Journal of Anaesthesia and Pain
Vol 2, No 2 (2021): May

Delta Inferior Vena Cava Index Correlated with Mean Arterial Pressure (MAP) in Spinal Anesthesia

Wiwi Jaya (Anesthesiology and Intensive Therapy Department, Medical Faculty, Brawijaya University / Dr. Saiful Anwar General Hospital, Malang, Indonesia)
Ulil Abshor (Anesthesiology and Intensive Therapy Department, Medical Faculty, Brawijaya University)
Buyung Hartiyo Laksono (Anesthesiology and Intensive Therapy Department, Medical Faculty, Brawijaya University / Dr. Saiful Anwar General Hospital, Malang, Indonesia)
Arie Zainul Fatoni (Anesthesiology and Intensive Therapy Department, Medical Faculty, Brawijaya University / Dr. Saiful Anwar General Hospital, Malang, Indonesia)



Article Info

Publish Date
30 Jun 2021

Abstract

Background: Spinal anesthesia has become an alternative to general anesthesia. However, spinal anesthesia has the most common side effects including, bradycardia and hypotension. The aim of this study was to determine the relationship between changes in the inferior vena cava index (delta inferior vena cava index) to changes in mean arterial pressure in spinal anesthesia.Methods: This study was an observational pre-post test study in thirty-two patients who received spinal anesthesia. The inferior vena cava index (inferior vena cava collectibility index and caval-aorta index) was measured before and after spinal anesthesia (5 and 10 minutes after onset). Data were analyzed using the Kolmogorov Smirnov test, Shapiro-Wilk test, T-test, and correlation test with α=5%Result: There was a significant difference in mean arterial pressure (MAP), delta inferior vena cava collectibility index (D-IVC-CI), and delta caval-aorta index (D-CAo-I) before and after spinal anesthesia. D-IVC-CI and D-CAo-I are significantly correlated with MAP. The correlation between D-IVC-CI and MAP had R = -0.371 (P <0.05) at 5 minutes post-anesthesia, while D-CAo-I and MAP had R = 0.472 (P <0.05) at 10 minutes post-anesthesia. Conclusion: The delta inferior vena cava index is correlated with the mean arterial pressure (MAP) value in spinal anesthesia.

Copyrights © 2021






Journal Info

Abbrev

jap

Publisher

Subject

Health Professions Medicine & Pharmacology

Description

Journal of Anaesthesia and Pain is a peer-reviewed and open-access journal that focuses on anesthesia and pain. Journal of Anaesthesia and Pain, published by Anesthesiology and Intensive Therapy Specialist Program of Medicine Faculty, Brawijaya University. This journal publishes original articles, ...