| Hypotension after spinal anesthesia for cesarean section: identification of risk factors using an anesthesia information management system. | |
| | |
MedLine Citation:
|
PMID: 19277879 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: To determine risk factors for developing hypotension after spinal anesthesia for cesarean section to prevent obstetric patients from hypotensive episodes potentially resulting in intrauterine malperfusion and endangering the child. METHODS: The data from 503 women, having received spinal anesthesia for cesarean sections were investigated using online gathered vital signs and specially checked manual entries employing an anesthesia information management system. Blood pressure, heart rate, and oxygen saturation were measured throughout and hypotension was defined as either a drop in mean arterial blood pressure of >20% from baseline value or readings of <90 mmHg systolic arterial blood pressure. Thirty-two variables were studied for association with hypotensive episodes using univariate analysis and logistic regression employing a forward stepwise algorithm to identify independent variables (P < 0.05). RESULTS: Hypotension was found in 284 cases (56.5%). The univariate analysis identified the neonate's weight, mother's age, body mass index, and peak sensory block height associated with hypotension. Body mass index, age and sensory block height were detected as independent factors for hypotension (odds-ratio: 1.61 each). CONCLUSIONS: Knowledge of these risk factors should increase the anesthesiologist's attention to decide for the necessity to employ prophylactic or therapeutic techniques or drugs to prevent the neonate from any risk resulting of hypotension of the mother. |
| | |
Authors:
|
F Brenck; B Hartmann; C Katzer; R Obaid; D Brüggmann; M Benson; R Röhrig; A Junger |
Related Documents
:
|
3689609 - Relationship between lower oesophageal contractility, clinical signs and halothane conc... 2774229 - Time-courses of zones of differential sensory blockade during spinal anesthesia with hy... 8289749 - Effects of heart rate, blood pressure and bronchomotor tone of halothane, enflurane and... 19580019 - Effect of scalp infiltration with bupivacaine on early hemodynamic responses during cra... 1355639 - Premedication with oral dexmedetomidine alters hemodynamic actions of intravenous anest... 7598289 - Use of sevoflurane during elective cesarean birth: a comparison with isoflurane and spi... 7482719 - The relation of interleukin-6, tumor necrosis factor-alpha, il-2, and il-2 receptor lev... 3514929 - Cardiopulmonary effects of severe thoracic subcutaneous emphysema. 6342479 - Effect of high-frequency oscillation on gas exchange and pulmonary phospholipids in exp... |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2009-03-10 |
Journal Detail:
|
Title: Journal of clinical monitoring and computing Volume: 23 ISSN: 1573-2614 ISO Abbreviation: J Clin Monit Comput Publication Date: 2009 Apr |
Date Detail:
|
Created Date: 2009-04-09 Completed Date: 2009-06-23 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9806357 Medline TA: J Clin Monit Comput Country: Netherlands |
Other Details:
|
Languages: eng Pagination: 85-92 Citation Subset: IM |
Affiliation:
|
Department of Anesthesiology, Intensive Care Medicine, Pain Therapy, Universitätsklinikum Giessen und Marburg GmbH, Standort Giessen, Rudolf-Buchheim-Strasse 7, 35392, Giessen, Germany. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Age Factors Algorithms Anesthesia, Spinal / adverse effects* Blood Pressure / physiology Body Mass Index Cesarean Section / methods* Female Heart Rate / physiology Humans Hypotension / chemically induced*, epidemiology*, physiopathology Logistic Models Management Information Systems* Pregnancy Retrospective Studies Risk Factors Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Noninvasive imaging of the functional effects of anti-VEGF therapy on tumor cell extravasation and r...
Next Document: Sweets, sweetened beverages, and risk of pancreatic cancer in a large population-based case-control ...