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:: Volume 2, Issue 3 (Journal of Clinical and Basic Research(JCBR) 2018) ::
jcbr 2018, 2(3): 10-18 Back to browse issues page
Studying the Effect of Wearing Compression Socks on Hypotension and the Amount of Administrated Ephedrine after Spinal Anesthesia in the Candidates for Cesarean Section
Leila Sadati 1, Banafsheh Mashak2, Mehdi Tayebi Arasteh2, Zahra Nouri Khaneghah1, Mohammad Faryab Asl3, Tannaz Salehi4
1- Department of Operating Room, School of Paramedical Sciences, Alborz University of Medical Sciences, Karaj, Iran
2- Department of Anesthesia, School of Paramedical Sciences, Alborz University of Medical Sciences, Karaj, Iran
3- Department of Operating Room, Faculty of Allied Medicine, Iran University of Medical Sciences, Tehran, Iran
4- Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran
Abstract:   (771 Views)
Background and objectives: Due to the negative effects and risks of general anesthesia for the mother and fetus, spinal anesthesia has been the preferred method of anesthesia for cesarean section. Nevertheless, this method has its own disadvantages and side effects, which must be prevented or treated through effective approaches. This study evaluates the effect of wearing compression socks on degree of hypotension and ephedrine administration after spinal anesthesia in candidates for cesarean section.
 methods: In this clinical trial, 80 candidates for cesarean section were equally divided into an intervention group and a control group. Immediately after spinal anesthesia, the patients were worn compression socks from the tip of the toe fingers up to the knees. Blood pressure was measured and recorded just before spinal anesthesia and every 5 minutes after, for 30 minutes. The recorded data were analyzed by SPSS (version 19).
Results: The mean blood pressure recorded 5 minutes and 15 minutes after spinal anesthesia differed significantly between the two groups (P<0.05). Moreover, ephedrine was not administered for the patients in the intervention group in the first 5 minutes after spinal anesthesia.
Conclusions: Considering the positive effects of wearing compression socks on the anesthesia-induced hypotension and amount of ephedrine administration, this non-invasive method is highly recommended for cesarean section candidates who undergo spinal anesthesia.
Keywords: cesarean section, spinal anesthesia, hypotension
Full-Text [PDF 726 kb]   (200 Downloads)    
Article Type: Research | Subject: Medicine
Received: 2018/10/15 | Accepted: 2018/10/15 | Published: 2018/10/15
1. Ye J, Zhang J, Mikolajczyk R, et al. Association between rates of caesarean section and maternal and neonatal mortality in the 21st century: a worldwide population‐based ecological study with longitudinal data. BJOG. 2015;123(5):745-53. [DOI:10.1111/1471-0528.13592]
2. Betrán AP, Ye J, Moller A-B, Zhang J, Gülmezoglu AM, Torloni MR. The Increasing Trend in Caesarean Section Rates: Global, Regional and National Estimates: 1990-2014. PLoS ONE. 2016;11(2):e0148343. [DOI:10.1371/journal.pone.0148343]
3. Gregory KD, Jackson S, Korst L, Fridman M. Cesarean versus vaginal delivery: whose risks? Whose benefits? Am J Perinatol. 2012;29(01):07-18. [DOI:10.1055/s-0031-1285829]
4. Huang X, Lei J, Tan H, Walker M, Zhou J, Wen SW. Cesarean delivery for first pregnancy and neonatal morbidity and mortality in second pregnancy. Eur J Obstet Gynecol Reprod Biol. 2011;158(2):204-8. [DOI:10.1016/j.ejogrb.2011.05.006]
5. Marshall NE, Fu R, Guise J-M. Impact of multiple cesarean deliveries on maternal morbidity: a systematic review. Am J Obstet Gynecol. 2011;205(3):262. e1-. e8.
6. Timor-Tritsch IE, Monteagudo A. Unforeseen consequences of the increasing rate of cesarean deliveries: early placenta accreta and cesarean scar pregnancy. A review. Am J Obstet Gynecol. 2012;207(1):14-29. [DOI:10.1016/j.ajog.2012.03.007]
7. Afolabi BB, Lesi FE. Regional versus general anaesthesia for caesarean section. Cochrane Database Syst Rev. 2012 (10).
8. McGlennan A, Mustafa A. General anaesthesia for Caesarean section. CEACCP. 2009;9(5):148-51. [DOI:10.1093/bjaceaccp/mkp025]
9. Van De Velde M. Spinal anesthesia in the obstetric patient: prevention and treatment of hypotension. Acta Anaesthesiol Belg. 2005;57(4):383-6.
10. Huang C-H, Hsieh Y-J, Wei K-H, Sun W-Z, Tsao S-L. A comparison of spinal and epidural anesthesia for cesarean section following epidural labor analgesia: A retrospective cohort study. Acta Anaesthesiol Taiwan. 2015;53(1):7-11. [DOI:10.1016/j.aat.2015.01.003]
11. Vaida S. Guidelines for managing hypotension during spinal anesthesia for cesarean delivery. Actualitati in Anesthesie, Terapie Intensiva si Medicina de Urgenta, Editori Sandesc D, Bedreag O, Papurica M, Ed Mirton. 2008.
12. Bajwa SJS, Kulshrestha A, Jindal R. Co-loading or pre-loading for prevention of hypotension after spinal anaesthesia! a therapeutic dilemma. Anesth Essays Res. 2013;7(2):155. [DOI:10.4103/0259-1162.118943]
13. Birnbach D, Browne I. Anesthesia for obstetrics. In: Miller RD, editor. Miller's Anesthesia. 7th ed. . New York: Churchill Livingstone Inc; 2007. pp. 2220–1.
14. KlÖHR S, Roth R, Hofmann T, Rossaint R, Heesen M. Definitions of hypotension after spinal anaesthesia for caesarean section: literature search and application to parturients. Acta Anaesthesiol Scand. 2010;54(8):909-21. [DOI:10.1111/j.1399-6576.2010.02239.x]
15. Limongi JAG, Lins RSAdM. Cardiopulmonary arrest in spinal anesthesia. Rev Bras Anestesiol. 2011;61(1):115-20. [DOI:10.1590/S0034-70942011000100012]
16. Toyama S, Kakumoto M, Morioka M, et al. Perfusion index derived from a pulse oximeter can predict the incidence of hypotension during spinal anaesthesia for Caesarean delivery. Br J Anaesth. 2013;111(2):235-43. [DOI:10.1093/bja/aet058]
17. Yousefshahi F, Dahmardeh AR, Khajavi M, Najafi A, Khashayar P, Barkhordari K. Effect of dexamethasone on the frequency of postdural puncture headache after spinal anesthesia for cesarean section: a double-blind randomized clinical trial. Acta Neurol Belg. 2012;112(4):345-50. [DOI:10.1007/s13760-012-0065-6]
18. Bjørnestad E, Rosseland L. [Anaesthesia for Caesarean section]. Tidsskr Nor Laegeforen. 2010;130(7):748-51. [DOI:10.4045/tidsskr.08.0282]
19. Herdan A, Roth R, Grass D, Klimek M, Will S, Schauf B, et al. Improvement of quality of reporting in randomised controlled trials to prevent hypotension after spinal anaesthesia for caesarean section. Gynecol Surg. 2011;8(2):121-7. [DOI:10.1007/s10397-010-0648-2]
20. Cyna A, Andrew M, Emmett R, et al. Techniques for preventing hypotension during spinal anaesthesia for caesarean section (Review). Cochrane Database Syst Rev. 2010 (4).
21. Melchor JR, Espinosa Á, Hurtado EM, Francés RC, Pérez RN, Gurumeta AA, et al. Colloids versus crystalloids in the prevention of hypotension induced by spinal anesthesia in elective cesarean section. A systematic review and meta-analysis. Minerva Anestesiol. 2015;81(9):1019-30.
22. Mercier F, Augè M, Hoffmann C, Fischer C, Le Gouez A. Maternal hypotension during spinal anesthesia for caesarean delivery. Minerva Anestesiol. 2013;79(1):62-73.
23. Mercier FJ. Cesarean delivery fluid management. Curr Opin Anaesthesiol. 2012;25(3):286-91. [DOI:10.1097/ACO.0b013e3283530dab]
24. Mitra J, Roy J, Bhattacharyya P, Yunus M, Lyngdoh N. Changing trends in the management of hypotension following spinal anesthesia in cesarean section. J Postgrad Med. 2013;59(2):121. [DOI:10.4103/0022-3859.113840]
25. Aragão FFd, Aragão PWd, Martins CAdS, Barroqueiro EdSB. Comparison of metaraminol, phenylephrine and ephedrine in prophylaxis and treatment of hypotension in cesarean section under spinal anesthesia. Rev Bras Anestesiol. 2014;64(5):299-306.
26. Katzung BG, Masters SB, Trevor AJ. Basic and Clinical Pharmacology (LANGE Basic Science). McGraw-Hill Education; 2012.
27. Simin A, Zahra F, Pouya HM, Reza T. Comparison the effect of ephedrine and phenylephrine in treatment of hypotension after spinal anesthesia during cesarean section. Open J Obstet Gynecol. 2012;2(03):192. [DOI:10.4236/ojog.2012.23038]
28. Kundra P, Khanna S, Habeebullah S, Ravishankar M. Manual displacement of the uterus during Caesarean section. Anaesthesia. 2007;62(5):460-5. [DOI:10.1111/j.1365-2044.2007.05025.x]
29. Singh K, Payal Y, Sharma J, Nautiyal R. Evaluation of hemodynamic changes after leg wrapping in elective cesarean section under spinal anesthesia. Journal of Obstetric Anaesthesia and Critical Care. 2014;4(1):23. [DOI:10.4103/2249-4472.132818]
30. Hernández MGL, Flórez HJM, Robles SÁ, Arteaga JdLA. Risk factors for hypotension in regional spinal anesthesia for cesarean section. Role of the Waist-to-Hip Ratio and Body Mass Index. Colombian Journal of Anesthesiology. 2018;46(1):42-8. [DOI:10.1097/CJ9.0000000000000008]
31. Adsumelli R, Steinberg E, Schabel J, Saunders T, Poppers P. 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. [DOI:10.1093/bja/aeg248]
32. Bjørnestad E, Iversen OE, Raeder J. Wrapping of the legs versus phenylephrine for reducing hypotension in parturients having epidural anaesthesia for caesarean section: a prospective, randomized and double-blind study. Eur J Anaesthesiol. 2009;26(10):842-6. [DOI:10.1097/EJA.0b013e328329b028]
33. Nahed F, Maternity K. Preventive measures to reduce post-spinal anesthesia hypotension for elective cesarean delivery. J Am Sci. 2011;7:634-40.
34. Jabalameli M, Soltani HA, Hashemi J, Behdad S, Soleimani B. A randomized comparative trial of combinational methods for preventing post-spinal hypotension at elective cesarean delivery. J Res Med Sci. 2011;16(9):1129.
35. Das P, Swain S. Effect of leg wrapping on haemodynamics and associated complications in caesarean section: a randomised prospective study. IJMMR. 2016;4(10):4408-15. [DOI:10.18203/2320-6012.ijrms20163302]
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Sadati L, Mashak B, Tayebi Arasteh M, Nouri Khaneghah Z, Faryab Asl M, Salehi T. Studying the Effect of Wearing Compression Socks on Hypotension and the Amount of Administrated Ephedrine after Spinal Anesthesia in the Candidates for Cesarean Section. jcbr. 2018; 2 (3) :10-18
URL: http://jcbr.goums.ac.ir/article-1-150-en.html

Volume 2, Issue 3 (Journal of Clinical and Basic Research(JCBR) 2018) Back to browse issues page
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