Efecto de la lateralización del útero en la disminución de la incidencia de hipotensión en anestesi subaracnoidea para cesárea. Hospital José Carrasco. Cuenca, 2014

Abstract

displacement of the uterus as measures to reduce the incidence of hypotension in spinal anesthesia for cesarean section.

Material and methods. With a randomized controlled clinical design 108 maternal Service José Carrasco Obstetrics Hospital in the period June 2014 to October cesarean section with spinal anesthesia with 7.5 mg of plain bupivacaine was performed included 0.5% + 25 mcg of fentanyl . At the CL group (n = 54) inclination 15 of the operating table was performed for 15 min and manual displacement of the uterus and the SL group (n = 54) was performed caesarean section was performed only conventional supine. The incidence of hypotension in the groups compared.

Results. Groups were comparable in age, weight, height, BMI, parity, and puncture interspace height of the block (P  0.05). The incidence of hypotension was significantly lower in the group with tilting the operating table and manual displacement of the uterus (RR 0.55 [0.3-0.9]) P = 0.038. NNT for an additional benefit of the measure was 6 (95% CI: 2-74). Use of ephedrine in the CL group was significantly lower (P = 0.021). The highest values were found in Apgar CL group at 1 and 5 min.

Discussion. The research results are similar to those reported in the literature. The recommendation of the experts is to expand research with larger sample size to obtain conclusive results on the diversification of the position of the operating table and the measures applied to the breast.