Comparison between the height of spinal block and the incidence of hypotension among surgical patients

Submitted: 25 April 2023
Accepted: 17 May 2023
Published: 9 February 2024
Abstract Views: 48
PDF: 35
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Hypotension is one of the common complications of spinal anesthesia; caused by sympathetic blockade leading to reduced cardiac output. Hypotension may be associated with the height of spinal block and can reduce blood flow to organs thereby leading to cardiovascular collapse which may eventually lead to cardiac arrest if appropriate action is not taken. This study examines the relationship between the height of spinal block and development of hypotension. One hundred (100) ASA I and II patients whose surgeries were below the umbilicus and done under spinal anesthesia were enrolled for the study. Patients that had hypotension were recorded and the heights of block were also recorded. Eleven patients (11) had hypotension (11%) overall. The incidence of hypotension among groups T6, T8 and T10 were 25% (7), 18.75% (3)s and 2.04% (1) respectively with a p-value of 0.5 which was not statistically significant. This study has shown that the incidence of hypotension is directly proportional to the height of spinal block though it is not statistically significant at T6 and below.

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Citations

Olawin AM, Das JM. Spinal Anesthesia. 2023. Available from: https://www.ncbi.nlm.nih.gov/books/NBK537299/
Hofhuizen C, Lemson J, Snoeck M, Scheffer GJ. Spinal anesthesia-induced hypotension is caused by a decrease in stroke volume in elderly patients. Local Reg Anesth 2019;12:19-26. DOI: https://doi.org/10.2147/LRA.S193925
Šklebar I, Bujas T, Habek D. Spinal anaesthesia-induced hypotension in obstetrics: prevention and therapy. Acta Clin Croat 2019;58:90-5. DOI: https://doi.org/10.20471/acc.2019.58.s1.13
Shitemaw T, Jemal B, Mamo T, Akalu L. Incidence and associated factors for hypotension after spinal anesthesia during cesarean section at Gandhi Memorial Hospital Addis Ababa, Ethiopia. PLoS One 2020;15:e0236755. DOI: https://doi.org/10.1371/journal.pone.0236755
Kyokong O, Charuluxananan S Sriprajittichai P, Poomseetong T, Naksin P. The incidence and risk factors of hypotension and bradycardia associated with spinal anaesthesia. J Med Assoc Thai 2006;89:58-64.
G. Hocking, Wildsmith JAW. Intrathecal drug spread. Br J Anaesth 2004;93:568-78. DOI: https://doi.org/10.1093/bja/aeh204
Huang Y, Chang K. Sensory block level prediction of spinal anaesthesia with 0.5% hyperbaric bupivacaine: a retrospective study. Scientific Reports 2021;11:9105. DOI: https://doi.org/10.1038/s41598-021-88726-2
Ceruti S, Anselmi L, Minotti B, et al. Prevention of arterial hypotension after spinal anaesthesia using vena cava ultrasound to guide fluid management. Br J Anaesth 2018;120:101-8. DOI: https://doi.org/10.1016/j.bja.2017.08.001
Chowdhury S, Ahmed S, Haque MM, Hossain M. Shivering control in subarachnoid block by Nalbuphine- A comparative study with pethidine. J. BSA 2007;20:66-9. DOI: https://doi.org/10.3329/jbsa.v20i2.3994
Magni BJ, Dyera RA, Dyka DV, Nugterena JV. Incidence of intraoperative nausea and vomiting during spinal anaesthesia for Caesarean section in two Cape Town state hospitals. South Afr J Anaesth Analg 2016;22:131–4. DOI: https://doi.org/10.1080/22201181.2016.1215784
Crowley LJ, Buggy DJ. Shivering and neuraxial anesthesia. Reg Anesth Pain Med 2008;33:241-52. DOI: https://doi.org/10.1016/j.rapm.2007.11.006

How to Cite

Abdullahi, Mustapha Miko. 2024. “Comparison Between the Height of Spinal Block and the Incidence of Hypotension Among Surgical Patients”. Pyramid Journal of Medicine 6 (2). https://doi.org/10.4081/pjm.2023.332.