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العنوان
Comparison between sitting and left lateral position for spinal anesthesia in caesarean section regarding their effect on hemodynamics and block characteristics/
المؤلف
Kishk, Tarek Fathy.
هيئة الاعداد
باحث / طارق فتحي كشك
مناقش / رجب محمد خطاب
مناقش / ماهر رمضان جزر
مشرف / درية محمد فكري
الموضوع
Anaesthesia. Surgical Intensive Care.
تاريخ النشر
2017.
عدد الصفحات
73 p.:
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
التخدير و علاج الألم
تاريخ الإجازة
20/3/2017
مكان الإجازة
جامعة الاسكندريه - كلية الطب - Anaesthesia and Surgical Intensive Care
الفهرس
Only 14 pages are availabe for public view

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from 88

Abstract

For most of the parturient, the risk–benefit profiles of spinal anesthesia and general anesthesia strongly favor the use of spinal anesthesia when feasible. Important factors to consider are the risks of clinically significant maternal haemodynamic derangements, difficult airway management, stroke, and adverse neonatal outcomes, spinal anaesthesia–induced hypotension is typically easily treated, and there is no evidence that neonatal outcomes are compromised. In contrast, potential complications of general anesthesia, such as aspiration pneumonia, dental trauma, postoperative nausea and vomiting and difficult airway management, are leading causes of morbidity and mortality.
The aim of this study was to compare the effect of two different positions (sitting versus left lateral) during the induction of spinal anesthesia in caesarean section as regards sensory and motor blockade, haemodynamic changes, nausea and vomiting, duration of the technique and patient satisfaction.
This study was carried out in El-Shatby Maternity University Hospital, on forty eight parturient scheduled for elective cesarean delivery under spinal analgesia.
Parturient were randomly categorized into 2 equal groups (24 parturient each).
group I [Sitting group]:
24 parturient received spinal analgesia consisting of 2 ml of 0.5% hyperbaric bupivacaine and 0.5 ml fentanyl (25μg) in the sitting position.