The use of phenylephrine to obtund oxytocin induced hypotension and tachycardia during elective caesarean section

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dc.contributor.advisorDyer, Robert Aen_ZA
dc.contributor.authorRumboll, Charles Knighten_ZA
dc.date.accessioned2017-01-19T12:17:06Z
dc.date.available2017-01-19T12:17:06Z
dc.date.issued2016en_ZA
dc.description.abstractBackground: Oxytocin causes clinically significant hypotension and tachycardia. This study examined whether the prior administration of phenylephrine obtunds these unwanted haemodynamic effects. Methods: Forty pregnant women undergoing elective caesarean section under spinal anaesthesia were randomised to receive either a 50 μg bolus of phenylephrine (Group P) or saline (Group S) immediately prior to oxytocin (3 IU over 15 seconds). Systolic blood pressure [SBP], diastolic blood pressure [DBP], mean arterial pressure [MAP] and heart rate [HR]) were recorded using a continuous non-invasive arterial pressure device. Baseline values were averaged for 20 seconds post-delivery. Between-group comparisons were made of the mean peak changes in BP and HR, and the mean percentage changes from baseline, during the 150 seconds after oxytocin administration. Results: The mean peak percentage change (SD) in SBP was -16.9% (2%) in Group P, and -19.0% (1.9%) in Group S and the estimated mean difference was 2.1% (95% CI: -3.5 to 7.8 %) and P =0.44; corresponding changes in HR were 13.5% (2.3%) and 14.0% (1.5%) and the mean estimated difference was 0.5% (95% CI -6.0 to 5%) and P=0.87. The mean percentage change from the baseline measurements during the 150 s period of measurement was greater for Group S than Group P: SBP -5.9% vs -3.4%; P =0.149; DBP -7.2% vs -1.5%, P =0.014; MAP -6.8% vs -1.5%, P =0.007; HR 2.1% vs -2.4%, P =0.033. Conclusion: Intravenous phenylephrine 50 μg immediately before 3 U oxytocin during elective caesarean section does not prevent maternal hypotension and tachycardia.en_ZA
dc.identifier.apacitationRumboll, C. K. (2016). <i>The use of phenylephrine to obtund oxytocin induced hypotension and tachycardia during elective caesarean section</i>. (Thesis). University of Cape Town ,Faculty of Health Sciences ,Department of Anaesthesia. Retrieved from http://hdl.handle.net/11427/22807en_ZA
dc.identifier.chicagocitationRumboll, Charles Knight. <i>"The use of phenylephrine to obtund oxytocin induced hypotension and tachycardia during elective caesarean section."</i> Thesis., University of Cape Town ,Faculty of Health Sciences ,Department of Anaesthesia, 2016. http://hdl.handle.net/11427/22807en_ZA
dc.identifier.citationRumboll, C. 2016. The use of phenylephrine to obtund oxytocin induced hypotension and tachycardia during elective caesarean section. University of Cape Town.en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Rumboll, Charles Knight AB - Background: Oxytocin causes clinically significant hypotension and tachycardia. This study examined whether the prior administration of phenylephrine obtunds these unwanted haemodynamic effects. Methods: Forty pregnant women undergoing elective caesarean section under spinal anaesthesia were randomised to receive either a 50 μg bolus of phenylephrine (Group P) or saline (Group S) immediately prior to oxytocin (3 IU over 15 seconds). Systolic blood pressure [SBP], diastolic blood pressure [DBP], mean arterial pressure [MAP] and heart rate [HR]) were recorded using a continuous non-invasive arterial pressure device. Baseline values were averaged for 20 seconds post-delivery. Between-group comparisons were made of the mean peak changes in BP and HR, and the mean percentage changes from baseline, during the 150 seconds after oxytocin administration. Results: The mean peak percentage change (SD) in SBP was -16.9% (2%) in Group P, and -19.0% (1.9%) in Group S and the estimated mean difference was 2.1% (95% CI: -3.5 to 7.8 %) and P =0.44; corresponding changes in HR were 13.5% (2.3%) and 14.0% (1.5%) and the mean estimated difference was 0.5% (95% CI -6.0 to 5%) and P=0.87. The mean percentage change from the baseline measurements during the 150 s period of measurement was greater for Group S than Group P: SBP -5.9% vs -3.4%; P =0.149; DBP -7.2% vs -1.5%, P =0.014; MAP -6.8% vs -1.5%, P =0.007; HR 2.1% vs -2.4%, P =0.033. Conclusion: Intravenous phenylephrine 50 μg immediately before 3 U oxytocin during elective caesarean section does not prevent maternal hypotension and tachycardia. DA - 2016 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 2016 T1 - The use of phenylephrine to obtund oxytocin induced hypotension and tachycardia during elective caesarean section TI - The use of phenylephrine to obtund oxytocin induced hypotension and tachycardia during elective caesarean section UR - http://hdl.handle.net/11427/22807 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/22807
dc.identifier.vancouvercitationRumboll CK. The use of phenylephrine to obtund oxytocin induced hypotension and tachycardia during elective caesarean section. [Thesis]. University of Cape Town ,Faculty of Health Sciences ,Department of Anaesthesia, 2016 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/22807en_ZA
dc.language.isoengen_ZA
dc.publisher.departmentDepartment of Anaesthesiaen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.subject.otherAnaesthesiologyen_ZA
dc.titleThe use of phenylephrine to obtund oxytocin induced hypotension and tachycardia during elective caesarean sectionen_ZA
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationnameMMeden_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceThesisen_ZA
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