English

Abstract

BACKGROUND: The hypotension induced by spinal anesthesia in caesarean section patients can have deleterious effects on both mother and fetus. This can be prevented or minimized by various methods like trendelenburg position, left uterine displacement, prophylactic vasoconstrictor, volume preloading etc. Volume preloading is commonly practiced method. However, few recent studies have found lack of benefit by fluid preload. Hence this study. AIM: To assess efficacy of fluid preloading using RL in preventing spinal induced hypotension in caesarean section patients. METHODOLOGY: Two groups' control (C) group and study (S) group comprising of 30 parturients each, belonging to ASA I and ASA II coming for elective caesarean section under spinal anesthesia were selected. Parturients in control group received no fluid preload whereas those in study group were preloaded with 1L RL. After spinal anesthesia, patients' blood pressure and other vital parameters were monitored intraoperatively every 2 min for first 20 min and then every 5 min till the end of surgery. RESULTS AND CONCLUSION: Parturients who received RL preloading had lesser number of hypotensive episodes and lesser severe degree of hypotension than those without volume preload. Volume preloading has its own beneficial effects on incidence of spinal induced hypotension in parturients undergoing elective LSCS.