학술논문

Prediction of hypotension using perfusion index following spinal anesthesia in lower segment caesarean section.
Document Type
Article
Source
Nepal Journal of Obstetrics & Gynaecology. 2020, Vol. 15 Issue 2, p67-72. 6p.
Subject
*CESAREAN section
*SPINAL anesthesia
*HYPOTENSION
*WOMEN'S hospitals
*PERFUSION
Language
ISSN
1999-8546
Abstract
Aims: To correlate the relation between perfusion index and the prediction of hypotension in lower segment caesarean section. Methods: This is a prospective observational study of parturients undergoing caesarean section from 4th February to 2nd June 2020 at Paropakar Maternity and Women's Hospital in Kathmandu. Cases were studied by their Perfusion Index (PI) value of 3.5 as cut-off. parturients undergoing caesarean section. Hemodynamic effects and PI values were monitored recorded and compared between low and high PI groups. Statistical analysis was done using independent sample T test and Pearson correlation. Results: Total 106 cases were studied with 52 with low PI value and 54 cases with high PI value. The incidence of hypotension in low PI was 26% whereas it was 48% in high PI group and mean consumption of phenylephrine was more in high PI group. Conclusions: Parturients with a higher baseline PI index of more than 3.5 have more incidence of hypotension and require vasopressors support following spinal anesthesia in elective LSCS [ABSTRACT FROM AUTHOR]