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Abstract
Background: The method of spinal anesthesia alone has outstanding advantages, but the rate of hypotension in elderly patients in hip replacement surgery is quite high, from 40 to 46.67%. The use of vasopressors to prevent and treat hypotension during surgery is a measure that both limits the amount of fluid as well as can use a sufficient dose of local anesthetic, especially when combining colloidal replacement and drug use. vasopressor for prevention and treatment of hypotension. Our study was conducted with the aim of evaluating the prophylactic effect between two groups with and without the use of prophylactic doses of phenylephrine in spinal anesthesia in hip
replacement surgery in elderly patients.
Methods: 100 elderly patients (≥ 60 years of age) undergoing planned hip replacement surgery were randomly divided into two groups with and without a prophylactic dose of 50 mcg phenylephrine. The method used is a cross - sectional descriptive study.
Results: The rate of hypotension in the two groups receiving prophylactic and nonprophylactic doses of henylephrine was 52% and 56% (p = 0.548). The number of using antihypertensive drugs and the dose in the 2 groups were similar.
Conclusions: Prophylactic doses of phenylephrine can’t reduction in the rate of hypotension after spinal anesthesia in hip replacement surgery in elderly patients
References
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| Published | 29-12-2024 | |
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| Issue | No. 87 (2023) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.87.15 | |
| Keywords | Phenylephrine, gây tê tủy sống, thay khớp háng Phenylephrine, spinal anesthesia, hip replacement surgery |
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