Abstract | BACKGROUND: METHODS: This randomized controlled trial included all healthy parturients presenting for elective cesarean section. In addition to standard monitors, an arterial line was placed for pulse contour cardiac output measurement. Due to limited data on maternal cardiac output during cesarean section, we had to power our study on recovery room length of stay. Secondary outcomes included the change in maternal CI, fluid administration, vasopressor usage, maternal satisfaction, and adequacy of surgical blockade and recovery time from motor and sensory blockade. RESULTS: The low dose group had significantly faster motor recovery times (132 [122-144] versus. 54 [48-66] min conventional versus. low-dose, respectively, P < 0.01), and a shorter recovery room stay (92 ± 21 vs 70 ± 11 min, conventional vs. low-dose, respectively, P < 0.01, 95% CI -35 to -10 min). There was no difference in CI between the conventional dose and low dose spinal groups. Both groups had a drop in CI with spinal anesthesia. The low-dose group demonstrated equivalent surgical anesthesia and block onset times compared to the conventional group. CONCLUSIONS:
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Authors | Marta J Cenkowski, Doug Maguire, Stephen Kowalski, Fahd A Al Gurashi, Duane Funk |
Journal | Saudi journal of anaesthesia
(Saudi J Anaesth)
2019 Jul-Sep
Vol. 13
Issue 3
Pg. 208-214
ISSN: 1658-354X [Print] India |
PMID | 31333365
(Publication Type: Journal Article)
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