Hipotensión en anestesia regional subaracnoidea para cesárea y sol de la relación cintura cadera
La hipotensión bajo anestesia regional subaracnoidea en población obstétrica ha sido tema de estudio y debate. Los estudios se han encaminado a encontrar factores de riesgo, estudiar la fisiopatología, crear protocolos de manejo y profilaxis. No hay estudios respecto a medidas antropométricas, como...
- Autores:
-
Lopez Hernandez, Maria Gabriela
- Tipo de recurso:
- http://purl.org/coar/version/c_b1a7d7d4d402bcce
- Fecha de publicación:
- 2016
- Institución:
- Universidad Industrial de Santander
- Repositorio:
- Repositorio UIS
- Idioma:
- spa
- OAI Identifier:
- oai:noesis.uis.edu.co:20.500.14071/34170
- Palabra clave:
- Background: Hypotension under spinal anesthesia in obstetric population has been subject of study and debate. Studies have been directed to define risk factors
clarify physiopathology
and create prophylaxis and management protocols
among others. There are no studies that relate anthropometric measures
such as waist to hip ratio
to hypotension in obstetric population. This is the reason why we decided to conduct one where we could highlight such ratio as a predictor of hypotension in women undergoing cesarean section under spinal anesthesia. Methods: a prospective cohort study was created. 231 women undergoing elective or urgent
cesarean section under spinal anesthesia were recluted. Measures for the waist to hip ratio were taken before anesthetic procedure. Vital signs were recorded every given minute for a posterior hemodynamic analysis. Results: hypotension was primary outcome
defined as systolic pressure below 90 mm Hg. Incidence was 38%. There was 45.8% of women that had waist to hip ratio greater than 0.99 with incidence 21.7% with no statistical significant difference
p=0.202. Women with body mass index over 28.7
mean average
had incidence of 42.8%
inferior and no significantly compared with women whose body mass index was inferior
p=0.576. Conclusion: There was no statistical significant difference among basal variables and those related with the anesthetic technique
with the appearance of hypotension. Waist to hip ratio and body mass index behave as protective measures.
- Rights
- License
- Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)