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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Comparative Analysis of the Hemodynamic Effects of Lateral and Sitting Positions in Spinal Anesthesia Induction During Elective Caesarean Section

Vipin Sisodia, Surbhi Tiwari, Saumya and Mohini Thakur
Page: 278-283 | Received 24 Dec 2023, Published online: 23 Jan 2024

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https://doi.org/10.36478/10.59218/makrjms.2024.1.278.283

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Abstract

Spinal anaesthesia is commonly employed in caesarean sections, with hypotension being a prevalent complication. The choice of positioning, either sitting or lateral, can influence the hemodynamic response. This study aimed to compare the effects of spinal anaesthesia induction in lateral versus sitting positions on hemodynamic parameters, sensory and motor blockade characteristics and patient comfort during elective caesarean delivery. A randomized comparative study was conducted on sixty pregnant individuals undergoing elective caesarean delivery under spinal anaesthesia. Patients were assigned to either the lateral or sitting position group. Hemodynamic parameters, sensory and motor blockade levels and patient comfort scores were recorded at various time intervals. Statistical analysis was performed using chi‐square and Mann‐Whitney U tests. Baseline characteristics between the groups were comparable. No significant differences were observed in mean arterial pressure, heart rate, or block characteristics between the two positions. However, spinal anaesthesia initiation was faster in the lateral group, possibly due to the use of hyperbaric bupivacaine. Patient comfort scores were significantly higher in the lateral position group compared to the sitting position. The choice of induction position for spinal anaesthesia in elective caesarean sections does not significantly impact hemodynamic parameters or block properties. However, the lateral position offers faster anaesthesia onset and higher patient comfort compared to the sitting position. Therefore, the lateral position may be preferred for pregnant patients undergoing caesarean delivery under spinal anaesthesia.

How to cite this article:

Vipin Sisodia, Surbhi Tiwari, Saumya and Mohini Thakur. Comparative Analysis of the Hemodynamic Effects of Lateral and Sitting Positions in Spinal Anesthesia Induction During Elective Caesarean Section.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.1.278.283
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.1.278.283