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]

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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

Role of pleth variability index for predicting hypotension after spinal anesthesia for cesarean section.

Hypotension is frequently observed after spinal anesthesia for cesarean section and can be detrimental to both mother and baby. We investigated the ro...
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