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Journal of Cardiovascular Disease Research

2021, Vol: 8, Issue: 8
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    Prediction of hypotension with baseline perfusion index following spinal anaesthesia in patients undergoing lower segment caesarean section: An observational study


    Upavan Pandya, Vikas Sharma, Saurav Agarwal
    JCDR. 2023: 1412-1416

    Abstract

    Materials and Methods: This observational study was conducted in a tertiary care hospital in the patients who were undergoing lower segment caesarean section (LSCS). Patients were divided into two groups of 30 each according to perfusion index value. Results: Perfusion index values showed a statistically significant difference during 2nd (p value = <0.001), 4th (p value =<0.001), 6th (p value =0.001), 30th (p value = 0.049), 35th (p value= 0.028) and 40th minutes (p value = 0.011). During intraoperative period SBP demonstrated statistically significant lower values during the 2nd, 4th, 6th, 8th, 10th minutes in group B than group A. During intraoperative period DBP showed statistically significant difference during 2nd , 4th , 6th and 8th minutes with values being lower in group B than group A. Conclusions: Perfusion index (PI) can be used as a tool for predicting hypotension in healthy parturients undergoing elective caesarean section under subarachnoid block. Parturients with baseline PI >3.5 were at higher risk of developing hypotension following subarachnoid block compared to those with baseline PI <3.5

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