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ANALYSIS OF HYPOTENSION AFTER SPINAL ANESTHESIA FOR CAESAREAN SECTION IN LOCAL FEMALE POPULATION OF LAHORE

Mariam Khalid, Farheen Ramzan Ali, Sabhi Ul Hassan

Introduction: Hemodynamic changes during normal pregnancy are characterized by an increase in cardiac output (CO), heart rate (HR), and circulating blood volume and a reduction in systemic vascular resistance (SVR). Objectives of the study: The main objective of the study is to find the level of hypotension after spinal anesthesia for caesarean section in local female population of Pakistan. Materials and methods: This cross sectional study was conducted at POF Hospital Wah Cantt during March 2018 to December 2018. The sample size is 50 from the age group 20 to 40. Blood pressure, heart rate and oxygen saturation was maintained and electrocardiography was also recorded as vital signs before spinal anesthesia was given. Each parturient was given per operatively, 500 ml haemaccele. A 25-guage spinal needle was used for anesthesia and introduced at the level of lumber 3-4 in subarchnoid space in sitting position. Results: Hypotension occurred after the spinal anesthesia in 85% patients and 15% remained with stable blood pressure. The percentage distribution of pre-operative, peroperative and postoperative, systolic, diastolic and pulse rate are shown in Table 1. According to the American Society of Anesthesiologists (ASA) status 76.3% parturients were in ASA I and 23.7% Parturients were in ASA II. Conclusion: It is concluded that spinal anaesthesia is most common technique used for cesarean section. It is a safest and most economical method as compared with general anaesthesia. Key words: General, Anaesthesia, C-section, pregnancy, Blood pressure

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