EN
TR
Crystalloid preload versus crystalloid coload during spinal anesthesia for ureterorenoscopy: A randomized controlled trial
Abstract
Aim: The optimal strategy of fluid administration during spinal anesthesia is still unclear. In this
double-blind randomized study, we assessed the timing of fluid administration for spinal anesthesia in
patients undergoing ureterorenoscopy.
Materials and Methods: 60 ASA I-III patients scheduled for anesthesia were randomly allocated to
receive either 500 ml crystalloid preload (30 minutes before spinal anesthesia) or 500 ml crystalloid
coload (at the start of spinal anesthesia). Ephedrine 5 mg boluses were administered when the
systolic blood pressure decreased more than 20% of the baseline value. Atropine 0.5 mg was given to
the patients whose heart rate decreased bellow 50 beats/minutes. Hemodynamic variables were
recorded during the surgery.
Results: The groups were compared in terms of demographic data and surgical time and there was
no difference between them. In Group II, only 1 patient needed ephedrine, while in Group I, no patient
was administered ephedrine. No patients in both groups needed atropine for bradycardia. There was
no difference between the groups in terms of the need for ephedrine.
Conclusion: Crystalloid preload and crystalloid coload administration do not differ in terms of the need
for vasopressor agents in patients undergoing ureterorenoscopy under spinal anesthesia
Keywords
Kaynakça
- 1.Mercier FJ. Fluid loading for cesarean delivery under spinal anesthesia: Have we studied all the options?. Anesth Analg 2011; 113 (4):6 77-80. https://doi: 10.1213/ANE.0b013e3182245af4.
- 2. McDonald S, Fernando R, Ashpole K, Columb M. Maternal cardiac output changes after crystalloid or colloid coload following spinal anesthesia for elective cesarean. Anesth Analg 2011; 113 (4): 803-10. https://doi: 10.1213/ANE.0b013e31822c0f08.
- 3. Morgan PJ, Halpern SH, Tarshis J. The effects of an increase of central blood volume before spinal anesthesia for cesarean delivery: A qualitative systematic review. Anesth Analg 2001; 92 (4): 997-1005. https://doi: 10.1097/00000539-200104000-00036.
- 4. Sharma SK, Gajraj NM, Sidawi JE. Prevention of hypotension during spinal anesthesia: a comparison of intravascular administration of hetastarch versus lactated Ringer's solution. Anesth Analg 1997; 84 (1): 111-14. https://doi: 10.1097/00000539-199701000-00021.
- 5. Ngan Kee WD. Prevention of maternal hypotension after regional anesthesia for cesarean section. Curr Opin Anaesthesiol 2010; 23 (3): 304-9. https://doi: 10.1097/ACO.0b013e328337ffc6.
- 6. Özyalçın SN, Raj PP, Erdine S, Heavner J, Aldemir T, Yücel A. Rejyonal Anestezi. İstanbul: Nobel Tıp Kitabevleri 2005;159-84.
- 7. Klöhr S, Roth R, Hofmann T, Rossaint R, Heesen M. Definitions of hypotension after spinal anasthesia for cesarean section: literature search and application to parturients. Acta Anasthesiol Scand 2010; 54 (8): 909-21. https://doi: 10.1111/j.1399-6576.2010.02239.x.
- 8. Carpenter RL, Caolan RA, Brown DL, Stephenson C, Wu R. Incidence and risk factors for side effects of spinal anesthesia. Anesthesiology 1992;76(6):906-16.
Ayrıntılar
Birincil Dil
İngilizce
Konular
Sağlık Kurumları Yönetimi
Bölüm
Araştırma Makalesi
Yayımlanma Tarihi
30 Eylül 2020
Gönderilme Tarihi
25 Ekim 2019
Kabul Tarihi
5 Mart 2020
Yayımlandığı Sayı
Yıl 2020 Cilt: 59 Sayı: 3
Vancouver
1.Nurhayat Kılınç, Mustafa Nuri Deniz, Elvan Erhan. Crystalloid preload versus crystalloid coload during spinal anesthesia for ureterorenoscopy: A randomized controlled trial. ETD. 01 Eylül 2020;59(3):181-7. doi:10.19161/etd.790402
Cited By
The effect of fluid preloading on the incidence of hypotension during spinal anesthesia
Journal of Prevention Diagnosis and Management of Human Diseases
https://doi.org/10.55529/jpdmhd.32.17.25