Effectiveness of Prophylactic Ephedrine vs Fluid Preload in Prevention of Hypotension in Spinal Anesthesia for C-Section

Background: Hypotension following spinal block can be reduced or minimized prophylactically left lateral uterine displacement, volume loading with crystalloid solutions, phenylephrine infusion ephedrine administration. Fluid pre does not negate the hypotension entirely but decreases risk. This however is time consuming and vasopressors are often required to correct associated hypotension. Prophylactic administration lowers risk of at expense reactive hypertension if fails subsequent conversion general anesthesia. Aim: To compare efficacy prophylactic use versus fluid (Hartmann’s solution) preload in women undergoing cesarean section under anesthesia a teaching hospital. Study design: Randomized controlled trial. Place duration study: Department Anesthesiology, Nishtar Hospital Multan, from 1st March 2020 30th September 2020. Methodology: A total 100 women, twenty forty years age were included. Patients known hypertension, eclampsia, bleeding diathesis, injection site infection, deformity column patients having valvular heart diseases excluded. Group given while B preload. After induction continuous blood pressure monitoring was done for fifteen minutes diagnose noted recorded by researcher. Results: The mean group 28.04±6.07 28.26±6.13 years. Majority patients, 56, between thirty age. BMI 29.06±3.37kg/m2 29.38±3.50 kg/m2. Efficacy prevent observed 37(74%) 25(50%) sections Conclusion: frequency lower parturient as compared Keywords: Spinal anesthesia, Hypotension, Ephedrine