Document Detail


Extra-strong graduated compression stocking reduces usage of vasopressor agents during spinal anesthesia for cesarean section.
MedLine Citation:
PMID:  11409475     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
H Iwama; S Furuta; S Tanigawa; H Ohmizo; S Ohmori; T Kaneko
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of gynecology and obstetrics     Volume:  265     ISSN:  0932-0067     ISO Abbreviation:  Arch. Gynecol. Obstet.     Publication Date:  2001 May 
Date Detail:
Created Date:  2001-06-18     Completed Date:  2001-11-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8710213     Medline TA:  Arch Gynecol Obstet     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  60-3     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology, Central Aizu General Hospital, Aizuwakamatsu City, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Anesthesia, Obstetrical / adverse effects*
Anesthesia, Spinal / adverse effects*
Bandages*
Blood Pressure
Cesarean Section*
Ephedrine / administration & dosage
Female
Heart Rate
Humans
Hypotension / etiology,  prevention & control*
Kinetics
Pregnancy
Vasoconstrictor Agents / administration & dosage*
Chemical
Reg. No./Substance:
0/Vasoconstrictor Agents; 299-42-3/Ephedrine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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