Cardiac Index in Term Pregnant Women in the Sitting, Lateral, and Supine Positions

Armstrong, Sarah; Fernando, Roshan; Columb, M.; Jones, Tanya

doi:10.1097/01.aoa.0000417590.59081.7e

Cited by 2 publications

(7 citation statements)

References 5 publications

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“…Definisi lain SHS adalah penurunan tekanan darah rata-rata sebesar 15 mmHg dan peningkatan laju nadi 20x/menit dalam waktu 2 menit. [3][4][5][6][7] Pada tahun 1964 dikemukakan SHS pada wanita hamil. Tekanan pada vena kava inferior oleh uterus yang hamil akan menyebabkan aliran balik vena (venous return) ke jantung tidak adekuat.…”

Section: Supine Hypotension Syndrome In Pregnancies Abstractunclassified

“…Keadaan SHS dapat diantisipasi dengan memposisikan wanita hamil pada posisi left lateral recumbent, left lateral decubitus, atau bahu yang dinaikkan. 6 Pada banyak literatur telah dibahas SHS serta bagaimana mengatasinya, tetapi belum diketahui insidensi pada populasi wanita Indonesia. Tujuan penelitian ini adalah mengetahui insidensi SHS pada wanita hamil aterm di Bandung.…”

Section: Supine Hypotension Syndrome In Pregnancies Abstractunclassified

“…6,11 Gejala SHS berupa penurunan tekanan darah dan peningkatan atau penurunan laju nadi. Berbagai cara dapat dilakukan dengan tujuan mengurangi atau mencegah SHS, salah satunya yaitu memposisikan miring ke kiri.…”

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Supine Hypotension Syndrome pada Kehamilan

Bisri¹,

Redjeki²,

Bisri³

2015

mkb

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AbstrakSupine hypotension syndrome (SHS) dapat terjadi mulai kehamilan trimester 2 dan didefinisikan sebagai penurunan tekanan sistol ≥30% pada posisi supine dibanding dengan lateral. Tujuan penelitian mengetahui insidensi SHS pada wanita hamil aterm di Indonesia. Penelitian observasional pada 200 wanita hamil aterm, kehamilan pertama dan kedua, usia 18-40 tahun, tidak memiliki penyakit sertaan, dan akan dilakukan seksio sesarea elektif di Rumah Sakit Ibu dan Anak Melinda dalam periode Maret-Juli 2012. Pasien diberikan 500 cc cairan kristaloid Ringer laktat sebagai pengganti puasa, kemudian dilakukan pemeriksaan tekanan sistol, diastol, rata-rata, laju nadi, dan saturasi oksigen selama 5 menit dengan jarak 1 menit pada posisi supine dan miring Supine Hypotension Syndrome in Pregnancies AbstractSupine hypotension syndrome (SHS) can occur starting from the second trimester of pregnancy and is defined as a reduction of systolic blood pressure of ≥30% in the supine position compared to lateral position. The purpose of this study was to determine the incidence of SHS in full term pregnant women in Indonesia. An observational study on 200 full term pregnant women, first and second pregnancy, aged 18−40 years, no coexisting diseases, and was going to have an elective cesarean section in Melinda Woman and Child Hospital in the period of MarchJuly 2012. Patients were given 500 cc of Ringer's lactate crystalloid fluid instead of fasting. Systolic and diastolic blood pressure, mean blood pressure, pulse rate, and oxygen saturation for 5 minutes were then examined every minute. The examination was conducted in the supine and left lateral position of 45 O . The results show a systolic blood pressure in supine position of 113.49 (13.20) mmHg and in lateral position of 105.20 (12.08) mmHg (p=0.93). Meanwhile, the supine diastolic blood pressure was 69.05 (7.31) mmHg and lateral position was 58.58 (7.73) mmHg (p=0.51). The mean blood pressure in supine position was 84.59 (8.38) mmHg and 75.87 (8.82) mmHg (p=0.62) in lateral position . The pulse rates for supine and lateral position were 88.95 (12.19)x/min and 86.26 (11.47) x/min (p=0.86), respectively. Supine SpO 2 was 99.95 (1.11)% and lateral SpO 2 was 99.64 (0.67)% (p=0.07). In conclusion, there is no differences in systolic, diastolic, mean blood pressure, pulse rate and SpO 2 of full term pregnant women in supine or left lateral position of 45 O . [MKB. 2015;47(2):109-14]

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Section: Supine Hypotension Syndrome In Pregnancies Abstractunclassified

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Supine Hypotension Syndrome pada Kehamilan

Bisri¹,

Redjeki²,

Bisri³

2015

mkb

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“…20 It is important to make these position changes very slowly (maintaining cerebral perfusion pressure) and without any abrupt movements. The abdomen should be free, and as mentioned earlier, aortocaval compression should be avoided.…”

Section: Effect Of Positioningmentioning

confidence: 99%

“…20 Il est important d'effectuer ces changements de position très lentement (pour maintenir la pression de perfusion cérébrale) et sans mouvement abrupt. L'abdomen doit être libre et, comme mentionné plus haut, la compression de la veine cave doit être évitée.…”

Section: Considérations Hémodynamiquesunclassified

Perioperative considerations for neurosurgical procedures in the gravid patient: Continuing Professional Development

Chowdhury

Schaller

et al. 2013

Can J Anesth/J Can Anesth

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Purpose The complexity of neurosurgical procedures and their interactions with maternal and fetal physiologies are key factors in determining the overall maternal and fetal outcome. The literature and guidelines provide only partial information regarding the standard of care in these cases. The purpose of this Continuing Professional Development module is to review the issues related to common neurosurgical conditions and their optimal anesthetic management. Principal findings The most common neurosurgical conditions found in pregnancy include brain tumours, cerebrovascular diseases, spinal pathologies, and neurotrauma. Though rare, these conditions and related procedures may affect maternal and fetal outcome. Maternal considerations should be given priority in cases of emergent surgeries irrespective of trimester. In the early first trimester, risk of fetal loss and congenital malformation are substantial; hence, proper counselling should be given to the mother with special emphasis on therapeutic abortion. When indicated, anticonvulsants should be started as early as possible and continued throughout pregnancy. Surgical procedures can be performed with relative safety during the second trimester and early third trimester. After 34 weeks, delivery seems to be the first choice, and the role of regional anesthesia in this situation should be carefully planned after proper review of neurosurgical pathology and maternal condition. During acute neurological deterioration, however, Cesarean delivery under general anesthesia should be anticipated. Conclusion A multidisciplinary approach with good communication amongst all team members certainly plays a crucial role for successful management of such cases.

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Cardiac Index in Term Pregnant Women in the Sitting, Lateral, and Supine Positions

Cited by 2 publications

References 5 publications

Supine Hypotension Syndrome pada Kehamilan

Supine Hypotension Syndrome pada Kehamilan

Perioperative considerations for neurosurgical procedures in the gravid patient: Continuing Professional Development

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