Browsing by Author "Abebe, Yonathan"

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    Incidence and Risk Factors of Hypotension after in elective cesarean section following spinal anesthesia at Tikur anbessa specialized hospital.
    (Addis Abeba University, 2019-11) Abebe, Yonathan; Tadesse, Mahlet (MD)
    Background and Objectives; Hypotension is the commonest complication of spinaanesthesia. Hypotension may pose serious risk like loss of consciousness and cardiac arrest on mother (3)The objective of this studywas to evaluate theincidence and risk factors of hypotension, severity of hypotension and onset time of hypotension after spinal anesthesia given for cesarean section (C/S)at Tikuranbessa specialized hospital. Method;a prospective analytic cross-sectional study was conducted on parturientwho underwentelective cesarean section with spinal anesthesia at Addis Ababa University;Tikuranbessa specialized hospital (TASH). Data was collected on Incidenceseverity and onset time of hypotension after spinal anesthesia was given and Hypotension was correlated with Age, ASA physical status, Gravidity, Height, Weight, BMof mothers, amount of preloading volume, type of bupivacaine, dose of bupivacaine, use of spinal additives and use of prophylactic vasopressors.Chi-Square test and multiple logistic regression analysis were used to assess significance of statistical association. Result;total of 144 mothers’ data was collected. 103(71.5%) developed hypotension, severe hypotension occurred in 57(55.3%) mothers, the first five minutes was the commonest time for post spinal hypotension to occur. Maternal age (p= .01, 95%CI .011, .565), level of block height (p= .003, 95%CI .049, .547) and bupivacaine dose in ml (p= .046, 95%CI .277, 16.853)were been found to have significant association with post spinal hypotension. Conclusion and recommendation; incidence hypotension was 71.5%, implementation of interventions to reduce post spinal hypotension in TASH was quite poor with no protocoto standardize the practice of performing spinal anesthesia. We recommended to have further study on similar topic by being more inclusive and wider sample size, to develop protocol which guides on conducting spinal anesthesia in standardized manner.