A sequential compression mechanical pump to prevent hypotension during elective cesarean section under spinal anesthesia

Sujata, Nambiath; Arora, Deep; Panigrahi, Bishnu; Hanjoora, Vijay Mohan

doi:10.1016/j.ijoa.2012.01.003

Cited by 17 publications

(16 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This was inconsistent with the findings of our study; however, the median ephedrine dosages in their study were 12 [0–24] mg in the treatment group and 0 [0–12] mg in the control group (p<0.001). On the other hand, there was no difference between groups in the time to the onset of hypotension (9), which was almost consistent with our findings. In addition, Adsumelli randomly divided 50 pregnant women, undergoing C-section into two groups of SCD and control, each with 25 subjects.…”

Section: Discussionsupporting

confidence: 92%

“…The sample size was calculated based on the results of previous studies (1, 9) by assuming the test power of 80% and a confidence level of 95% and using the following formula: n = (Z 1−α/2 +Z 1−β ) 2 ×((P 1 ×(1−P 1 )+P 2 ×(1−P 2 )) / (P 1 −P 2 ) 2 ; Where: n = Sample size, Z 1−α/2 = 1.96 when α = 5% for two-tailed hypothesis, Z 1−β = 0.842 when β = 20% (test power = 80%), P = Probability of the main outcome.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Sequential compression pump effect on hypotension due to spinal anesthesia for cesarean section: A double blind clinical trial

Javaherforooshzadeh¹,

Alqozat²,

Zadeh³

2017

Electron physician

View full text Add to dashboard Cite

BackgroundSpinal anesthesia (SA) is a standard technique for cesarean section. Hypotension presents an incident of 80–85% after SA in pregnant women.ObjectiveTo determine the effect of intermittent pneumatic compression of lower limbs on declining spinal anesthesia induced hypotension during cesarean section.MethodsThis double-blind clinical prospective study was conducted on 76 non-laboring parturient patients, aged 18–45 years, with the American Society of Anesthesiologist physical status I or II who were scheduled for elective cesarean section at Razi Hospital, Ahvaz, Iran from December 21, 2015 to January 20, 2016. Patients were divided into treatment mechanical pump (Group M) or control group (Group C) with simple random sampling. Fetal presentation, birth weight, Apgar at 1 and 5 min, time taken for pre-hydration (min), pre-hydration to the administration of spinal anesthesia (min), initiation of spinal to the delivery (min) and total volume of intravenous fluids, total dose of ephedrine and metoclopramide were recorded. Data were analyzed by SPSS version 19, using repeated measures of ANOVA and Chi square test.ResultsHeart rate, MPA, DAP and SAP changes were significantly higher in off-pump group in the baseline and 1st-minute (p<0.05), and in the other times, this change was significantly different with control groups.ConclusionThis research showed the suitability of the use of Sequential Compression Device (SCD) in reducing hypotension after spinal anesthesia for cesarean section, also this method can cause reducing vasopressor dosage for increased blood pressure, but the approval of its effectiveness requires repetition of the study with a larger sample size.Trial registrationThe trial was registered at the Iranian Registry of Clinical Trials (http://www.irct.ir) with the IRCT ID: IRCT2015011217742N3.FundingThe authors received no financial support for the research, authorship, and/or publication of this article.

show abstract

Section: Discussionsupporting

confidence: 92%

Section: Methodsmentioning

confidence: 99%

Sequential compression pump effect on hypotension due to spinal anesthesia for cesarean section: A double blind clinical trial

Javaherforooshzadeh¹,

Alqozat²,

Zadeh³

2017

Electron physician

View full text Add to dashboard Cite

show abstract

“…This study finding was in disagreement with Sujata et al [23] who stated that two Indian women in the control group and three in the mechanical pump group had nausea, but none vomited (p value = .68). Additionally, contrary to the current study finding, Zasa et al [13] who reported that incidence of nausea and/or vomiting was not statistically different between both groups (p = .228).…”

Section: Discussioncontrasting

confidence: 90%

Effect of leg wrapping technique on prevention of spinal induced hypotension and fetal acidosis during cesarean section: Randomized controlled trial

El-Shora

El-Nemer

2019

JNEP

View full text Add to dashboard Cite

Background and aim: Hypotension during cesarean section (CS) under spinal anesthesia has been a subject of scientific study for more than 50 years and the search for the most effective strategy to achieve hemodynamic stability remains challenging. Aim: The study was carried out to apply leg wrapping technique for the prevention of spinal-induced hypotension (SIH) during CS.Methods: Randomized Controlled Trial design was utilized at cesarean delivery operating room Mansoura General Hospital in El-Mansoura City during the period from May 2018 to November 2018. A purposive sample of 88 pregnant women, assigned randomly to an intervention group (n = 44) in which their legs wrapped with elastic crepe bandage and control group (n = 44) in which no wrapping was done. Data collected for maternal, neonatal hemodynamic and signs of hypotension, the feasibility of application and cost analysis.Results: There was a statistically significant difference in the incidence of SIH and Ephedrine use among both groups (18.20% in leg wrapping group whereas 75% in control group). In addition, neonatal acidosis and NICU admission were less among leg wrapping group (11.40%, 9.10% respectively). Economically, leg wrapping technique was cost effective compared to the cost of the hospital regimen for treating SIH and admission to (NICU).Conclusion and recommendations: Leg wrapping technique was cost effective and an efficient method for decreasing SIH, neonatal acidosis and Ephedrine administration. It is recommended to apply leg wrapping technique in maternal hospitals' protocol of care for decreasing SIH during CS.

show abstract

“…Leg wrapping being a simple, nonpharmacological and cost-effective technique can be used on a daily basis to prevent hypotension. [1112] In this study, we evaluated the efficacy of leg wrapping with crepe bandage before spinal anesthesia in pregnant female undergoing cesarean section.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of leg wrapping for the prevention of postspinal hypotension in cesarean section under spinal anesthesia

et al. 2017

View full text Add to dashboard Cite

Background:Spinal blockade provides excellent anesthesia for patients undergoing cesarean section. However, hypotension after spinal anesthesia is a common adverse effect that is commonly experienced in patients undergoing cesarean section. The aim of our study was to analyze if a simple technique like leg wrapping with elastic crepe bandage would be effective in controlling postspinal hypotension.Materials and Methods:Sixty full-term pregnant patients who were posted for cesarean section belonging to American Society of Anesthesiologists I and II were divided into two groups. Patients in Group W had their legs wrapped with elastic crepe bandage and in the other Group N, leg wrapping was not done. All the patients were preloaded with Ringer lactate at 10 ml/kg before the spinal anesthesia. The hemodynamic parameters were monitored every 3 min until the delivery of the baby and every 5 min until the end of surgery. If hypotension occurred, then along with crystalloid loading a bolus dose of mephentermine 6 mg was given intravenously.Statistical Analysis:Statistical software “Numbers version 3.6.1 (2566)” was used for statistical calculations.Results:Frequency of hypotension in Group W (10%) was significantly less compared to Group N (60%). Vasopressor requirement was significantly less in Group W (P = 0.009), which was highly significant.Conclusion:Wrapping of lower extremities was a simple, easy, and an effective method of decreasing episodes of hypotension and vasopressor requirement after spinal anesthesia in cesarean patients and needs to be practiced routinely.

show abstract

A sequential compression mechanical pump to prevent hypotension during elective cesarean section under spinal anesthesia

Cited by 17 publications

References 21 publications

Sequential compression pump effect on hypotension due to spinal anesthesia for cesarean section: A double blind clinical trial

Sequential compression pump effect on hypotension due to spinal anesthesia for cesarean section: A double blind clinical trial

Effect of leg wrapping technique on prevention of spinal induced hypotension and fetal acidosis during cesarean section: Randomized controlled trial

Evaluation of leg wrapping for the prevention of postspinal hypotension in cesarean section under spinal anesthesia

Contact Info

Product

Resources

About