The effect of lithotomy position on arterial blood pressure after spinal anesthesia.

Abstract:

:We compared the effect of the lithotomy position on the systolic blood pressure (SBP) with the horizontal position after spinal block. The lithotomy position was performed 5 min after spinal block. The change in SBP was expressed as percent of depression from the baseline value. The SBP increased by the lithotomy position (n = 14) from a 16% decrease to an 8% decrease. On the contrary, in the horizontal group (n = 14), SBP decreased 16% at 5 min and continued to decrease to 21%. The extent of the cephalad spread of analgesia 20 min after spinal block was same between the two groups (T-5 +/- 2 vs T-5 +/- 2, respectively). From these results we conclude that the lithotomy position after spinal anesthesia attenuates the decrease in arterial blood pressure and does not affect the cephalad spread of analgesia.

journal_name

Anesth Analg

journal_title

Anesthesia and analgesia

authors

Miyabe M,Sonoda H,Namiki A

doi

10.1097/00000539-199507000-00019

subject

Has Abstract

pub_date

1995-07-01 00:00:00

pages

96-8

issue

1

eissn

0003-2999

issn

1526-7598

journal_volume

81

pub_type

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