Evidence map›Paper›PMID 41542211›Full record

ArticleJournal of anaesthesiology, clinical pharmacology

Caval aorta index as a predictor of hypotension after spinal anesthesia in patients with diabetes mellitus - A cross-sectional comparative study.

Alphonse Sushmitha, Mekala RanjithKumar, Stalin Vinayagam, Arumugam Vasudevan

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Article in Journal of anaesthesiology, clinical pharmacology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

4 authors.

Alphonse SushmithaDepartment of Anesthesiology and Critical Care, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.
Mekala RanjithKumarDepartment of Anesthesiology and Critical Care, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.
Stalin VinayagamDepartment of Anesthesiology and Critical Care, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.
Arumugam VasudevanDepartment of Anesthesiology and Critical Care, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Postspinal hypotension (PSH) is a common adverse event following spinal anesthesia, with a pronounced incidence among diabetic individuals due to autonomic neuropathy. This study aimed to assess the caval aorta index (IVC/AO) and IVC collapsibility index (IVCCI) as predictors of PSH. Material and Methods: One hundred and twenty patients scheduled for elective surgeries under spinal anesthesia were divided into two groups: Group A (Diabetic) and Group B (nondiabetic). IVC and aorta diameters were measured to calculate the IVC/AO index and IVCCI. Patients in both groups received spinal anesthesia using 0.5% bupivacaine (3 ml). Hemodynamic parameters were recorded, and the incidence of PSH was noted. The odds ratio for PSH was ascertained between the groups, and correlations of age, body mass index, diabetes duration, and random blood glucose levels with the IVC/AO index were performed. Receiver operating characteristic curves were used to evaluate the diagnostic value of the IVC/AO index and IVCCI for predicting PSH. A Results: PSH was observed in 82 patients (68%), with 58 in group A and 24 in group B. Diabetics had a lower IVC/AO index ( Conclusions: Preoperative ultrasonographic measurement of the IVC/AO and IVCCI indices is a useful predictors of PSH in diabetic patients.

Indexed as

Anesthesiaaortadiabetes mellitushypotensioninferior vena cavaspinal

Identifiers

PMID41542211
PMCPMC12803416

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