Isfahan University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Comparing the Effect of Different Degrees Elevation of Lower Limb in the Prevention of Hypotension Following Spinal Anesthesia for Lower Abdominal Operation



Jabalameli M1 ; Mansouri M2 ; Hoseini E3
Authors
Show Affiliations
Authors Affiliations
  1. 1. Department of Anesthesiology, Anesthesiology and critical Care Research Center, Isfahan, Iran
  2. 2. School of Medicine AND Student research Committee, Isfahan University of Medical Sciences, Isfahan, Iran
  3. 3. Alzahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran

Source: Journal of Isfahan Medical School Published:2016

Abstract

Background: Today, gynecologic and orthopedic surgeries under spinal anesthesia are widely used in the world but hypotension during anesthesia is abundantly accrued. Hence, several methods are prescribed to cure and prevent hypotension. Physical method such as leg wrapping or elevation of lower limb during surgery is one of the used methods, but its effects are suspected yet. Thus, the aim of this study was comparing the effects of different degrees of elevation of lower limb to prevent hypotension in patients under lower abdomen surgery with spinal anesthesia. Methods: In a clinical trial study, 105 candidates for lower abdomen surgery were selected and randomly divided in three groups. In the first group, patients’ legs were not elevated but in the second and third groups, they were elevated for 15 and 30 degrees, respectively and incidence of hypotension was compared between the three groups. The SPSS software was used for data analysis. Findings: According to the results of this study, systolic and diastolic blood pressure and heart rate in the above three groups was decreased to the same extent. And according to one way ANOVA, no statistically difference between the three groups was seen. The mean of systolic blood pressure before anesthesia were 136.2 ± 24.4, 131.5 ± 32.0 and 140.4 ± 25.3, respectively in the three groups (P = 0.24). Also the mean of systolic blood pressure in 60th min were 109.8 ± 19.3, 118.6 ± 18.5 and 114.4 ± 16.8, respectively in the three groups (P = 0.64). Conclusion: According to results of our study, elevation of patients’ legs during surgery under spinal anesthesia does not prevent hypotension but according to other studies, this action may help to prevent hypotension during spinal anesthesia; thus, other studies are need to approve this method. © 2016, Isfahan University of Medical Sciences(IUMS). All rights reserved.
Related Docs
View other Related Docs
1. Passive Leg Elevation to Prevent Newborn Low Apgar and Hypotension of Mothers Undergoing a Spinal Anesthesia for Elective Caesarean Section, Journal of Isfahan Medical School (2014)
2. Comparison of the Effects of Intravenous Phenylephrine and Ephedrine in Treatment of Hypotension After Spinal Anesthesia in Orthopedic Surgery, Journal of Babol University of Medical Sciences (2016)
3. Comparision of Hemodynamic Changes, Movement, Duration of Surgery and Pain Between Lateral and Supine Posision After Spinal Anesthesia in Transurethral Lithotrips, Journal of Renal Injury Prevention (2019)
4. Comparative Study of the Effect of Two Different Doses of Remifentanil on Bleeding Control in Lumbar Fusion Surgery: A Randomized Clinical Trial, Annals of Medicine and Surgery (2022)
5. Analyzing the Effects of Intra-Operation Video-Clip Display on Hemodynamic and Satisfaction of Patients During Lumbar Discectomy Under Spinal Anesthesia, Saudi Journal of Anaesthesia (2013)
6. A Comparison of Bispectral Index Between Spinal and Epidural Anesthesia During Cesarean Section, Journal of Isfahan Medical School (2012)
7. Clinical Trial of Nitroglycerin-Induced Controlled Hypotension With or Without Acupoint Electrical Stimulation in Microscopic Middle Ear Surgery Under General Anesthesia With Halothane, Acta Anaesthesiologica Taiwanica (2005)
8. The Effect of Early Ambulation on the Incidence of Neurological Complication After Spinal Anesthesia With Lidocaine, Journal of Research in Medical Sciences (2015)
Experts (# of related papers)
View all Related Experts
Mehrdad Masoudifar (9)
Mitra Jabalameli (6)
Other Related Docs
9. Baricity of Bupivacaine on Maternal Hemodynamics After Spinal Anesthesia for Cesarean Section: A Randomized Controlled Trial, Iranian Journal of Medical Sciences (2017)
10. Comparison of Dexmedetomidine Versus Midazolam on Hemodynamic Parameters, Bleeding, Satisfaction of Surgeons and Patients Who Underwent Laminectomy Surgery by Spinal Anesthesia, Tehran University Medical Journal (2021)
11. The Effect of Tranexamic Acid and Controlled Hypotension on Perioperative Blood Loss in Craniosynostosis Surgery, Anesthesiology and Pain Medicine (2023)
12. Effects of Perioperative Use of Two Doses of Magnesium Sulfate Infusion on Intraoperative Blood Loss in Patients Undergoing Lumbar Spinal Fusion Surgery, Journal of Emergency Practice and Trauma (2023)
13. Influence of the Anesthetic Depth on the Inhibition of the Oculocardiac Reflex During Propofol Anesthesia for Pediatrics Strabismus Surgery, Journal of Isfahan Medical School (2011)
14. A Comparative Study of the Effect of Two Different Doses of Ondansetron on the Reduction of Maternal Hemodynamic Changes in Cesarean Section Under Spinal Anesthesia, Journal of Babol University of Medical Sciences (2022)
15. Cotimparave Evaluation of Oral Alprazolam, As Premedication, on Controlling Blood Pressure in Hypertensive Patients During Surgery, Journal of Isfahan Medical School (2015)
16. A Comparison Between Preloading With Voluven or Lactated Ringer's Solution on Hemodynamic Status During Lower Extremity Orthopedic Procedures, Journal of Isfahan Medical School (2013)
17. Evaluation of Implementation of the Principles of Patient Safety Standards by Surgical Team in Iranian Hospitals, Evidence Based Care Journal (2023)
18. Evaluating the Relationship Between Arterial Blood Pressure Changes and Indices of Pulse Oximetric Plethysmography, Anesthesia and Analgesia (2002)
19. A Comparative Study on Impact of Isobaric and Hyperbaric Bupivacaine on Bispectral Index (Bis) in Patients Undergoing Cesarean Section With Spinal Anesthesia, Journal of Isfahan Medical School (2012)
20. A Comparison on the Preventive Effect of 100 Mg and 200 Mg Oral Celecoxib on Shivering During and After Orthopedic Lower Extremity Surgery Under the Spinal Anesthesia; a Randomized Controlled Clinical Trial Study, Journal of Isfahan Medical School (2020)
21. A Randomized Comparative Trial of Combinational Methods for Preventing Post-Spinal Hypotension at Elective Cesarean Delivery, Journal of Research in Medical Sciences (2011)
22. The Effect of Adding Magnesium Sulfate, Neostigmine and Fentanyl to Ropivacaine on Sensory-Motor Block Properties in Lower Extremity Surgery Under Spinal Anesthesia; [افزٍدى هٌیزین، ًئَستیگویي ٍ فٌتبًیل به رٍپیٍاکبئیي بر خصَصیبت بلَک حسی ٍ حرکتی در اعوبل جراحیاًذام تحتبًی تحت بیحسی ًخبعی], Journal of Isfahan Medical School (2022)
23. The Effect of Intravenous Midazolam on Duration of Spinal Anesthesia, Shiraz E Medical Journal (2015)
24. Comparison of the Effect of Dexamethasone, Midazolam, and Ondansetron Injection Alone, or in Combination, and Placebo on the Severity of Shivering During and After Spinal Anesthesia in Orthopedic Operations of the Lower Limb, Journal of Isfahan Medical School (2019)
25. Comparison of the Effects of Morphine and Diltiazem on Blood Pressure and Heart Rate During Craniotomy Surgeries, Journal of Isfahan Medical School (2016)
26. The Efficacy of Ropivacaine 0.5% in Transversus Abdominis Plane Block to Relieve the Postoperative Pain of Female Laparoscopic Surgery Grade Ii, Advanced Biomedical Research (2022)
27. Effectiveness of Caudal Epidural Block on Interaoperative Blood Loss During Hypospadias Repair: A Randomized Clinical Trial, Journal of Pediatric Urology (2018)
28. Evaluation of Tranexemic Acid Effect on Blood Loss and Transfusion in Femoral Shaft Surgery, Journal of Isfahan Medical School (2012)
29. Comparing the Side Effects of General Versus Spinal Anesthesia in Transurethral Lithotripsy, Journal of Isfahan Medical School (2016)
30. Comparison of the Effect of Two Different Doses of Labetalol to Induce Controlled Hypotension on Hemodynamic Changes During Spinal Fusion Surgery, Anesthesiology and Pain Medicine (2021)
31. Comparison of the Hemodynamic Indices During Skull-Pin Head-Holder Insertion in Neurosurgeries in Two Groups Receiving Dexmedetomidine and Midazolam, Journal of Isfahan Medical School (2021)
32. Spinal Anesthesia Versus General Anesthesia for Elective Lumbar Spine Surgery: A Randomized Clinical Trial, Journal of Research in Medical Sciences (2011)
33. Intraoperative and Postoperative Factors Tend to Decrease in Oxygen Saturation in Postanesthesia Care Unit, Journal of Isfahan Medical School (2018)
34. Evaluation and Comparison on the Results of Totally Extraperitoneal Laparoscopic Surgery Under General and Spinal Anesthesia for Inguinal Hernia, Advanced Biomedical Research (2022)
35. Assessment of the Effects of Plication Abdominoplasty on Respiratory Function, Journal of Isfahan Medical School (2018)
36. Depth of Anesthesia Determination by Using Bispectral Index in Patients Underwent Inhalation or Total Intravenous General Anesthesia, Journal of Isfahan Medical School (2007)
37. Comparison of the Effects of Thoracic Epidural Anesthesia With General Anesthesia on Hemodynamic Changes and Its Complications in Patients Undergoing Laparoscopic Cholecystectomy, Advanced Biomedical Research (2019)
38. The Effect of Preoperative Anxiety on Hemodynamic Changes During Spinal Anesthesia in Patients Undergoing the Surgery for Lumbar Disc Herniation, Journal of Isfahan Medical School (2015)
39. Comparative Study of the Effect of Prophylactic Administration of Two Doses of Magnesium Sulfate and Placebo on Cardiovascular Changes During General Anesthesia in Gynecologic Laparoscopic Surgeries, Journal of Isfahan Medical School (2019)
40. Effect of Atropine Administration Before Induction of Anesthesia on the Incidence of Delirium and Other Complications in a Post-Anesthesia Care Unit (Pacu) Among Children Undergoing Surgery: A Randomized, Placebo-Controlled Clinical Trial, Iranian Journal of Pediatrics (2023)
41. Comparison of the Effect of Caffeine and Doxapram on Respiratory and Hemodynamic Parameters of Patients Admitted to the Intensive Care Unit After Spinal Surgery; [مقایسه ی اثر کافئین و دوکساپرام بر پارامترهای تنفسی و همودینامیک بیماران بستری در بخش مراقبتهای ویژه پس از عمل جراحی ستون فقرات], Journal of Isfahan Medical School (2023)
42. Anatomical Predicting Factors of Difficult Spinal Anesthesia in Patients Undergoing Cesarean Section: An Observational Study, Pakistan Journal of Medical Sciences (2019)