A Comparative Study Of Coloading And Preloading With Balanced Crystalloids  For Prevention Of Post-Spinal Hypotension In Patients Undergoing Elective  Caesarean Section

Vidhi A.  Gajjar; Darshana R.  Shah; Vibhuti A.  Shah; Vishwa  Shah; Khyati  Patel; Hardik  Kavar

doi:10.48165/ijabms.2020.22223

Authors

Vidhi A. Gajjar (Assistant Professor) Department of Anaesthesiology, AMC MET Medical College, LG Hospital, Maninagar, Ahmedabad.
Darshana R. Shah (Associate Professor) Department of Anaesthesiology, AMC MET Medical College, LG Hospital, Maninagar, Ahmedabad.
Vibhuti A. Shah (Professor and HOD)Department of Anaesthesiology, AMC MET Medical College, LG Hospital, Maninagar, Ahmedabad.
Vishwa Shah (Third year resident) Department of Anaesthesiology, AMC MET Medical College, LG Hospital, Maninagar, Ahmedabad.
Khyati Patel (Second year resident) Department of Anaesthesiology, AMC MET Medical College, LG Hospital, Maninagar, Ahmedabad.
Hardik Kavar (First year resident) Department of Anaesthesiology, AMC MET Medical College, LG Hospital, Maninagar, Ahmedabad.

DOI:

https://doi.org/10.48165/ijabms.2020.22223

Keywords:

Crystalloid preload, coload, hypotension

Abstract

Background

Spinal anesthesia is the most common anaesthetic technique for cesarean delivery due to its rapid onset, a dense neural block, little risk of local anesthetic toxicity and minimal transfer of drug to the fetus, as well as little risk of failure of block However incidence of hypotension is one of disadvantages of this technique because of sympathetic blockade. Conventionally, crystalloid preloading has been used to prevent spinal anaesthesia induced hypotension, but it has shown varying results. Therefore, focus is on crystalloid coloading for prevention of spinal induced hypotension.

Method

An observational prospective study was done on 60 parturients undergoing elective cesarean delivery. Patients were randomized into 2 groups who received either crystalloid preloading or coloading. Parameters assessed were, heart rate, systolic blood pressure, diastolic blood pressure, mean arterial pressure, incidence of hypotension and use of mephentermine.

Result

In this study, there was significant difference in the incidence of hypotension in both the groups, which was more in preload group. Total dose of mephentermine used was also significantly more in preload group.

Conclusion

We concluded that crystalloid coloading is beneficial to prevent post-spinal hypotension in patients undergoing elective cesarean delivery, as compared to patients receiving preloading fluid.