VARIATION IN THE SYSTOLIC ARTERIAL PRESSURE WITH THE CHANGES OF POSITION, AS PREDICTOR OF POSTANESTHETIC HYPOTENSION IN ELECTIVE CESAREAN (IN SPANISH)
Introduction: It is important to identify to those pregnant women with risk to present postanesthetic arterial hypotension, when they are submitted to cesarean under spinal anesthesia. Objective: to identify if the variability in the systolic arterial pressure (SAP) with the preoperative changes...
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| Format: | Article |
| Language: | Spanish |
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Universidad de Cartagena
2014-01-01
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| Series: | Revista Ciencias Biomédicas |
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| Online Access: | http://revistacienciasbiomedicas.com/index.php/revciencbiomed/article/view/319/256 |
| _version_ | 1818430772404551680 |
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| author | De la Peña-Martínez Michael Granados-Vergara Lina María Polo-Mendoza Eduy De la Peña-Martínez Jairo4 |
| author_facet | De la Peña-Martínez Michael Granados-Vergara Lina María Polo-Mendoza Eduy De la Peña-Martínez Jairo4 |
| author_sort | De la Peña-Martínez Michael |
| collection | DOAJ |
| description | Introduction: It is important to identify to those pregnant women with risk to present
postanesthetic arterial hypotension, when they are submitted to cesarean under spinal
anesthesia.
Objective: to identify if the variability in the systolic arterial pressure (SAP) with the
preoperative changes of position is predictor of postanesthetic arterial hypotension in
elective cesarean.
Methods: 244 women with pregnancy at term, programmed for elective cesarean
were studied. Preanesthetic measures of the SAP in supine decubitus and in left
lateral decubitus position were carried out, estimating the difference between the
two measures. Postanesthetic arterial hypotension was defined as SAP lower than 90
mmHg or reduction higher to 30% of the SAP in supine decubitus position.
Results: postanesthetic arterial hypotension was presented in 107 (43.8%) of the
pregnant women. The variation of the SAP in the group that presented postanesthetic
arterial hypotension was 10.5 [2.0 to 16.5] Vs 2.5 [-6.5 to 6.0] between those who did
not present it (P<0,0001). It was estimated that variability higher to 11 mmHg of the
SAP predicted postanesthetic arterial hypotension with sensibility: 47.6%, specificity:
93.4%, LR (+): 7.26, LR (-): 0.58 and area under the curve of 0.737 (CI 95%:
0.677-0.791), (p=0.0001). In turn such a variation was significant risk factor for the
decrease of the arterial pressure. RR: 2.79 (CI95%: 2.19-3.56).
Conclusion: the preanesthetic variation of the SAP with the change of position from
supine decubitus to lateral decubitus position was predictor of arterial hypotension
subsequent to the use of spinal anesthesia in pregnant women submitted to elective
cesareans. Rev.Cienc.Biomed. 2014;5(1):29-34
KEYWORDS
Arterial Pressure; Blood Pressure; Cesarean Section; Anesthesia, Obstetric. |
| first_indexed | 2024-12-14T15:38:43Z |
| format | Article |
| id | doaj.art-256f0f7229134e26a03abfbd95cfab7f |
| institution | Directory Open Access Journal |
| issn | 2215-7840 2215-7840 |
| language | Spanish |
| last_indexed | 2024-12-14T15:38:43Z |
| publishDate | 2014-01-01 |
| publisher | Universidad de Cartagena |
| record_format | Article |
| series | Revista Ciencias Biomédicas |
| spelling | doaj.art-256f0f7229134e26a03abfbd95cfab7f2022-12-21T22:55:39ZspaUniversidad de CartagenaRevista Ciencias Biomédicas2215-78402215-78402014-01-01512934VARIATION IN THE SYSTOLIC ARTERIAL PRESSURE WITH THE CHANGES OF POSITION, AS PREDICTOR OF POSTANESTHETIC HYPOTENSION IN ELECTIVE CESAREAN (IN SPANISH)De la Peña-Martínez Michael0Granados-Vergara Lina María1Polo-Mendoza Eduy2De la Peña-Martínez Jairo43Estudiante de Posgrado. Anestesiología y Reanimación. Facultad de Medicina. Universidad de Cartagena. Cartagena. Colombia.Médico Anestesiólogo. Docente. Facultad de Medicina. Universidad de Cartagena. Cartagena. Colombia.Médico Anestesiólogo. Clínica Saludcoop. Medellín. Colombia.Médico. Unidad de Cuidados Intensivos Pediátricos. Hospital Infantil Napoleón Franco Pareja. Cartagena. Colombia.Introduction: It is important to identify to those pregnant women with risk to present postanesthetic arterial hypotension, when they are submitted to cesarean under spinal anesthesia. Objective: to identify if the variability in the systolic arterial pressure (SAP) with the preoperative changes of position is predictor of postanesthetic arterial hypotension in elective cesarean. Methods: 244 women with pregnancy at term, programmed for elective cesarean were studied. Preanesthetic measures of the SAP in supine decubitus and in left lateral decubitus position were carried out, estimating the difference between the two measures. Postanesthetic arterial hypotension was defined as SAP lower than 90 mmHg or reduction higher to 30% of the SAP in supine decubitus position. Results: postanesthetic arterial hypotension was presented in 107 (43.8%) of the pregnant women. The variation of the SAP in the group that presented postanesthetic arterial hypotension was 10.5 [2.0 to 16.5] Vs 2.5 [-6.5 to 6.0] between those who did not present it (P<0,0001). It was estimated that variability higher to 11 mmHg of the SAP predicted postanesthetic arterial hypotension with sensibility: 47.6%, specificity: 93.4%, LR (+): 7.26, LR (-): 0.58 and area under the curve of 0.737 (CI 95%: 0.677-0.791), (p=0.0001). In turn such a variation was significant risk factor for the decrease of the arterial pressure. RR: 2.79 (CI95%: 2.19-3.56). Conclusion: the preanesthetic variation of the SAP with the change of position from supine decubitus to lateral decubitus position was predictor of arterial hypotension subsequent to the use of spinal anesthesia in pregnant women submitted to elective cesareans. Rev.Cienc.Biomed. 2014;5(1):29-34 KEYWORDS Arterial Pressure; Blood Pressure; Cesarean Section; Anesthesia, Obstetric.http://revistacienciasbiomedicas.com/index.php/revciencbiomed/article/view/319/256Arterial PressureBlood PressureCesarean SectionAnesthesia |
| spellingShingle | De la Peña-Martínez Michael Granados-Vergara Lina María Polo-Mendoza Eduy De la Peña-Martínez Jairo4 VARIATION IN THE SYSTOLIC ARTERIAL PRESSURE WITH THE CHANGES OF POSITION, AS PREDICTOR OF POSTANESTHETIC HYPOTENSION IN ELECTIVE CESAREAN (IN SPANISH) Revista Ciencias Biomédicas Arterial Pressure Blood Pressure Cesarean Section Anesthesia |
| title | VARIATION IN THE SYSTOLIC ARTERIAL PRESSURE WITH THE CHANGES OF POSITION, AS PREDICTOR OF POSTANESTHETIC HYPOTENSION IN ELECTIVE CESAREAN (IN SPANISH) |
| title_full | VARIATION IN THE SYSTOLIC ARTERIAL PRESSURE WITH THE CHANGES OF POSITION, AS PREDICTOR OF POSTANESTHETIC HYPOTENSION IN ELECTIVE CESAREAN (IN SPANISH) |
| title_fullStr | VARIATION IN THE SYSTOLIC ARTERIAL PRESSURE WITH THE CHANGES OF POSITION, AS PREDICTOR OF POSTANESTHETIC HYPOTENSION IN ELECTIVE CESAREAN (IN SPANISH) |
| title_full_unstemmed | VARIATION IN THE SYSTOLIC ARTERIAL PRESSURE WITH THE CHANGES OF POSITION, AS PREDICTOR OF POSTANESTHETIC HYPOTENSION IN ELECTIVE CESAREAN (IN SPANISH) |
| title_short | VARIATION IN THE SYSTOLIC ARTERIAL PRESSURE WITH THE CHANGES OF POSITION, AS PREDICTOR OF POSTANESTHETIC HYPOTENSION IN ELECTIVE CESAREAN (IN SPANISH) |
| title_sort | variation in the systolic arterial pressure with the changes of position as predictor of postanesthetic hypotension in elective cesarean in spanish |
| topic | Arterial Pressure Blood Pressure Cesarean Section Anesthesia |
| url | http://revistacienciasbiomedicas.com/index.php/revciencbiomed/article/view/319/256 |
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