Comparison of Outcome of Sitting versus Lateral Position Undergoing Spinal Anesthesia for Cesarean Section
Objective: To compare the outcomes of sitting versus lateral position in patients undergoing spinal anaesthesia for caesarean section in terms of frequencies of hemodynamic stability and patients’ comfort.
Methodology: This randomized controlled trial study was conducted at the Department of anaesthesia and critical care, mother and child health center, PIMS, Islamabad from February 21, 2017 to August 20, 2017. Patient's position was made according to allocated group and baseline parameters were noted before the procedure, with the patient's blood pressure and heart rate recorded as time'0'. Under aseptic measures, spinal anaesthesia was performed with a 25G quincke shaped spinal needle. A total dose of 3ml (0.5%) hyperbaric bupivacaine was given in the subarachnoid space over 20 seconds at the level of L3-L4. The patient was helped to turn back to the supine position immediately after the spinal anaesthesia procedure.
Results: A total of 130 patients were included according to the inclusion criteria. Mean age in both the groups was 28.02+14.51 and 27.74+5.14 whereas mean body mass index in both the groups was 18.37+0.30 and 17.70+2:59 respectively. There were 18 (27.7%) and 24 (36.9%) patients in both the groups who have hypotension, which was statistically not significant (p-value 0.260) and 03 (4.6%) patients presented with bradycardia which was statistically not significant (p-value 0.310). In the study, there were 10 (15.4%) and 20 (30.8%) caesarean patients in both the groups who felt very comfortable undergoing spinal anaesthesia which was statistically significant (p-value 0.004).
Conclusion: The study concludes that both sitting and lateral positions have similar effects in terms of level of comfort and hemodynamic stability. However, patients generally found lateral position very comfortable.
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