The effect of 10° head-up tilt in the right lateral position on the systemic blood pressure after subarachnoid block for Caesarean section
✍ Scribed by G. P. Y. Loke; E. H. Y. Chan; A. T. H. Sia
- Publisher
- John Wiley and Sons
- Year
- 2002
- Tongue
- English
- Weight
- 71 KB
- Volume
- 57
- Category
- Article
- ISSN
- 0003-2409
No coin nor oath required. For personal study only.
✦ Synopsis
Forty women presenting for elective Caesarean section under spinal anaesthesia were randomly assigned to have anaesthesia induced in the right lateral position either in the horizontal position or with 10° head‐up tilt. Hyperbaric bupivacaine 2 ml 0.5% with 0.1 mg of morphine was injected intrathecally before the parturients were placed in the supine position with 15° left lateral tilt. Blood pressure and heart rate were monitored every minute and the sensory level (loss of sharp sensation to pinprick) was monitored every 3 min until clamping of the umbilical cord. Ephedrine 6 mg was given every minute that the systolic blood pressure decreased below 90 mmHg. The mean systolic blood pressure during the first 5 min after induction of spinal anaesthesia was lower in the control group compared to the tilted group (99 mmHg vs. 109 mmHg; p = 0.043). The upper limit of block was higher in the control group compared to the tilted group (p = 0.002). The use of 10° head‐up tilt resulted in a reduced incidence of hypotension initially and less extensive sensory block.