|
| << vorige | volgende >> |
Tijdschrift beschrijving
Alle jaargangen van het bijbehorende tijdschrift
Alle afleveringen van het bijbehorende jaargang
Alle artikelen van de bijbehorende aflevering
Details van artikel 60 van 104 gevonden artikelen
| Titel: |
Prevention of Hypotension During Spinal Anesthesia: Comparison Between Preanesthetic Administration of Colloids, Crystalloids, and No Prehydration |
| Auteur: |
Gönül Ölmez M. Hadi Öztekin |
| Verschenen in: |
Dicle medical journal |
| Paginering: | Jaargang 33 (2006) nr. 2 pagina's 89-94 |
| Jaar: |
2006 |
| Inhoud: |
The practice of routinely prehydrating patients for prevention of spinal anesthesia-induced hypotension has been challenged recently. The type of the solution (colloid or crystalloid) for using routine prehydration is also controversial.We compared the incidence of hypotension and vasopressor therapy during spinal anesthesia without prehydration or prehydration with crystalloid and colloid solutions in elective orthopedic surgery.Sixty ASA grade I or II patients were enrolled in the study. They were randomized to receive 500 mL 6% HES, 500 mL modified gelatin, or 1000 mL lactated ringer’s solution over 10 min prior to spinal anesthesia. Control group did not have prehydration. Hypotension was defined as a 30 % decrease of systolic blood pressure from baseline or systolic pressure detected <90 mmHg and was treated with ephedrine 5 mg boluses. Hemodynamic measurements after spinal anesthesia remained stable in prehydration groups than control. The incidence of hypotension and total dose of ephedrine use were significantly lower in colloid groups than control. Our study show that, prehydration is valuable for prevention of spinal anesthesia induced hypotension. Moreover, colloid solutions are more effective than crystalloids for minimizing the hemodynamic responses to spinal anesthesia. |
| Uitgever: |
Dicle University Medical School (provided by DOAJ) |
| Bronbestand: |
Elektronische Wetenschappelijke Tijdschriften |
Details van artikel 60 van 104 gevonden artikelen
| << vorige | volgende >> |