Ochukpue Ceejay
University of Benin Teaching Hospital, Benin City, Nigeria
Title: Intraoperative Anaesthetic Complications following Spinal Anaesthesia for Caesarean Section: A Prospective Study in a Tertiary Setting.
Biography
Biography: Ochukpue Ceejay
Abstract
Introduction
A reduction in anaesthesia related complications has been observed following the introduction of regional techniques. The use of subarachnoid block has become an established and reliable method of providing anaesthesia for lower abdominal, obstetric and lower limb surgeries due to its ease of performance, rapid onset of action and cost effectiveness.
Objectives
This study aimed to determine the intraoperative complications associated with subarachnoid block, its management and outcome in parturients undergoing caesarean section.
Methods
125 consecutive parturients scheduled for caesarean section under spinal anaesthesia were recruited. Approval was obtained from the Institution's Ethics Committee. History, demographic characteristics, indications for caesarean section and intraoperative events were documented. Data was analysed using SPSS version 20.
Results
The commonest complication observed was hypotension with an incidence of 36.3%. Severe hypotension was managed with ephedrine and rapid fluid boluses. Other complications were shivering, tachycardia, bradycardia, nausea and vomiting.
Conclusion
Subarachnoid block is safe for caesarean section if the anaesthetist is aware of the complications associated with its use. Early recognition and prompt management of complications by the anaesthetist is paramount. Precautions to prevent complications where possible, by carefully monitoring of the patient and management of the complications appropriately and as soon as possible will ensure good outcome.