FREQUENCY OF POST SPINAL HYPOTENSION IN ELECTIVE CESAREAN SECTION AFTER SPINAL ANESTHESIA

Main Article Content

Muhammad Javed khan
Saira khan
Rumman Khan

Keywords

Cesarean section, spinal anesthesia, spinal induce hypotension

Abstract

Objective: the aim of the study was to determine the Frequency of Post Spinal Hypotension in Elective Cesarean Section after Spinal Anesthesia. 


Material and method: The current observational study was carried out at Anaesthesia Department Khyber Teaching Hospital Peshawar January 2023 to September 2023 after taking approval from the ethical committee of the institute. A total of 274 patients who underwent spinal  anesthesia  for  caesarian  section were enrolled founded on the incidence 23 percent  confidence interval ninety five percent  and margin of error five percent  this has been calculated by applying WHO sample  size calculator n = p(1-p)(Z/e)²


Results: We enrolled a total of 274 individuals in the current study who were treated from spinal anesthesia for caesarian section. Out of which 74 (27%) had hypotension after surgery. When administering spinal anaesthesia, various medication dosages and age weights were employed. Hypotension affected 17 participants (22.8%) in the 18–29 age group and 57 (77%) in the 30–40 age group. According to the weight of the individual 10 individuals (13.5%) among the 274 individuals studied weighed between 49 and 65 kg, 21 patients (28.3%), and 43 patients (58.1%) who weighed between 81 and 90 kg had hypotension. Based on the medication and dosage used out of the total samples  bupivacaine  with  2%  lignocaine  in  23  patients  (31%) ,bupivacaine with fentanyl had 35 participants (47.2%) and bupivacaine with  tramadol  16  participants  (21.6%)  had  hypotension. Out of the 274 participants in our research, 4 had already existing hypertension. Approximately 1.5%, as a result of dehydration and NBM status, whereas 74 patients (27%) had hypotension following spinal anaesthesia. Using dose of bupivacaine 55 patients (74%) had hypotension at a dosage of 15 mg of bupivacaine, whereas 19 participants (26%) experienced it with a dose of 10 mg. individuals with a history of using anti-hypertensive medications Ten (13.5%) of the participants had never used anti-hypertensive medication before, while 64 patients (86.4%). 


Conclusion: After examining the data, we concluded that spinal produce hypotension following spinal anaesthesia is frequently seen during elective caesarean deliveries.

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