Accepted Manuscript Original article Role of pleth variability index for predicting hypotension after spinal anesthesia for cesarean section S. Sun, S.Q. Huang PII: DOI: Reference:
S0959-289X(14)00085-5 http://dx.doi.org/10.1016/j.ijoa.2014.05.011 YIJOA 2303
To appear in:
International Journal of Obstetric Anesthesia
Accepted Date:
31 May 2014
Please cite this article as: Sun, S., Huang, S.Q., Role of pleth variability index for predicting hypotension after spinal anesthesia for cesarean section, International Journal of Obstetric Anesthesia (2014), doi: http://dx.doi.org/10.1016/ j.ijoa.2014.05.011
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IJOA 13-00284
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ORIGINAL ARTICLE
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Role of pleth variability index for predicting hypotension after spinal anesthesia for
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cesarean section
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S. Sun,
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Department of Anesthesiology, Obstetrics and Gynecology, Fudan University Hospital,
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Shanghai, China
S.Q. Huang
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Short title: Pleth variability index and spinal hypotension
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Corresponding author: Shao-qiang Huang, Department of Anesthesiology, Obstetrics and
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Gynecology, Hospital of Fudan University, Shanghai, China
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E-mail address:
[email protected] 14
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ABSTRACT
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Background: Hypotension is frequently observed after spinal anesthesia for cesarean section
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and can be detrimental to both mother and baby. We investigated the role of the pleth
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variability index for predicting hypotension after spinal anesthesia for cesarean section.
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Methods: Eighty-five parturients undergoing elective cesarean section under spinal
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anesthesia were enrolled. We recorded pleth variability index and perfusion index before
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anesthesia, and blood pressure, heart rate and pulse oxygen saturation before and after
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anesthesia. The association between baseline pleth variability index and perfusion index with
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hypotension after spinal anesthesia was explored using multivariate analysis.
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Results: Hypotension occurred in 42 parturients. Baseline pleth variability index was higher
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in parturients who experienced hypotension than in those who did not (P