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Gebrargs L, Gebremeskel B, Aberra B, et al. Comparison of Hemodynamic Response following Spinal Anesthesia between Controlled Hypertensive and Normotensive Patients Undergoing Surgery below the Umbilicus: An Observational Prospective Cohort Study. Anesthesiol Res Pract. 2021;2021:8891252doi: 10.1155/2021/8891252.
Gebrargs, L., Gebremeskel, B., Aberra, B., Hika, A., Yimer, Y., Weldeyohannes, M., Jemal, S., Behrey, D., & Tilahun, A. (2021). Comparison of Hemodynamic Response following Spinal Anesthesia between Controlled Hypertensive and Normotensive Patients Undergoing Surgery below the Umbilicus: An Observational Prospective Cohort Study. Anesthesiology research and practice, 20218891252. https://doi.org/10.1155/2021/8891252
Gebrargs, Leake, et al. "Comparison of Hemodynamic Response following Spinal Anesthesia between Controlled Hypertensive and Normotensive Patients Undergoing Surgery below the Umbilicus: An Observational Prospective Cohort Study." Anesthesiology research and practice vol. 2021 (2021): 8891252. doi: https://doi.org/10.1155/2021/8891252
Gebrargs L, Gebremeskel B, Aberra B, Hika A, Yimer Y, Weldeyohannes M, Jemal S, Behrey D, Tilahun A. Comparison of Hemodynamic Response following Spinal Anesthesia between Controlled Hypertensive and Normotensive Patients Undergoing Surgery below the Umbilicus: An Observational Prospective Cohort Study. Anesthesiol Res Pract. 2021 Jul 13;2021:8891252. doi: 10.1155/2021/8891252. eCollection 2021. PMID: 34335741; PMCID: PMC8298159.
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Anesthesiol Res Pract. 2021 Jul 13;2021:8891252. doi: 10.1155/2021/8891252. eCollection 2021.

Comparison of Hemodynamic Response following Spinal Anesthesia between Controlled Hypertensive and Normotensive Patients Undergoing Surgery below the Umbilicus: An Observational Prospective Cohort Study.

Anesthesiology research and practice

Leake Gebrargs, Bereket Gebremeskel, Bacha Aberra, Assefa Hika, Yusuf Yimer, Misrak Weldeyohannes, Suleiman Jemal, Degena Behrey, Abere Tilahun

Affiliations

  1. Department of Anesthesiology, College of Health Sciences, Aksum University, Axum, Ethiopia.
  2. Department of Anesthesiology, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
  3. Department of Adult Health Nursing, College of Health Sciences, Aksum University, Axum, Ethiopia.
  4. Department of Anesthesiology, College of Medicine and Health Sciences, Adigrat University, Adigrat, Ethiopia.

PMID: 34335741 PMCID: PMC8298159 DOI: 10.1155/2021/8891252

Abstract

BACKGROUND: Hypotension and bradycardia are the most common complications associated with spinal anesthesia and more common in patients with a history of hypertension. Regular use of antihypertensive medications can prevent these complications. The occurrence of hypotension under spinal anesthesia among controlled hypertensive and normotensive patients with age 40 years and above is still debated. The objective of the study was to compare blood pressure and heart rate changes following spinal anesthesia between controlled hypertensive and normotensive patients undergoing surgery below the umbilicus at Black lion hospital, Addis Ababa, Ethiopia, 2020.

METHOD: A hospital-based prospective cohort study was conducted. A total of 110 elective patients with controlled hypertension (55) and normotensive (55) patients who underwent surgery with spinal anesthesia at black lion hospital during the study period were included. The sample was selected using a systematic random sampling technique. Continuous data of independent and dependent variables were analyzed using an independent sample

RESULTS: The incidence of hypotension in the controlled hypertension group (23.6%) was higher than the normotensive group (7.3%) with

CONCLUSION: Under spinal anesthesia, patients with controlled hypertension are more likely to develop hypotension than normotensive patients, but on the occurrence of bradycardia, there was no statistically significant difference between the two groups.

Copyright © 2021 Leake Gebrargs et al.

Conflict of interest statement

The authors declare that they have no conflicts of interest.

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