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Extra-strong graduated compression stocking reduces usage of vasopressor agents during spinal anesthesia for cesarean section
- Source :
- Archives of Gynecology and Obstetrics. 265:60-63
- Publication Year :
- 2001
- Publisher :
- Springer Science and Business Media LLC, 2001.
-
Abstract
- Because a standard type of graduated compression stocking is not effective for the prevention of spinal anesthesia hypothension during cesarean section, we have used an extra-strong type of graduated compression stocking. This study examined whether the extra-strong stocking reduces usage of vasopressor agents. Forty-eight and 47 full term parturients were fitted with the standard stocking and the extra-strong stocking, respectively. Spinal anesthesia was performed by injecting 2.0 ml 0.3% dibucaine hyperbaric solution. When systolic blood pressure decreased to 90-100 mmHg or to less than 70% of the pre-anesthesia value, ephedrine was injected. There was no significant difference in systolic blood pressure or heart rate during spinal anesthesia between the groups. The mean dose of ephedrine injected during anesthesia was 12.2 and 4.3 mg, and the incidence of ephedrine injected was 85 and 49%, in the standard and extra-strong stocking groups, respectively. The extra-strong stocking group showed significantly lower values. Fitting the extra-strong stocking on both legs for cesarean sections undergoing spinal anesthesia reduced usage of vasopressor agents, suggesting a promising use of this stocking for non-invasive prophylaxis.
- Subjects :
- Adult
medicine.medical_specialty
Adolescent
Blood Pressure
Anesthesia, Spinal
Stocking
Heart Rate
Pregnancy
Heart rate
medicine
Anesthesia, Obstetrical
Humans
Vasoconstrictor Agents
Ephedrine
Full Term
Cesarean Section
business.industry
Obstetrics and Gynecology
Spinal anesthesia
General Medicine
medicine.disease
Compression (physics)
Bandages
Surgery
Kinetics
Blood pressure
Anesthesia
Female
Hypotension
business
medicine.drug
Subjects
Details
- ISSN :
- 14320711 and 09320067
- Volume :
- 265
- Database :
- OpenAIRE
- Journal :
- Archives of Gynecology and Obstetrics
- Accession number :
- edsair.doi.dedup.....ff2632f83b58fe458969fed9a666f0bb
- Full Text :
- https://doi.org/10.1007/s004040000133