Crystalloid preload, Rapid administration, Spinal anaesthesia, Elective caesarian section

Citation of article: Kumar R, Hira AK, Khan MAA, Ali K, Kumar P, Noonari MB. Comparison of Crystalloid Preload versus Rapid Administration after Induction of Spinal Anesthesia in Women Undergoing Elective Caesarean Section. Med Forum 2021;32(10):95-98.