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[Multivariate study of risk factors for arterial hypotension in pregnant patients at term undergoing Caesarean section under subarachnoid anesthesia].
Rev Esp Anestesiol Reanim. 2000 May; 47(5):189-93.RE

Abstract

OBJECTIVES

The most common and potentially dangerous complication of spinal anesthesia for cesarean section is arterial hypotension. The aim of this study was to analyze maternal and gestational factors that might affect risk of arterial hypotension in full-term parturients undergoing cesarean section.

MATERIAL AND METHOD

We enrolled full-term parturients scheduled for elective cesarean section under spinal anesthesia. Spinal puncture was performed at L2-L3 using an atraumatic Sprotte-type needle. We administered 12.5 mg of hyperbaric 0.5% bupivacaine and 12.5 micrograms of fentanyl. Arterial hypotension was defined as a decrease in systolic pressure of at least 20% or a decrease to a pressure below 100 mmHg. Multivariate analysis was performed to identify factors related to the presentation of hypotension appearing in the interval between spinal puncture and birth.

RESULTS

The incidence of arterial hypotension was 33.3%. Statistical analysis revealed that integrity of the amniotic sac, parity and elective cesarean were significantly associated with a higher incidence of arterial hypotension (p < 0.03).

CONCLUSIONS

Identifying risk for multiparous parturients with intact amniotic sacs scheduled for elective cesarean can be worthwhile if greater preventive measures are taken in such patients to reduce the incidence and intensity of arterial hypotension.

Authors+Show Affiliations

Hospital Universitario Virgen de Valme, Sevilla.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

spa

PubMed ID

10902448

Citation

Martínez Navas, A, et al. "[Multivariate Study of Risk Factors for Arterial Hypotension in Pregnant Patients at Term Undergoing Caesarean Section Under Subarachnoid Anesthesia]." Revista Espanola De Anestesiologia Y Reanimacion, vol. 47, no. 5, 2000, pp. 189-93.
Martínez Navas A, Echevarría Moreno M, Gómez Reja P, et al. [Multivariate study of risk factors for arterial hypotension in pregnant patients at term undergoing Caesarean section under subarachnoid anesthesia]. Rev Esp Anestesiol Reanim. 2000;47(5):189-93.
Martínez Navas, A., Echevarría Moreno, M., Gómez Reja, P., Merino Grande, S., Caba Barrientos, F., & Rodríguez Rodríguez, R. (2000). [Multivariate study of risk factors for arterial hypotension in pregnant patients at term undergoing Caesarean section under subarachnoid anesthesia]. Revista Espanola De Anestesiologia Y Reanimacion, 47(5), 189-93.
Martínez Navas A, et al. [Multivariate Study of Risk Factors for Arterial Hypotension in Pregnant Patients at Term Undergoing Caesarean Section Under Subarachnoid Anesthesia]. Rev Esp Anestesiol Reanim. 2000;47(5):189-93. PubMed PMID: 10902448.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Multivariate study of risk factors for arterial hypotension in pregnant patients at term undergoing Caesarean section under subarachnoid anesthesia]. AU - Martínez Navas,A, AU - Echevarría Moreno,M, AU - Gómez Reja,P, AU - Merino Grande,S, AU - Caba Barrientos,F, AU - Rodríguez Rodríguez,R, PY - 2000/7/21/pubmed PY - 2000/9/19/medline PY - 2000/7/21/entrez SP - 189 EP - 93 JF - Revista espanola de anestesiologia y reanimacion JO - Rev Esp Anestesiol Reanim VL - 47 IS - 5 N2 - OBJECTIVES: The most common and potentially dangerous complication of spinal anesthesia for cesarean section is arterial hypotension. The aim of this study was to analyze maternal and gestational factors that might affect risk of arterial hypotension in full-term parturients undergoing cesarean section. MATERIAL AND METHOD: We enrolled full-term parturients scheduled for elective cesarean section under spinal anesthesia. Spinal puncture was performed at L2-L3 using an atraumatic Sprotte-type needle. We administered 12.5 mg of hyperbaric 0.5% bupivacaine and 12.5 micrograms of fentanyl. Arterial hypotension was defined as a decrease in systolic pressure of at least 20% or a decrease to a pressure below 100 mmHg. Multivariate analysis was performed to identify factors related to the presentation of hypotension appearing in the interval between spinal puncture and birth. RESULTS: The incidence of arterial hypotension was 33.3%. Statistical analysis revealed that integrity of the amniotic sac, parity and elective cesarean were significantly associated with a higher incidence of arterial hypotension (p < 0.03). CONCLUSIONS: Identifying risk for multiparous parturients with intact amniotic sacs scheduled for elective cesarean can be worthwhile if greater preventive measures are taken in such patients to reduce the incidence and intensity of arterial hypotension. SN - 0034-9356 UR - https://www.unboundmedicine.com/medline/citation/10902448/[Multivariate_study_of_risk_factors_for_arterial_hypotension_in_pregnant_patients_at_term_undergoing_Caesarean_section_under_subarachnoid_anesthesia]_ L2 - https://medlineplus.gov/cesareansection.html DB - PRIME DP - Unbound Medicine ER -