Perfusion index as a predictor of hypotension following spinal anaesthesia in lower segment caesarean section

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Perfusion index as a predictor of hypotension following spinal anaesthesia in lower segment caesarean section

BACKGROUND AND AIMS Perfusion index (PI) is a new parameter tried for predicting hypotension during spinal anaesthesia for the lower segment caesarean section (LSCS). This study aimed at investigating the correlation between baseline perfusion index and incidence of hypotension following SAB in LSCS. METHODS In this prospective observational study, 126 parturients were divided into two groups...

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Hypotension associated with spinal anaesthesia for caesarean section.

Spinal anaesthesia for Caesarean section is associated with an unacceptably high incidence of hypotension despite the administration of an intravenous fluid preload and the use of uterine displacement. The theoretical benefits of preventing hypotension as opposed to treating it as it occurs are the avoidance o f considerable maternal discomfort, a reduced risk o f serious cardiovascular or resp...

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Changes in pleth variability index and detection of hypotension during spinal anaesthesia for caesarean section.

Background: Hypotension occurs commonly during caesarean section under spinal anaesthesia. As the onset may be rapid, it may fail to be detected by non-invasive blood pressure (BP) measurement in a timely fashion. Pulse oximeters can continuously and non-invasively measure tissue perfusion (perfusion index (PI)) and its variation with the respiratory cycle (pleth variability index (PVI)). As wi...

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Prevention of hypotension following spinal anaesthesia in caesarean section--then and now.

Hypotension during spinal anaesthesia for caesarean section remains a common scenario in our clinical practice. Certain risk factors play a role in altering the incidence of hypotension. Aortocaval compression counteraction does not help to prevent hypotension. Intravenous crystalloid prehydration has poor efficacy; thus, the focus has changed toward co-hydration and use of colloids. Phenylephr...

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Intracerebral haematoma following spinal anaesthesia for caesarean section: case report.

Several complications are known to occur with spinal anaesthesia and all of them are easily recognizable. We report the case of a 25 year old woman presenting with intracerebral hemorrhage secondary to spinal anaesthesia for caesarean section. She underwent surgical evacuation of the haematoma with complete recovery. The relevant literature is also reviewed.

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ژورنال

عنوان ژورنال: Indian Journal of Anaesthesia

سال: 2017

ISSN: 0019-5049

DOI: 10.4103/ija.ija_429_16