Anesthesia & Clinical Research
Open Access
ISSN: 2155-6148
ISSN: 2155-6148
Boker AM
Saudi Arabia
Research Article
How Long Can Patients Sit Up for Before Lying Down after Combined Spinal-Epidural Anesthesia For Cesarean Delivery? A Randomized Trial
Author(s): EE Abd El-Hakeem, Kaki AM, Alhashemi JA, Boker AM and Albasri SFEE Abd El-Hakeem, Kaki AM, Alhashemi JA, Boker AM and Albasri SF
Objective: Sitting patients up for 5 min after spinal anesthesia decreases hypotension and ephedrine requirement. This study aimed at determining how long patients can sit up for after combined spinal-epidural (CSE) anesthesia without requiring epidural supplementation. Methods: Ninety women booked for elective cesarean section under CSE anesthesia were randomized to sit up for 5 min (group 1), 7 min (group 2), or 9 min (group 3) after spinal anesthetic administration before lying down supine with a tilt. Sensory anesthesia level, systolic blood pressure, heart rate, ephedrine requirement, rescue epidural use, and time to achieving a modified Bromage score of two were documented by a blinded observer. Results: The maximum height of sensory anesthesia was [T3 (1) vs. T4 (1) vs. T5 (1) for groups 1-3, respectively, P<0.001]. Group 1 required more ephedrine (16.7% vs. 3.3% vs. 0%, P=0.. View More»
DOI:
10.4172/2155-6148.1000482