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The Effect Of Maintaining Normal Mean Arterial Blood Pressure On The Incidence Of Intraoperative Emetic Episodes During Spinal Anaesthesia | ||
| Al-Qadisiah Medical Journal | ||
| Article 1, Volume 11, Issue 2, 2015, Pages 67-73 PDF (0 K) | ||
| Author | ||
| Basim Hrez Ali Al-Sudani | ||
| Abstract | ||
| Objective : To evaluate the effect of maintaining normal mean arterial blood pressure on the incidence of intraoperative emetic episodes in patient undergoing lower limbs orthopaedic surgeries under spinal anaesthesia . Method : .60 Patients were randomly divided into two groups each composed of 30 patients . Group( A) received ephedrine 15 mg intravenously immediately after spinal anaesthesia with 2ml Bupivacaine 0.5% while group ( B ) received normal saline instead of ephedrine immediately after spinal anaesthesia with the same local anaesthetic . Baseline and frequent subsequent reading of mean arterial blood pressure , pulse rate , oxygen saturation , number and severity of intraoperative emetic episodes were noted . Results : No significant difference between the two groups regarding the incidence of emetic episodes that need a treatment with an anti-emetics . However the total number of cases associated with an intraoperative emetic episodes is obviously less in group (A) than group ( B) . Conclusion : the anti-emetic drug(s) as a prophylactic for intraoperative emetic episodes is necessary even when the mean arterial blood pressure is maintained during spinal anaesthesia .Further studies in this aspect is needed . | ||
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