Impact of leg wrapping in combination with leg elevation on postspinal hypotension in subjects undergoing elective cesarean section under spinal anesthesia

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dc.authoridOsman Esen / 0000-0001-6280-5064
dc.authorscopusidOsman Esen / 56650841200
dc.authorwosidOsman Esen / AAW-7234-2021
dc.contributor.authorEsen, Osman
dc.contributor.authorBalcı, Canan
dc.contributor.authorSargın, Mehmet Akif
dc.contributor.authorErdivanlı, Başar
dc.date.accessioned2021-12-30T07:45:29Z
dc.date.available2021-12-30T07:45:29Z
dc.date.issued2021en_US
dc.departmentİstinye Üniversitesi, Sağlık Hizmetleri Meslek Yüksekokulu, Anestezi Bölümüen_US
dc.description.abstractAim: This study aimed to compare the efficacy of lower extremity wrapping with elastic bandages in conjunction with leg elevation to leg elevation alone in terms of maternal systolic blood pressure, diastolic blood pressure, mean arterial pressure, heart rate, and SaO2 in term mothers undergoing elective cesarean section (CS) with spinal anesthesia. Material and Methods: A series of 62 term mothers aged between 20 and 45 years who were scheduled for elective CS under spinal anesthesia were enrolled in the study. Using sealed envelopes, participants were allocated to one of two study groups: the wrapping group (n=30) or the control group (n=32). All subjects received volume administration of lactated Ringer's solution of 10 mL/kg over the 15 min prior to the administration of the spinal block. Subjects allocated to the wrapping group received lower extremity wrapping with 10-cm Esmarch elastic bandages applied from the ankle to the mid-thigh immediately before the administration of the subarachnoid block. Following intrathecal injection, lower limbs were elevated 20 degrees in subjects allocated to the wrapping group by tilting the foot-end of the operating table. Systolic blood pressure, diastolic blood pressure, mean arterial pressure, heart rate, and SaO2 were monitored intraoperatively. Results: Systolic, diastolic, and mean blood pressures were significantly higher in the wrapping group compared to the control subjects beginning from the 2nd minute of the intrathecal injection to the 20th-30th minute of the intrathecal injection. The median ephedrine dose was significantly higher in the control group than the wrapping group [15 (0-40) mg vs. 5 (0-30) mg, p=0.007]. Vomiting was also more frequent in control subjects compared to those receiving lower extremity wrapping and leg elevation (18% vs. 0%, p=0.024). Discussion: Lower extremity wrapping in combination with leg elevation provides a better hemodynamic profile than volume administration alone in subjects undergoing elective CS under spinal anesthesia. Subjects receiving lower extremity wrapping and leg elevation require less vasopressors and experience less vomiting compared to subjects receiving only volume administration.en_US
dc.identifier.doi10.4328/ACAM.20759en_US
dc.identifier.endpage1387en_US
dc.identifier.issn2667-663Xen_US
dc.identifier.issue12en_US
dc.identifier.startpage1383en_US
dc.identifier.urihttps://doi.org/10.4328/ACAM.20759
dc.identifier.urihttps://hdl.handle.net/20.500.12713/2375
dc.identifier.volume12en_US
dc.identifier.wosWOS:000732435100013en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.institutionauthorEsen, Osman
dc.language.isoenen_US
dc.publisherBAYRAKOL MEDICAL PUBLISHERen_US
dc.relation.ispartofANNALS OF CLINICAL AND ANALYTICAL MEDICINEen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCesarean Sectionen_US
dc.subjectSpinal Anesthesiaen_US
dc.subjectHypotensionen_US
dc.subjectPrevent Hypotensionen_US
dc.subjectRandomized-Trialen_US
dc.subjectColloid Preloaden_US
dc.subjectPhenylephrineen_US
dc.subjectCirculationen_US
dc.subjectColoaden_US
dc.titleImpact of leg wrapping in combination with leg elevation on postspinal hypotension in subjects undergoing elective cesarean section under spinal anesthesiaen_US
dc.typeArticleen_US

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