Articles Vol. 64 No. 2 15/03/2023

4. COMPARISON OF ANTIHYPERTENSIVE PREVENTION BETWEEN CONTINUOUS INTRAVENOUS INFUSION OF NORADRENALINE WITH PHENYLEPHRINE IN SPINAL BLOCK FOR CESAREAN SECTION IN NATIONAL HOSPITAL OF OBSTETRICS AND GYNECOLOGY

Do Duc Trung1,2, Nguyen Cong Hung1,2, Nguyen Duc Lam3,4
1 National Hospital of Obstetrics and Gynecology
2 Bệnh viện Phụ sản Trung ương
3 Hanoi Medical University
4 Trường Đại học Y Hà Nội
Corresponding author: bsductrung0905@gmail.com
DOI: 10.52163/yhc.v64i2.606
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Keywords
Hypotension, cesarean section, noradrenaline, phenylephrine, National Hospital of Obstetrics and Gynecology.
Abstract

Objective: To compare the antihypotensive prevention of continuous intravenous infusion of
noradrenaline with phenylephrine in the spinal block for cesarean section. Subjects and research
methods: Pregnant women with indications for cesarean section at the National Hospital of Obstetrics
and Gynecology in 2022. Results: Mean age, mean height, and mean weight in the study of the two
groups were similar. All pregnant women in both groups showed loss of sensation at T10 (group N:
2.75 ± 0.71, group P: 2.67 ± 0.85) and T6 (group N: 4.17 ± 0.81, group P: 4.22 ± 0.89) relatively
quickly, but the difference was not statistically significant with p>0.05. There was no difference in
the time of motor inhibition according to the average Bromage score (p>0.05). The blood pressure
rate drops 20% - 30%: 2 cases in group N (6%) and group P 4 cases (8%). Conclusion: Continuous
intravenous infusion of noradrenaline was comparable with continuous intravenous infusion of
phenylephrine in spinal anesthesia for cesarean section.

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