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Abstract

ABSTRACT: BACKGROUND: Leg wrapping is an effective technique and comparable to vasopressors to prevent post- spinal anesthesia hypotension during cesarean patients OBJECTIVE: To evaluate the effectiveness of leg wrapping in decreasing the incidence of hypotension induced by spinal anesthesia in cesarean section. PATIENTS AND METHODS: A prospective randomized clinical trial study conducted in the obstetric operating room at Baghdad Teaching Hospital May 2018 to February 2019. It involved 60 full-term singleton pregnant randomly allocated to one of two groups: Group A: Leg wrapped immediately before subarachnoid block until the end of surgery and group B: Nonleg wrapped. Blood pressure and heart rate were monitored before and at three-minute intervals for 20 minutes and then every five minutes until the end of the the operation. Any decrease in systolic blood pressure ≥ 20-30% mmHg of the baseline was considered hypotension, which was immediately treated by increasing the I.V fluid infusion rate (Ringer solution) and by a bolus dose of epidrine 5mgIV. RESULTS: The Mean of MAP after three, six, nine, 12 and 15 minutes after induction of spinal anesthesia was significantly higher among group A than that in group B). After six, nine, 12, 15, and 18 minutes, five patients (16.7%) in group A needed ephedrine dose while in group B, 23 patients (76.7%) and the mean of ephedrine dose needed was 0 versus 3.0, 0.48 versus 4.0, 1.0 versus 3.6, 0 versus 3.0 and 0 versus 2.0 mg respectively and these differences were statistically significant. CONCLUSION: Legs wrapping decrease vasopressors need in spinal anesthesia-induced hypotension

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