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Adel Amen Hama

Abstract

Hypotension is a side effect of the frequently used spinal anesthetic technique, which is employed in surgical procedures. Due to its quick onset, predictable and reliable block, and excellent postoperative analgesia, spinal anesthesia is frequently used in patients undergoing cesarean sections, gynecological surgery, urinary surgery, and orthopedic surgery of the lower limbs. Aim of study: to compare the effectiveness of intravenous phenylephrineand ephedrine on pulse rate in treatment of hypotension after spinal anesthesia. This study was performed in Ghazi Al-Hariri Hospital and Baghdad Hospital in Baghdad/Iraq about 4 month from 16 November 2022 to 2 March 2023. A total of forty patient: male were (17) patients and females were (23) patients twenty of them ephedrin and the rest phenylephrine. We study about 40 cases in different types of surgery the primary outcome measure was the change in pulse rate from baseline (every 2 min) to 10 minutes after drug administration. The results of this study were ephedrine and phenylephrines when used to in treating hypotension, as both of drug effectiveness. But the results show that the pulse rate increases significantly from 6- 12 mg dose in ephedrine, unlike phenylephrine, which leads to a decrease in the pulse rate. We concluded that both phenylephrine and ephedrine when used to treating hypotension after spinal anesthesia, effected on pulse rate and they have differ in their mechanism of action and potential side effects than ephedrine.

First Page

109

Last Page

117

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