Abstract | BACKGROUND: MATERIALS AND METHODS: It was a prospective, double-blinded and randomized controlled study. Ninety six ASA-I healthy, nonlaboring parturients were randomly divided in 3 groups HES, SG, RL (n = 32 each) and received 10 ml/kg HES 130/0.4; 10 ml/kg SG (4% modified fluid gelatin) and 20 ml/kg RL respectively prior to SA scheduled for cesarean section. Heart rate, blood pressure (BP), oxygen saturation was measured. RESULTS: The fall in systolic blood pressure (SBP) (<100 mm Hg) noted among 5 (15.63%), 12 (37.5%) and 14 (43.75%) parturients in groups HES, SG, RL respectively. Vasopressor ( phenylephrine) was used to treat hypotension when SBP <90 mm Hg. Both the results and APGAR scores were comparable in all the groups. Lower preloading volume and less intra-operative vasopressor requirement was noted in HES group for maintaining BP though it has no clinical significance. CONCLUSION: RL which is cheap, physiological and widely available crystalloid can preload effectively and maintain hemodynamic stability well in cesarean section and any remnant hypotension can easily be manageable with vasopressor.
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Authors | Tapobrata Mitra, Anjan Das, Saikat Majumdar, Tapas Bhattacharyya, Rahul Deb Mandal, Bimal Kumar Hajra |
Journal | Saudi journal of anaesthesia
(Saudi J Anaesth)
Vol. 8
Issue 4
Pg. 456-62
(Oct 2014)
ISSN: 1658-354X [Print] India |
PMID | 25422601
(Publication Type: Journal Article, Retracted Publication)
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