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Spinal anesthesia hypotension in elective cesarean section in parturients wearing extra-strong compression stockings.
Arch Gynecol Obstet. 2002 Dec; 267(2):85-9.AG

Abstract

We have routinely applied an extra-strong graduated compression stocking to cesarean section patients to reduce the incidence of spinal anesthesia hypotension. Because bupivacaine has recently become available in Japan, we compared the incidence of spinal hypotension using either 2.0 ml of hyperbaric 0.3% dibucaine or 0.5% bupivacaine. There were 98 full-term parturients wearing the stocking who received 2.0 ml injection of dibucaine or bupivacaine for elective cesarean section. When systolic blood pressure decreased to 90-100 mm Hg or to less than 70% of the pre-anesthesia value, ephedrine was injected intravenously. There was no significant difference in systolic blood pressure or heart rate during spinal anesthesia between the dibucaine and bupivacaine groups. Although the demographic data and various data related to anesthesia or surgery were similar in the groups, the fluid volume and the dose and incidence of ephedrine injection during anesthesia showed significant differences: the mean dose was 3.6 and 1.5 mg and the incidence was 41% and 19% in the dibucaine and bupivacaine groups, respectively. Spinal anesthesia using bupivacaine results in a lower incidence of spinal hypotension compared with dibucaine and, in combination with fitting the extra-strong stockings onto both legs, is clinically useful for cesarean sections.

Authors+Show Affiliations

Department of Anesthesiology, Central Aizu General Hospital, 1-1 Tsuruga-machi, Aizuwakamatsu City 965-0011, Japan. iwama@onchikai.jpNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Controlled Clinical Trial
Journal Article

Language

eng

PubMed ID

12439553

Citation

Iwama, H, et al. "Spinal Anesthesia Hypotension in Elective Cesarean Section in Parturients Wearing Extra-strong Compression Stockings." Archives of Gynecology and Obstetrics, vol. 267, no. 2, 2002, pp. 85-9.
Iwama H, Ohmizo H, Furuta S, et al. Spinal anesthesia hypotension in elective cesarean section in parturients wearing extra-strong compression stockings. Arch Gynecol Obstet. 2002;267(2):85-9.
Iwama, H., Ohmizo, H., Furuta, S., Ohmori, S., Watanabe, K., & Kaneko, T. (2002). Spinal anesthesia hypotension in elective cesarean section in parturients wearing extra-strong compression stockings. Archives of Gynecology and Obstetrics, 267(2), 85-9.
Iwama H, et al. Spinal Anesthesia Hypotension in Elective Cesarean Section in Parturients Wearing Extra-strong Compression Stockings. Arch Gynecol Obstet. 2002;267(2):85-9. PubMed PMID: 12439553.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Spinal anesthesia hypotension in elective cesarean section in parturients wearing extra-strong compression stockings. AU - Iwama,H, AU - Ohmizo,H, AU - Furuta,S, AU - Ohmori,S, AU - Watanabe,K, AU - Kaneko,T, PY - 2002/11/20/pubmed PY - 2003/5/8/medline PY - 2002/11/20/entrez SP - 85 EP - 9 JF - Archives of gynecology and obstetrics JO - Arch. Gynecol. Obstet. VL - 267 IS - 2 N2 - We have routinely applied an extra-strong graduated compression stocking to cesarean section patients to reduce the incidence of spinal anesthesia hypotension. Because bupivacaine has recently become available in Japan, we compared the incidence of spinal hypotension using either 2.0 ml of hyperbaric 0.3% dibucaine or 0.5% bupivacaine. There were 98 full-term parturients wearing the stocking who received 2.0 ml injection of dibucaine or bupivacaine for elective cesarean section. When systolic blood pressure decreased to 90-100 mm Hg or to less than 70% of the pre-anesthesia value, ephedrine was injected intravenously. There was no significant difference in systolic blood pressure or heart rate during spinal anesthesia between the dibucaine and bupivacaine groups. Although the demographic data and various data related to anesthesia or surgery were similar in the groups, the fluid volume and the dose and incidence of ephedrine injection during anesthesia showed significant differences: the mean dose was 3.6 and 1.5 mg and the incidence was 41% and 19% in the dibucaine and bupivacaine groups, respectively. Spinal anesthesia using bupivacaine results in a lower incidence of spinal hypotension compared with dibucaine and, in combination with fitting the extra-strong stockings onto both legs, is clinically useful for cesarean sections. SN - 0932-0067 UR - https://www.unboundmedicine.com/medline/citation/12439553/Spinal_anesthesia_hypotension_in_elective_cesarean_section_in_parturients_wearing_extra_strong_compression_stockings_ L2 - https://dx.doi.org/10.1007/s00404-001-0281-4 DB - PRIME DP - Unbound Medicine ER -