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Muhammad Arslan Zahid¹, Gotam Kumar², Huma Nasir³, Chander Kala¹, Shafique Ahmed⁴ and Muhammad Saleh⁵

ABSTRACT

Objective: To compare effectiveness of coload over preload in terms of frequency of spinal induce hypotension in patients undergoing emergency caesarean section.

Study Design: Randomized controlled trial study

Place and Duration of Study: This study was conducted at the Department of Anesthesiology, Pakistan Institute of Medical Sciences Islamabad from 30^th November 2018 to 29^th May 2019.

Materials and Methods: Two hundred women undergoing emergency caesarean section, 18-40 years of age were included. Extreme fetal distress, dying emergency, eclamptic patients, patients with coagulopathy, spine surgery or deformity, increased risk of bleeding and serious cardiac issues were excluded. Group A women were given preload of 10ml/kg within 20 min prior to subarachnoid block while Group B were given coload of 10ml/kg was given just after the subarachnoid block. After giving spinal anesthesia to the patient, mean arterial blood pressure was monitored and hypotension was recorded at 1 minute, 3 minutes, 5 minutes, 8 minutes and 10 minutes.

Results: The mean age of patients in group A was 26.27±6.38 years and in group B was 27.09±6.41 years. Majority of the patients 135 (67.50%) were between 18 to 30 years of age. The spinal induced hypotension in Group A (preload) was seen in 77(77.0%) while in Group B (coload) was seen in 46 (46.0%) patients (p=0.0001).

Conclusion: Spinal induced hypotension can be reduced with coload as compared to preload in patients undergoing emergency caesarean section.

Key Words: Spinal anesthesia, Hypotension, Coload

Citation of article: Zahid MA, Kumar G, Nasir H, Kala C, Ahmed S, Saleh M.  Comparative Evaluation between the Efficacy of Preload Versus Coload to Avoid Spinal Induced Hypotension in Patients Undergoing Emergency Caesarean Section. Med Forum 2022;33(9):13-16.