Evidence map›Paper›PMID 41497009›Full record

ArticleAnnals of medicine and surgery (2012)2026

Inferior vena cava ultrasound to guide fluid management for prevention of hypotension after spinal anesthesia in a tertiary level teaching hospital.

Semanta Dahal, Bishwas Pradhan, Amit S Bhattarai, Shiva P Paudyal, Anil Shrestha, Gentle S Shrestha

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Article in Annals of medicine and surgery (2012), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Semanta DahalDepartment of Critical Care Medicine, Om Hospital and Research Centre, Chabahil, Kathmandu, Nepal.
Bishwas PradhanDepartment of Anesthesiology, Manmohan Cardiothoracic Vascular and Transplant Center, Maharajgunj, Kathmandu, Nepal.
Amit S BhattaraiDepartment of Anesthesiology, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal.
Shiva P PaudyalDepartment of Anesthesiology, Manmohan Cardiothoracic Vascular and Transplant Center, Maharajgunj, Kathmandu, Nepal.
Anil ShresthaDepartment of Anesthesiology, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal.
Gentle S ShresthaDepartment of Critical Care Medicine, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal.ORCID https://orcid.org/0000-0003-0385-2340

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Hypotension is common during spinal anesthesia and contributes to organ hypoperfusion. Inferior vena cava ultrasonography (IVC USG) has been used in critically ill patients for predicting volume responsiveness but data regarding its use in perioperative setting is limited. This study aims to evaluate the use of IVC USG to guide fluid management for prevention of hypotension after spinal anesthesia. Materials and methods: In this prospective, randomized, interventional study, 92 patients undergoing surgery under spinal anesthesia were randomized into USG group or Control group. In the USG group, IVC USG assessment and fluid management was performed before spinal anesthesia. In the control group, spinal anesthesia was performed without IVC USG assessment. In both the groups, incidence of hypotension and amount of fluid and vasopressors administered were recorded. Results: The incidence of hypotension was significantly lower in the USG group 14 patients (30%) when compared to the control group 24 patients (52%; Conclusion: IVC USG is an effective modality for optimization of volume status for prevention of hypotension after spinal anesthesia.

Indexed as

collapsibility indexhypotensioninferior vena cavaspinal anesthesiatransthoracic echocardiographyultrasound

Identifiers

PMID41497009
PMCPMC12768111

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