In this retrospective study, we describe the
anesthetic management and its implications in parturients with
chronic kidney disease (CKD; n = 9), who underwent elective caesarean delivery. Nine parturients with CKD of various etiologies, who underwent elective Caesarean delivery, were included in this study. Spinal anest-hesia was administered in all parturients with normal coagulation profile through a 25-gauze spinal needle (Quincke) with 0.5% (H)
bupivacaine in L2-3 space and T6 level was achieved. Hemodynamics and side effects such as
nausea,
vomiting,
headache, and
backache were record. The mean age was 28.22 ± 4.43 years. The mean levels of serum
creatinine and serum
potassium were 2.78 ± 1.29 mg/dl and 4.11 ± 0.46 meq/l, respectively. Mean baseline values of systolic blood pressure, diastolic blood pressure, and pulse rate were higher which decreased after
spinal anesthesia. However, the incidence of
hypotension, which required
mephentermine treatment, was 11.1%. One patient had symptoms of
nausea and
vomiting/
dizziness at the time of
hypotension, which disappeared
after treatment with 5 mg of intravenous
mephentermine. Baseline value of PR remained high throughout the operation. Parturients with CKD with normal coagulation profile remained hemodynamically stable under
spinal anesthesia with minimal side effects. However, a large number of studies are required to determine the safety of
spinal anesthesia in this setting.