Clinical Practice Guideline for Prevention of Hypotension from Spinal Anesthesia in Cesarean Section at Nakornping Hospital
Keywords:
hypotension, spinal anesthesia, cesarean section.Abstract
Background : Spinal anesthesia is popular anesthetic technique for cesarean section. However, the most serious complication is hypotension which can cause cardiac arrest. Early detection and treatment should be performed for patientûs safety.
Objective : The purpose of this study is to develop the clinical practice guideline for hypotension management from spinal anesthesia in cesarean section. Methods: The process for developing the guideline utilized the framework from the National Institute for Clinical Excellence (NICE) and find out hypotension in 150 elective cesarean section patients undergoing spinal anesthesia from October 2012 to September 2013.
Results : This guideline consisted of 23 components in 3 phases of operation
1. Pre-operative phase
2. Peri-operative phase
3. Post-operative phase. However, the incidence of hypotension was not significantly different
between both groups, probably because of multifactors related to patients and health care providers .
Conclusion : The CPGs should be used to prevent and manage hypotension in Nakornping hospital and also should be continuously revised so that it will be able to be effective for decreasing the incidence.
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