Comparative Study between Colloid versus Crystalloid Solutions during Spinal Anesthesia for Elective Cesarean Section

Mahdi, Faez Ahmed; Saber, Hiwa Fateh; Ahmed, Ziwar Nooruldeen

doi:10.32894/kjms.2024.151926.1115

	Comparative Study between Colloid versus Crystalloid Solutions during Spinal Anesthesia for Elective Cesarean Section
Kirkuk Journal of Medical Sciences
Volume 12, Issue 2, October 2024, Pages 42-49 PDF (659.86 K)
Document Type: Original research
DOI: 10.32894/kjms.2024.151926.1115
Authors
Faez Ahmed Mahdi¹; Hiwa Fateh Saber^* ²; Ziwar Nooruldeen Ahmed³
¹Anesthesia and Intensive Care, Alsadr Teaching Complex, Al Najaf, Iraq.
²Anesthesia and Intensive care, Hawler Teaching Hospital, Erbil, Iraq.
³Anesthesia, and intensive care, Soran Maternity Hospital, Erbil, Iraq.
Abstract
Background: One of the most dangerous complications for mother and baby during cesarean section is hypotension due to spinal anesthesia. Several methods are used to prevent and treat hypotension, the safest of which is fluid replacement. This study aimed to compare the effectiveness of colloidal solutions and crystalloid solutions in preventing hypotension resulting from spinal anesthesia during elective cesarean sections, along with assessing the requirement for vasopressors to treat severe hypotension due to the spinal anesthesia. Methods: This prospective comparative study was conducted in Erbil Maternity Teaching Hospital from May 2021 until October 2021. Two groups of 35 patients were prepared for elective cesarean section, crystalloid group received normal saline, while the colloid group received voluven infusion. Systolic blood pressure, diastolic blood pressure, and the need for vasopressors (a combination of ephedrine plus phenylephrine) were compared between the groups. Results: There is no statistically significant difference in the prevalence of hypotension between the two groups (p-value>0.05), except at 5min, there was significant hypotension (p-value<0.0001 in the crystalloid group and p- value<0.003 in the colloid group). However, there is less need for vasopressor drugs to treat hypotension in the colloid group (p-value<0.001). Conclusion: Both colloidal and crystalloid solutions have been effective in preventing hypotension due to spinal anesthesia in elective cesarean section. However, compared to the crystalloid group, in the colloidal infusion group, there is less need to use vasopressor drugs to treat hypotension.
Keywords
Cesarean Section; Colloid Solution; Crystalloid Solution; Spinal Anesthesia; Voluven

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