Appraisal of the Effect of Norepinephrine Versus Phenylephrine on Blood Pressure and Heart Rate During Spinal Anaesthesia for a Caesarean Section; A Quasi-Experimental Study

  • Hina Iftikhar Combined Military Hospital, Multan/National University of Medical Sciences (NUMS), Pakistan
  • Ali Hassan Combined Military Hospital, Multan/National University of Medical Sciences (NUMS), Pakistan
  • Habib Ur Rehman Combined Military Hospital, Multan/National University of Medical Sciences (NUMS), Pakistan
  • Saeed Bin Ayaz Combined Military Hospital, Muzaffarabad /National University of Medical Sciences (NUMS), Pakistan
  • Zulfiqar Ali Combined Military Hospital, Multan/National University of Medical Sciences (NUMS), Pakistan
  • Kaukab Majeed Pak Emirates Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Keywords: Bradycardia, Hypotension, Spinal anaesthesia

Abstract

Objectives: To compare the effects of Norepinephrine and Phenylephrine on blood pressure and heart rate during spinal anaesthesia for caesarean section.

Study Design: Quasi-experimental study.

Place and Duration of Study: Department of Anaesthesia Combined Military Hospital, Multan Pakistan, from May to Nov 2019.

Methodology: Women (age: 18 to 45 years) with singleton pregnancy planned for caesarean section in spinal anaesthesia were included. Women with pregnancy-induced hypertension, placenta previa, placenta accreta, diabetes mellitus, and any other cardiovascular disease were excluded. After distribution into groups, Group-A was given a 20μg Norepinephrine bolus, and Group-B was given a 50μg bolus of Phenylephrine just after spinal anaesthesia. At five time points, systolic, diastolic, and mean blood pressures and heart rate were measured: baseline, block of the highest sensory level, oxytocin injection, delivery, and operation completion. If hypotension developed, the same rescue drug was repeated. Bradycardia was countered by 0.5 mg of Atropine.

Results: The frequency of hypotension in the Norepinephrine group was 5 (16.67%), and in the Phenylephrine Group, it was 19 (63.33%) (p=0.0001). The frequency of bradycardia in the Norepinephrine Group was 6 (20%), and in the Phenylephrine Group, it was 17 (56.67%) (p=0.003).

Conclusion: The frequency of hypotension and bradycardia is less after prophylactic 20 μg of Norepinephrine during spinal anaesthesia for a caesarean section than 50 μg of Phenylephrine.

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Published
2022-09-26
How to Cite
Iftikhar, H., Hassan, A., Rehman, H., Ayaz, S., Ali, Z., & Majeed, K. (2022). Appraisal of the Effect of Norepinephrine Versus Phenylephrine on Blood Pressure and Heart Rate During Spinal Anaesthesia for a Caesarean Section; A Quasi-Experimental Study. Pakistan Armed Forces Medical Journal, 72(4), 1324-28. https://doi.org/10.51253/pafmj.v72i4.7674
Section
Original Articles