Coload Effect On Cardiac Output Measurement Using Transthoracic Echocardiography In Preeclamptic Patients Undergoing Cesarean Delivery

Sherine Ali Elsayed Bakrey, Lecturer of Anesthesia and surgical intensive care Faculty of medicine-Mansoura University, Egypt. Postal code 35511; DakahliaFollow
Aya Hasan Masoud Abdelhady, Resident of Anesthesia and Surgical Intensive Care. Faculty of Medicine –Mansoura University, Egypt.
Alaa El-Din Mazy Abdou Mazy, Professor of Anesthesia and Surgical intensive care Faculty of medicine-Mansoura University, Egypt.
Maha Ahmed Abo-Zeid Salim, Assistant professor of Anesthesia and Surgical intensive care Faculty of Medicine-Mansoura University, Egypt

Corresponding Author

Sherine A. Bakrey

Subject Area

Anaesthesia and Surgical Intensive Care

Article Type

Original Study

Abstract

Background: During cesarean delivery (CD) for preeclamptic patients under spinal anaesthesia (SA), much intravenous fluids are avoided. Through transthoracic echocardiography, study conducted to assess the hypothesis that colloid plus crystalloid coload will maintain the cardiac output (CO) than crystalloid fluid alone. Methods: Thirty-four preeclamptic patients, scheduled for elective CD, under SA, were allocated according to the fluid coloading into two groups; Crystalloid group (group I); in which the patients received Ringer’s acetate or Crystalloid-colloid group (group II); in which the patients received 6% Hydroxyethyl starch and Ringer’s acetate. The primary outcome was CO while, left ventricular end diastolic diameter (LVEDD), heart rate (HR), systolic blood pressure (SBP) and output of urine were secondary outcomes. Results: study groups had no statistical difference as regard CO SBP, and HR. Both LVEDD and Velocity time integral demonstrated statistical increase in Group II in comparison to group I immediately post-delivery, 1 and 2 hours after induction of SA. Conclusion: Coloading with 500 ml colloid added to 500 ml crystalloid has the same influence as 1000 ml of crystalloid fluid regarding CO measurement in preeclamptic patients underwent cesarean delivery under SA.

Recommended Citation

Bakrey, Sherine Ali Elsayed; Abdelhady, Aya Hasan Masoud; Mazy, Alaa El-Din Mazy Abdou; and Salim, Maha Ahmed Abo-Zeid (2024) "Coload Effect On Cardiac Output Measurement Using Transthoracic Echocardiography In Preeclamptic Patients Undergoing Cesarean Delivery," Mansoura Medical Journal: Vol. 53 : Iss. 2 , Article 7.
Available at: https://doi.org/10.58775/2735-3990.1421