Literature Review: Fluid Therapy in Preventing Hypotension in Section Caesarean with Spinal Anesthesia

Wilis Sukmaningtyas, Tin Utami
Abstract views : 97 | PDF views : 9

Abstract


Background: Hypotension is a complication that often occurs in section Caesarea with spinal anesthesia. Severe hypotension poses serious risks to the mother (such as loss of consciousness) and the baby (such as oxygen deprivation and brain damage). So to prevent hypotension, it can be done by giving crystalloid or colloid fluid therapy after spinal anesthesia is carried out. Methods: Articles were searched using 3 databases (PubMed, Pro-Quest, and Google scholar) with a randomized controlled trial research method. The literature is limited between 2010 and 2019. Results: Seven articles with average results on administration of both preloaded and concomitant crystalline and colloidal fluids can reduce the incidence of hypotension, but for this technique Hypotension cannot be completely reduced and should be used with Vasopresor. Discussion and conclusion: The incidence of hypotension after spinal anesthesia should be treated immediately to prevent injury to the kidneys, heart, and brain by giving oxygen and increasing the rate of infusion (colored) of 100 ml of colloid or crystalloid fluid within the first 5 minutes or less for improving blood pressure. If blood pressure is still low after fluids are given, a vasoconstrictor such as ephedrine 5-10 mg can be gradually given.

Keywords


Hypotension, Spinal Anesthesia, Section Caesarea

Full Text:

PDF

References


Azizah, R. N., Sikumbang, K. M., & Asnawati, A. (2016). Efek Pemberian Cairan Koloid dan Kristaloid terhadap Tekanan Darah. Berkala Kedokteran, 12(1), 19. https://doi.org/10.20527/jbk.v12i1.352

Chooi, C., Cox, J. J., Lumb, R. S., Middleton, P., Chemali, M., Emmett, R. S., Simmons, S. W., & Cyna, A. M. (2020). Techniques for preventing hypotension during spinal anesthesia for cesarean section. In Cochrane Database of Systematic Reviews (Vol. 2020, Issue 7). John Wiley and Sons Ltd. https://doi.org/10.1002/14651858.CD002251.pub4

Chumpathong, S., Chinachoti, T., Visalyaputra, S., & Himmunngan, T. (2006). Incidence and risk factors of hypotension during spinal anesthesia for cesarean section at Siriraj Hospital. In Journal of the Medical Association of Thailand.

Cyna, A. M., Andrew, M., Emmett, R. S., Middleton, P., & Simmons, S. W. (2006). Techniques for preventing hypotension during spinal anesthesia for cesarean section. In Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.cd002251.pub2

Dahlgren, G, Granath, F., Wessel, H., & Irestedt, L. (2007). Prediction of hypotension during spinal anesthesia for Cesarean section and its relation to the effect of crystalloid or colloid preload. International Journal of Obstetric Anesthesia, 16(2), 128–134. https://doi.org/10.1016/j.ijoa.2006.10.006

Dahlgren, Gunnar, Granath, F., Pregner, K., Rösblad, P. G., Wessel, H., & Irestedt, L. L. (2005). Colloid vs. crystalloid preloading to prevent maternal hypotension during spinal anesthesia for elective cesarean section. Acta Anaesthesiologica Scandinavica. https://doi.org/10.1111/j.1399-6576.2005.00730.x

Das, A., Bhattacharyya, T., Mitra, T., Majumdar, S., Mandal, R., & Hajra, B. (2014). Prevention of altered hemodynamics after spinal anesthesia: A comparison of volume preloading with tetrastarch, succinylated gelatin and ringer lactate solution for the patients undergoing lower segment caesarean section. Saudi Journal of Anaesthesia, 8(4), 456. https://doi.org/10.4103/1658-354X.140817

Dobson, M. B. (2000). Anaesthesia at the District Hospital (2nd ed.). WHO. https://books.google.co.id/books?id=zjqzDwAAQBAJ&printsec=frontcover&dq=anesthesia+at+the+district+hospital&hl=id&sa=X&ved=2ahUKEwi_pfTV9ejrAhULfisKHQkhDKMQ6AEwAHoECAEQAg#v=onepage&q=anesthesia at the district hospital&f=true

Fathi, M., Imani, F., Joudi, M., & Goodarzi, V. (2013). Comparison between the effects of Ringer’s lactate and hydroxyethyl starch on hemodynamic parameters after spinal anesthesia: A randomized clinical trial. Anesthesiology and Pain Medicine, 2(3), 127–133. https://doi.org/10.5812/aapm.7850

Finucane, B. T. (2007). Complications of Regional Anesthesia (2nd ed.). Department of Anesthesiology and Pain Medicine, University of Alberta, Edmonton. https://books.google.co.id/books?id=GJhv7Sh1Mu0C&printsec=frontcover&dq=Complications+of+regional+anesthesia.+Canada&hl=id&sa=X&ved=2ahUKEwjt2-enjOnrAhXKeisKHbQ2Dt4Q6AEwAHoECAUQAg#v=onepage&q=Complications of regional anesthesia. Canada&f=true

Gibbons, L., Belizán, J. M., Lauer, J. a, Betrán, A. P., Merialdi, M., & Althabe, F. (2010). The Global Numbers and Costs of Additionally Needed and Unnecessary Caesarean Sections Performed per Year: Overuse as a Barrier to Universal Coverage. World Health Report (2010) Background Papers. https://doi.org/10.1017/CBO9781107415324.004

Gunusen, I., Karaman, S., Ertugrul, V., & Firat, V. (2010). Effects of fluid preload (crystalloid or colloid) compared with crystalloid co-load plus ephedrine infusion on hypotension and neonatal outcome during spinal anaesthesia for caesarean delivery. Anaesthesia and Intensive Care. https://doi.org/10.1177/0310057x1003800337

Kaufner, L., Karekla, A., Henkelmann, A., Welfle, S., von Weizsäcker, K., Hellmeyer, L., & von Heymann, C. (2019). Crystalloid coloading vs. colloid coloading in elective Caesarean section: postspinal hypotension and vasopressor consumption, a prospective, observational clinical trial. Journal of Anesthesia, 33(1), 40–49. https://doi.org/10.1007/s00540-018-2581-x

Mercier, F. J., Diemunsch, P., Ducloy-Bouthors, A.-S., Mignon, A., Fischler, M., Malinovsky, J.-M., Bolandard, F., Aya, A. G., Raucoules-Aimé, M., Chassard, D., Keita, H., Rigouzzo, A., & Le Gouez, A. (2014). 6% Hydroxyethyl starch (130/0.4) vs Ringer’s lactate preloading before spinal anaesthesia for Caesarean delivery: the randomized, double-blind, multicentre CAESAR trial‡. British Journal of Anaesthesia, 113, 459–467. https://doi.org/10.1093/bja/aeu103

Miller, D. R., & McCartney, C. J. L. (2015). Mentoring during anesthesia residency training: challenges and opportunities. Canadian Journal of Anesthesia. https://doi.org/10.1007/s12630-015-0419-7

Mitra, J. K., Roy, J., Bhattacharyya, P., Yunus, M., & Lyngdoh, N. M. (2013). Changing trends in the management of hypotension following spinal anesthesia in cesarean section. In Journal of Postgraduate Medicine. https://doi.org/10.4103/0022-3859.113840

Novara, T. (2009). PERBANDINGAN ANTARA LAKTAT HIPERTONIK DAN NaCl 0,9% SEBAGAI CAIRAN PENGGANTI PERDARAHAN PADA BEDAH CAESAR: KAJIAN TERHADAP HEMODINAMIK, DAN STRONG IONS DIFFERENCE. https://www.researchgate.net/publication/279341063_PERBANDINGAN_ANTARA_LAKTAT_HIPERTONIK_DAN_NaCl_09_SEBAGAI_CAIRAN_PENGGANTI_PERDARAHAN_PADA_BEDAH_CAESAR_KAJIAN_TERHADAP_HEMODINAMIK_DAN_STRONG_IONS_DIFFERENCE

Oh, A. Y., Hwang, J. W., Song, I. A., Kim, M. H., Ryu, J. H., Park, H. P., Jeon, Y. T., & Do, S. H. (2014). Influence of the timing of administration of crystalloid on maternal hypotension during spinal anesthesia for cesarean delivery: Preload versus coload. BMC Anesthesiology, 14, 36. https://doi.org/10.1186/1471-2253-14-36

Park, S. (2013). Prediction of hypotension in spinal anesthesia. In Korean Journal of Anesthesiology (Vol. 65, Issue 4, pp. 291–292). Korean Society of Anesthesiologists. https://doi.org/10.4097/kjae.2013.65.4.291

Rodrigues, F. R., & Brandão, M. J. N. (2011). Regional Anesthesia for Cesarean Section in Obese Pregnant Women: A Retrospective Study. Brazilian Journal of Anesthesiology. https://doi.org/10.1016/s0034-7094(11)70002-2

Saghafinia, M., Jalali, A., Eskandari, M., Eskandari, N., & Lak, M. (2017). The Effects of Hydroxyethyl Starch 6% and Crystalloid on Volume Preloading Changes following Spinal Anesthesia. Advanced Biomedical Research, 6(1), 115. https://doi.org/10.4103/abr.abr_151_16

Sarkar, M., Chanda, R. J., Bhar, D., Roy, D., Mandal, J., & Biswas, P. (2014). COMPARIS ON OF CRYSTALLOID PRELOADING AND CRYSTALLOID COLOADING IN EMERGENCY CAESAREAN SECTION FOR FETAL DISTRESS: A PROSPECTIVE STUDY. Journal of Evolution of Medical and Dental Sciences, 3(7), 1774–1781. https://doi.org/10.14260/jemds/2014/2057

Setyowati, T. (2005). PERBANDINGAN KEMAMPUAN PENCEGAHAN HIPOTENSI ANTARA HAES 6 %, RINGER LACTAT DAN KOMBINASI RINGER LACTAT DITAMBAH EFEDRIN SELAMA ANESTESI SPINAL.

Sharma, S. K., Gajraj, N. M., & Sidawi, J. E. (1997). Prevention of hypotension during spinal anesthesia: A comparison of intravascular administration of hetastarch versus lactated Ringer’s solution. Anesthesia and Analgesia, 84(1), 111–114. https://doi.org/10.1097/00000539-199701000-00021

Somboonviboon, W., Kyokong, O., Charuluxananan, S., & Narasethakamol, A. (2008). Incidence and risk factors of hypotension and bradycardia after spinal anesthesia for cesarean section. Journal of the Medical Association of Thailand.

Tawfik, M. M., Tarbay, A. I., Elaidy, A. M., Awad, K. A., Ezz, H. M., & Tolba, M. A. (2019). Combined Colloid Preload and Crystalloid Coload Versus Crystalloid Coload During Spinal Anesthesia for Cesarean Delivery. Anesthesia & Analgesia, 128(2), 304–312. https://doi.org/10.1213/ANE.0000000000003306




DOI: 10.26699/jnk.v9i1.ART.p121-126


Refbacks

  • There are currently no refbacks.


Copyright (c) 2022 Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery)

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Journal of Ners and Midwifery p-ISSN: 2355-052X. e-ISSN: 2548-3811 is published by STIKes Patria Husada Blitar.

Indexed On :

             02-Publon