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2013 / VOL-03, ISSUE-03, JULY-SEPTEMBER 2013

Trendelenberg positioning technique, An alternative to preloading for prevention of Hypotension during Spinal anaesthesia for Abdominal Hysterectomy

By  Anil Kumar Verma

Research Articles

Page:  744-747

Abstract

The study was undertaken to search for an alternative technique to preloading with less or no side effects.Settings and Design: A total of 100 female patients of ASA class I and II undergoing abdominal hysterectomy were enrolled in the study. Two groups namely Group A and Group B were made. All the patients received 2.6ml of 0.5% Bupivacaine heavy intrathecally at L3-L4 level in lateral decubitus using 25 gauge Quincke’s spinal needle. Patients of Group A were placed in Trendelenberg position after spinal anesthesia & patients of Group B received preloading with Lactated Ringer’s solution before spinal anaesthesia. Assessment of hemodynamics (intraoperative and post operative) and side effects was done.: Data are expressed as mean + SD. Group comparisons were made using unpaired t-test.Intraoperative blood loss and intraoperative requirement of Inj. Mephentermine was significantly less in Group A in comparison to Group B. Trendelenberg positioning after spinal anesthesia could be advantageous in terms of intraoperative vasopressor requirement and introperative blood loss.

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