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Sequential compression device with thigh-high sleeves supports mean arterial pressure during Caesarean section under spinal anaesthesia.
Br J Anaesth 2003; 91(5):695-8BJ

Abstract

BACKGROUND

This study investigated the use of a Sequential Compression Device (SCD) with thigh-high sleeves and a preset pressure of 50 mm Hg that recruits blood from the lower limbs intermittently, as a method to prevent spinal hypotension during elective Caesarean section. Possible association of arterial pressure changes with maternal, fetal, haemodynamic, and anaesthetic factors were studied.

METHODS

Fifty healthy parturients undergoing elective Caesarean section under spinal anaesthesia were randomly assigned to either SCD (n=25) or control (n=25) groups. A standardized protocol for pre-hydration and anaesthetic technique was followed. Hypotension was defined as a decrease in any mean arterial pressure (MAP) measurement by more than 20% of the baseline MAP. Systolic (SAP), MAP and diastolic (DAP) arterial pressure, pulse pressure (PP), and heart rate (HR) were noted at baseline and every minute after the spinal block until delivery.

RESULTS

A greater than 20% decrease in MAP occurred in 52% of patients in the SCD group vs 92% in the control group (P=0.004, odds ratio 0.094, 95% CI 0.018-0.488). There were no significant differences in SAP, DAP, HR, and PP between the groups.

CONCLUSION

SCD use in conjunction with vasopressor significantly reduced the incidence of a 20% reduction of MAP.

Authors+Show Affiliations

Department of Anesthesiology, School of Medicine, State University Of New York, Stony Brook, NY 11794-8480, USA. radsumelli@anesthes.sunysb.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

14570793

Citation

Adsumelli, R S N., et al. "Sequential Compression Device With Thigh-high Sleeves Supports Mean Arterial Pressure During Caesarean Section Under Spinal Anaesthesia." British Journal of Anaesthesia, vol. 91, no. 5, 2003, pp. 695-8.
Adsumelli RS, Steinberg ES, Schabel JE, et al. Sequential compression device with thigh-high sleeves supports mean arterial pressure during Caesarean section under spinal anaesthesia. Br J Anaesth. 2003;91(5):695-8.
Adsumelli, R. S., Steinberg, E. S., Schabel, J. E., Saunders, T. A., & Poppers, P. J. (2003). Sequential compression device with thigh-high sleeves supports mean arterial pressure during Caesarean section under spinal anaesthesia. British Journal of Anaesthesia, 91(5), pp. 695-8.
Adsumelli RS, et al. Sequential Compression Device With Thigh-high Sleeves Supports Mean Arterial Pressure During Caesarean Section Under Spinal Anaesthesia. Br J Anaesth. 2003;91(5):695-8. PubMed PMID: 14570793.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sequential compression device with thigh-high sleeves supports mean arterial pressure during Caesarean section under spinal anaesthesia. AU - Adsumelli,R S N, AU - Steinberg,E S, AU - Schabel,J E, AU - Saunders,T A, AU - Poppers,P J, PY - 2003/10/23/pubmed PY - 2003/12/3/medline PY - 2003/10/23/entrez SP - 695 EP - 8 JF - British journal of anaesthesia JO - Br J Anaesth VL - 91 IS - 5 N2 - BACKGROUND: This study investigated the use of a Sequential Compression Device (SCD) with thigh-high sleeves and a preset pressure of 50 mm Hg that recruits blood from the lower limbs intermittently, as a method to prevent spinal hypotension during elective Caesarean section. Possible association of arterial pressure changes with maternal, fetal, haemodynamic, and anaesthetic factors were studied. METHODS: Fifty healthy parturients undergoing elective Caesarean section under spinal anaesthesia were randomly assigned to either SCD (n=25) or control (n=25) groups. A standardized protocol for pre-hydration and anaesthetic technique was followed. Hypotension was defined as a decrease in any mean arterial pressure (MAP) measurement by more than 20% of the baseline MAP. Systolic (SAP), MAP and diastolic (DAP) arterial pressure, pulse pressure (PP), and heart rate (HR) were noted at baseline and every minute after the spinal block until delivery. RESULTS: A greater than 20% decrease in MAP occurred in 52% of patients in the SCD group vs 92% in the control group (P=0.004, odds ratio 0.094, 95% CI 0.018-0.488). There were no significant differences in SAP, DAP, HR, and PP between the groups. CONCLUSION: SCD use in conjunction with vasopressor significantly reduced the incidence of a 20% reduction of MAP. SN - 0007-0912 UR - https://www.unboundmedicine.com/medline/citation/14570793/Sequential_compression_device_with_thigh_high_sleeves_supports_mean_arterial_pressure_during_Caesarean_section_under_spinal_anaesthesia_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0007-0912(17)36305-5 DB - PRIME DP - Unbound Medicine ER -