Leg elevation and wrapping in the prevention of hypotension following spinal anaesthesia for elective caesarean section.

Abstract:

:Ninety-seven parturients undergoing elective Caesarean section were allocated randomly to have their legs elevated to approximately 30 degrees on pillows or elevated and wrapped with elasticated Esmarch bandages or neither (controls) following spinal anaesthesia. All patients received intravenous crystalloid (20 ml.kg-1 over 20 min) prior to spinal injection and were placed in the left lateral tilt position. Significant hypotension was treated with intravenous ephedrine in 5 mg bolus doses. Leg wrapping resulted in a significant reduction in the incidence of postspinal hypotension in comparison to the control group (18% compared to 53%, p = 0.004). This represents a five-fold reduction in the likelihood of postspinal hypotension (odds ratio 5.3, 95% CI 1.7-16.3). Leg elevation alone did not significantly reduce the incidence of hypotension (39%). There was no significant difference in the time of onset of hypotension between the groups. For those patients requiring ephedrine, there was no significant difference in mean dose requirements between the groups. The use of leg compression immediately postspinal provides a simple means of reducing the accompanying hypotension and should be used more widely.

journal_name

Anaesthesia

journal_title

Anaesthesia

authors

Rout CC,Rocke DA,Gouws E

doi

10.1111/j.1365-2044.1993.tb06948.x

subject

Has Abstract

pub_date

1993-04-01 00:00:00

pages

304-8

issue

4

eissn

0003-2409

issn

1365-2044

journal_volume

48

pub_type

临床试验,杂志文章,随机对照试验
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    doi:10.1046/j.1365-2044.2002.02749.x

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    更新日期:2002-10-01 00:00:00

  • The alcoholic patient and surgical stress.

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    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1982.tb01810.x

    authors: Haxholdt OS,Johansson G

    更新日期:1982-08-01 00:00:00

  • Postoperative convulsions due to iophendylate (Myodil). Report of a case and review of the causes of postoperative convulsions.

    abstract::A previously fit 58-year-old man underwent lumbar laminectomy following a myelogram. Postoperatively convulsions occurred. He was successfully treated and made a complete recovery. Large quantities of intracranial iophendylate (Myodil) were seen on postoperative skull X-rays. In the absence of other likely causes, a d...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1980.tb03720.x

    authors: Jones DF

    更新日期:1980-01-01 00:00:00

  • TACR1 gene polymorphism and sex differences in postoperative nausea and vomiting.

    abstract::We hypothesised that the genetic effect of single nucleotide polymorphisms in the TACR1 gene, which encodes NK1 receptors, could influence the sex difference in postoperative nausea and vomiting. Thirty-two selected single nucleotide polymorphisms were genotyped by the Sanger sequencing method in 200 patients who unde...

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    pub_type: 杂志文章

    doi:10.1111/anae.13082

    authors: Hayase T,Sugino S,Moriya H,Yamakage M

    更新日期:2015-10-01 00:00:00

  • Pregnanolone emulsion. A preliminary pharmacokinetic and pharmacodynamic study of a new intravenous anaesthetic agent.

    abstract::Pregnanolone emulsion, a new steroid anaesthetic agent, was administered intravenously as bolus doses to six young healthy male volunteers in a preliminary pharmacokinetic and pharmacodynamic study. The plasma concentration-time curves fitted a two-compartment model. The elimination half-life was between 0.9 and 1.4 h...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1365-2044.1990.tb14683.x

    authors: Carl P,Høgskilde S,Nielsen JW,Sørensen MB,Lindholm M,Karlen B,Bäckstrøm T

    更新日期:1990-03-01 00:00:00

  • Epidural anaesthesia in von Hippel-Lindau disease. Management of childbirth and anaesthesia for caesarean section.

    abstract::The management of childbirth, including epidural anaesthesia for Caesarean section is described in a patient with von Hippel-Lindau disease. The reasons for the choice of epidural anaesthesia are explained and the anaesthetic significance of the disease is discussed. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1986.tb13132.x

    authors: Matthews AJ,Halshaw J

    更新日期:1986-08-01 00:00:00

  • Sequential organ scoring as a measure of effectiveness of care in the high-dependency unit.

    abstract::High-dependency units are of benefit to patients and to the associated intensive care unit. However, the effectiveness of high-dependency care has not been quantified. We studied 100 consecutive patients whose high-dependency unit admission was longer than 48 h. The Logistic Organ Dysfunction System was used to assess...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1046/j.1365-2044.2001.02179.x

    authors: De Silva RJ,Anderson A,Tempest H,Ridley S

    更新日期:2001-09-01 00:00:00

  • Hypotension, subarachnoid block and the elderly patient.

    abstract::This article reviews the current literature on the management of hypotension during subarachnoid block in the elderly. Hypotension results from blockade of the sympathetic nervous system, which causes decreases in both systemic vascular resistance and cardiac output. Abolition of normal cardiovascular reflexes is also...

    journal_title:Anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2044.1996.tb15051.x

    authors: Critchley LA

    更新日期:1996-12-01 00:00:00

  • Pain-related unscheduled contact with healthcare services after outpatient surgery.

    abstract::This prospective, observational study explored the need for pain-related unscheduled contact with healthcare services after outpatient surgery. We hypothesised that 10% of outpatients would have pain-related unscheduled contact with healthcare services, and that the incidence would differ depending on the type of surg...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.13876

    authors: Brix LD,Bjørnholdt KT,Thillemann TM,Nikolajsen L

    更新日期:2017-07-01 00:00:00

  • Antireflux valves in patient-controlled analgesia.

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    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1990.tb14889.x

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    更新日期:1990-12-01 00:00:00

  • Serious complications with dextran-70 despite hapten prophylaxis. Is it best avoided prior to delivery?

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    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1991.tb09916.x

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    更新日期:1991-12-01 00:00:00

  • Comparison of conventional intermittent positive pressure ventilation with high frequency jet ventilation. Studies following aortocoronary bypass graft surgery.

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    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1987.tb04105.x

    authors: Normandale J,Patrick M,Sherry KM,Feneck RO

    更新日期:1987-08-01 00:00:00

  • Obstetric anaesthetists' workload.

    abstract::The current recommendation of one consultant session per 500 deliveries with full sessional cover for units over 3000 deliveries is arbitrary and is not based on workload. The Audit Commission has questioned the wide variability of anaesthetic staffing on labour wards. The aim of this study was to investigate whether ...

    journal_title:Anaesthesia

    pub_type: 杂志文章,多中心研究

    doi:10.1046/j.0003-2409.2001.02402.x

    authors: Wee MY,Yentis SM,Thomas P

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    abstract::A relationship between cardiac output and the onset time of neuromuscular blockade administered into a peripheral vein was evaluated in 41 adult patients. Anaesthesia was induced with midazolam and fentanyl and maintained with intermittent doses of fentanyl and 66% nitrous oxide in oxygen. After immobilisation of the ...

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    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1995.tb04619.x

    authors: Iwasaki H,Igarashi M,Yamauchi M,Namiki A

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  • The value of risks scores for predicting postoperative nausea and vomiting when used to compare patient group in a randomised controlled trial.

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    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1046/j.1365-2044.2002.02782_4.x

    authors: Thomas R,Jones NA,Strike P

    更新日期:2002-11-01 00:00:00

  • Respiratory tract infection and anaesthesia. Haemophilus influenzae pneumonia that developed under anaesthesia.

    abstract::A 2-year-old boy with symptoms of a minor upper respiratory tract infection developed Haemophilus influenzae pneumonia that presented as hypoxaemia under anaesthesia for minor emergency surgery. The patient required 72 hours of mechanical ventilation in an intensive care unit after the anaesthetic and thereafter made ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1990.tb14831.x

    authors: Campbell NN

    更新日期:1990-07-01 00:00:00

  • Comparison of remifentanil versus regional anaesthesia in children anaesthetised with isoflurane/nitrous oxide. International Remifentanil Paediatric Anaesthesia Study group.

    abstract::We compared the efficacy and safety of a remifentanil (0.25 microg x kg(-1) x min(-1)-based balanced anaesthetic technique with a bupivacaine-based regional anaesthetic technique in an open label, multicentre study in 271 ASA physical status 1 or 2 children aged 1-12 years. Subjects requiring major intra-abdominal, ur...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1046/j.1365-2044.2000.01607.x

    authors: Prys-Roberts C,Lerman J,Murat I,Taivainen T,Lopez T,Lejus C,Spahr-Schopfer I,Splinter W,Kirkham AJ

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  • Environmental contamination during tracheal suction. A comparison of disposable conventional catheters with a multiple-use closed system device.

    abstract::The extent of airborne environmental bacterial contamination which occurs following tracheal suction has been investigated in patients undergoing intermittent positive pressure ventilation in the intensive therapy unit. Two methods of performing suction, one using a conventional open technique and one using a closed s...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1991.tb09858.x

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    更新日期:1991-11-01 00:00:00

  • The emergency management of diabetes mellitus.

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    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1975.tb00900.x

    authors: Maw DS

    更新日期:1975-07-01 00:00:00

  • A comparison of thiopentone and propofol with respect to the incidence of postoperative shivering.

    abstract::One hundred patients (69 female) undergoing surgical excision of three or more wisdom teeth were randomly allocated to receive either thiopentone or propofol for induction of anaesthesia. Other than the induction agent, the anaesthetic regimen was standardised for all cases. All patients were observed for 15 min after...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1994.tb04322.x

    authors: Singh P,Harwood R,Cartwright DP,Crossley AW

    更新日期:1994-11-01 00:00:00

  • Airway management guidance for the endemic phase of COVID-19.

    abstract::It is now apparent that severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) and coronavirus disease 2019 (COVID-19) will remain endemic for some time. Improved therapeutics and a vaccine may shorten this period, but both are far from certain. Plans must be put in place on the assumption that the virus and its...

    journal_title:Anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1111/anae.15253

    authors: Cook TM,McGuire B,Mushambi M,Misra U,Carey C,Lucas N,O'Sullivan E,Harrop-Griffiths W

    更新日期:2021-02-01 00:00:00

  • Free radicals. Formation, function and potential relevance in anaesthesia.

    abstract::Free radical species are ubiquitous in plant and animal life. This article describes briefly the formation of certain oxygen-centred free radicals which are essential for aerobic metabolism and host defences in humans. The mechanism of cytotoxicity of excess or inappropriate free radical production is described. The p...

    journal_title:Anaesthesia

    pub_type: 杂志文章,评审

    doi:

    authors: Royston D

    更新日期:1988-04-01 00:00:00

  • Acute cardiac herniation after radical pleuropneumonectomy.

    abstract::Acute cardiac herniation after radical pneumonectomy is extremely rare and is associated with an immediate mortality greater than 50%. We report a patient in whom cardiac herniation produced no signs or symptoms. The heart was returned to its correct position and the pericardial defect was repaired. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1046/j.1365-2044.1999.00611.x

    authors: Self RJ,Vaughan RS

    更新日期:1999-06-01 00:00:00

  • Attitudes to pain and pain relief in adult surgical patients.

    abstract::Pain relief after surgery is frequently inadequate. In the last few years much research has been devoted to improving the situation. Unfortunately, very little work has been undertaken to explore the patients' contribution to pain management. The beliefs and attitudes held by patients when they enter the hospital envi...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1996.tb13647.x

    authors: Brydon CW,Asbury AJ

    更新日期:1996-03-01 00:00:00

  • Ketamine, midazolam and vecuronium infusion. Anaesthesia for Down's syndrome and congenital heart disease.

    abstract::A ketamine, midazolam and vecuronium infusion was used for total intravenous anesthesia in a patient with Down's syndrome, a ventricular septal defect and pulmonary hypertension. A mixture of ketamine 200 mg, midazolam 5 mg and vecuronium 12 mg in 50 ml of normal saline was infused at 0.5 ml/kg/hour. This simple techn...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1991.tb09356.x

    authors: Riley DP,McBride LJ

    更新日期:1991-02-01 00:00:00

  • Acupuncture and transcutaneous stimulation analgesia in comparison with moderate-dose fentanyl anaesthesia in major surgery. Clinical efficacy and influence on recovery and morbidity.

    abstract::The efficacy of acupuncture and transcutaneous stimulation analgesia, supplemented by small doses of fentanyl (mean 1.2 micrograms/kg, SD 1.7) was compared with moderate-dose fentanyl anaesthesia (mean 22.9 micrograms/kg, SD 2.8) in 29 patients who underwent surgery for retroperitoneal lymph node dissection. The prese...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1991.tb09359.x

    authors: Kho HG,Eijk RJ,Kapteijns WM,van Egmond J

    更新日期:1991-02-01 00:00:00

  • The management of tracheal rupture using bilateral bronchial intubation.

    abstract::The management of a patient who required positive pressure ventilation following pharyngolaryngo-oesophagectomy during which tracheal injury was sustained is described. Ventilation with a tracheal tube resulted in a massive pneumoperitoneum. Bilateral bronchial intubation was employed with success. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1993.tb06906.x

    authors: Mitchell JB,Ward PM

    更新日期:1993-03-01 00:00:00

  • Meptazinol versus pethidine for postoperative pain relief in children.

    abstract::A double-blind, randomised, clinical trial was undertaken comparing intramuscular meptazinol (1 mg/kg) with intramuscular pethidine (1 mg/kg) for the relief of post-tonsillectomy pain, in 100 children under 15 years of age. Pethidine provided better analgesia in those patients who were awake after 30 minutes, but ther...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1986.tb12785.x

    authors: Ridley SA,Matthews NC,Dixon J

    更新日期:1986-03-01 00:00:00

  • The effects of thiopentone and propofol on delayed hypersensitivity reactions.

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    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1995.tb06037.x

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    更新日期:1995-06-01 00:00:00

  • Caudal block for postoperative analgesia in children.

    abstract::A clinical trial was performed to compare the effects of intramuscular dihydrocodeine with caudal bupivacaine on postoperative pain and recovery in 181 children who had undergone either circumcision, inguinal herniotomy or orchidopexy performed under general anaesthesia. Linear analogues were used in assess level of c...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1982.tb01717.x

    authors: Bramwell RG,Bullen C,Radford P

    更新日期:1982-10-01 00:00:00