اثرات پیشگیرانه اندانسترون بر افت فشار خون متعاقب بی حسی نخاعی در زنان کاندید سزارین انتخابی: یک مطالعه مروری سیستماتیک و متاآنالیز اثرات پیشگیرانه اندانسترون بر افت فشار خون در زنان کاندید سزارین
مجله انجمن آنستزیولوژی و مراقبتهای ویژه ایران,
دوره 2 شماره 116 (1400),
3 October 2022
چکیده
مقدمه: از آنجایی که پیشگیری از افت فشار خون به دنبال بی حسی نخاعی در زنان کاندید سزارین مهمتر از سایر جراحی ها می باشد، اطلاع دقیق و حامع در این زمینه لازم و ضروری است. لذا مطالعه حاضر با هدف اثرات پیشگیرانه اندانسترون بر افت فشار خون متعاقب بی حسی نخاعی در زنان کاندید سزارین انتخابی انجام شد. روش کار: این مطالعه به صورت مروری سیستماتیک و متاآنالیز با جستجوی کلیدواژه های افت فشار خون، بی حسی نخاعی، اندانسترون، پیشگیری، زایمان سزارین در دیتابیس های پابمد، گوگل اسکولار، کاکرین، اسکاپوس، ویب آو ساینز، EMBASE و CINAHL، مگ ایران و SID انجام شد. نتایج: تعداد 9 مقاله کارآزمایی بالینی با مشارکت 1506 زن وارد این متاآنالیز شدند؛ نتایج حاکی از آن بود که تجویز پیشگیرانه اندانسترون قبل از شروع بیحسی نخاعی به صورت معناداری منجر به کاهش شیوع افت فشار خون متعاقب بیحسی نخاعی می شود (51/0=RR- 76/0-35/0 95%CI- 0008/0=P) به طوری که در 24 درصد بیماران گروه اندانسترون و در 49 درصد بیماران گروه کنترل، افت فشار خون به دنبال بی حسی نخاعی رخ داد نتیجه گیری: تجویز پیشگیرانه اندانسترون قبل از بی حسی اسپاینال در زنان کاندید سزارین انتخابی منجر به کاهش بروز افت فشار خون متعاقب بیحسی نخاعی می شود.
کلمات کلیدی:
- پیشگیری، افت فشار خون، بی حسی نخاعی، سزارین، اندانسترون
ارجاع به مقاله
شیخ زاده د., & ابری ر. (2022). اثرات پیشگیرانه اندانسترون بر افت فشار خون متعاقب بی حسی نخاعی در زنان کاندید سزارین انتخابی: یک مطالعه مروری سیستماتیک و متاآنالیز: اثرات پیشگیرانه اندانسترون بر افت فشار خون در زنان کاندید سزارین. مجله انجمن آنستزیولوژی و مراقبتهای ویژه ایران, 2(116). Retrieved از https://journals.sbmu.ac.ir/isacc/index.php/iranesthesia/article/view/449
مراجع
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6. Nazari B, Amani L, Ghaderi L, Khanbabayi Gol M. Effects of probiotics on prevalence of ventilator-associated pneumonia in multitrauma patients hospitalized in neurosurgical intensive care unit: a randomized clinical trial. Trauma Monthly. 2020;25(6):262-8.
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10. Rashad MM, Farmawy MS. Effects of intravenous ondansetron and granisetron on hemodynamic changes and motor and sensory blockade induced by spinal anesthesia in parturients undergoing cesarean section. Egyptian Journal of Anaesthesia. 2013;29(4):369-74.
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13. Trabelsi W, Romdhani C, Elaskri H, Sammoud W, Bensalah M, Labbene I, et al. Effect of ondansetron on the occurrence of hypotension and on neonatal parameters during spinal anesthesia for elective caesarean section: a prospective, randomized, controlled, double-blind study. Anesthesiology research and practice. 2015;2015.
14. Liu J, Huang S, Sun S, Sun X, Wang T. Comparison of nalbuphine, ondansetron and placebo for the prevention of shivering after spinal anaesthesia for urgent caesarean delivery: a randomised double-blind controlled clinical trial. International Journal of Obstetric Anesthesia. 2020;42:39-46.
15. Qian J, Liu L, Zheng X, Xiao F. Does an earlier or late intravenous injection of ondansetron affect the dose of phenylephrine needed to prevent spinal-anesthesia induced hypotension in cesarean sections? Drug Design, Development and Therapy. 2020;14:2789.
16. Tie H-T, Su G-Z, He K, Liang S-R, Yuan H-W, Mou J-H. Efficacy and safety of ondansetron in preventing postanesthesia shivering: a meta-analysis of randomized controlled trials. BMC anesthesiology. 2014;14(1):1-7.
17. Ferré F, Martin C, Bosch L, Kurrek M, Lairez O, Minville V. Control of spinal anesthesia-induced hypotension in adults. Local and regional anesthesia. 2020;13:39.
18. Sharabiani BA, Sheikhzadeh D, Parsay S, Razmi H, Seyedhejazi M. A comparison of the impact of time on the analgesic efficacy of emla cream application in children undergoing venipuncture: A randomized controlled trial. Perioperative Care and Operating Room Management. 2020;21:100131.
19. Liu L, Drzymalski D, Xu W, Zhang W, Wang L, Xiao F. Dose dependent reduction in median effective concentration (EC50) of ropivacaine with adjuvant dexmedetomidine in labor epidural analgesia: an up-down sequential allocation study. Journal of Clinical Anesthesia. 2021;68:110115.
20. Weiniger CF, Heesen M, Knigin D, Deutsch F, Hilber N, Avidan A. Association between hyperbaric bupivacaine dose and maternal hypotension: Retrospective database study of 8226 women undergoing cesarean delivery under spinal anesthesia. Anesthesia & Analgesia. 2021;133(4):967-75.
21. Gol MK, Dadashzadeh M, Anvari HM. Design and implementation of a checklist for prediction of anesthesia-induced nausea and vomiting in candidate patients for mastectomy. International Journal of Women’s Health and Reproduction Sciences. 2020;8(1):90-4.
22. Chen X, Cai M, Lei X, Yu J. Obesity decreases the EC50 of epidural ropivacaine when combined with dexmedetomidine for labor analgesia. Expert Review of Clinical Pharmacology. 2021;14(8):1051-6.
23. Anvari HMP, Panahi JR, Ansari M, Iraji M, Ghorbanian N, Dehghani A. The Effect of Single Dose of Harpagophytum Capsule (Teltonal) on Post Tracheal Intubation Sore Throat after General Anesthesia. Archives of Anesthesiology and Critical Care. 2016;2(4):239-42.
24. Sheikhzade D, Razaghipour M, Seyedhejazi M, Sharabiani BA, Marahem M. A Comparison of the Sevoflurane and Total Intravenous Anesthesia on the Quality of Recovery in 2 to 10-Year-Old Children. Iranian Journal of Pediatrics. 2021;31(1).
25. Vadhanan P, Kalyanasundaram C, Sundaram S, Rajendran I, Rajasekar P. Effect of prophylactic combination of glycopyrrolate, ondansetron, and ephedrine upon hypotension during obstetric spinal anaesthesia–A randomised controlled trial. Indian Journal of Anaesthesia. 2021;65(12):862.
26. Movassaghi Gargari R, Mohammadipour Anvari H. Effect of Dexmedetomidine on Blood Pressure in Hypertension Patients after Emergency Laparotomy for Trauma: A Randomized Double-blind Clinical Trial. Trauma Monthly. 2021;26(2):94-9.
27. Zheng G, Zhang J, Liu J, Chen C, Zhang L, Cao F. A meta-analysis of randomized controlled trials: efficiency and safety of ondansetron in preventing post-anesthesia shivering during cesarean section. Archives of Gynecology and Obstetrics. 2022:1-9.
2. Tatikonda CM, Rajappa GC, Rath P, Abbas M, Madhapura VS, Gopal NV. Effect of intravenous ondansetron on spinal anesthesia-induced hypotension and bradycardia: a randomized controlled double-blinded study. Anesthesia, Essays and Researches. 2019;13(2):340.
3. Seyedhejazi M, Sheikhzade D, Sharabiani BA, Abri R, Sadeghian M. Evaluating the Effects of Post-Intubation Endotracheal Suctioning Before Surgery on Respiratory Parameters in Children with Airway Secretion. Anesthesiology and pain medicine. 2019;9(3).
4. Samarah WK, Alghanem SM, Bsisu IK, Rahman ZA, Guzu HA, Abufares BN. The effect of ondansetron administration 20 minutes prior to spinal anaesthesia on haemodynamic status in patients undergoing elective caesarean section: A comparison between two different doses. Indian Journal of Anaesthesia. 2020;64(11):954.
5. Abri R, Moslemi F. The effect of Ringer's lactate serum with 0.9 sodium chloride on maternal and neonatal acid status in elective cesarean section: a triple-blind randomized clinical trial. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2021;24(10):15-24.
6. Nazari B, Amani L, Ghaderi L, Khanbabayi Gol M. Effects of probiotics on prevalence of ventilator-associated pneumonia in multitrauma patients hospitalized in neurosurgical intensive care unit: a randomized clinical trial. Trauma Monthly. 2020;25(6):262-8.
7. Mohamed SA, Hussam AM, Abdallah SA, Sarhan KA, Shaban AM. Ondansetron is an effective alternative to decrease the incidence of postspinal hypotension in healthy subjects undergoing infra-umbilical surgeries compared to combined volume loading and vasoconstrictors: randomized controlled trial. Open Access Macedonian Journal of Medical Sciences. 2018;6(12):2363.
8. Li M, Hu X, Tan Y, Yang B, Li K, Tang Z. Meta-analysis of randomized controlled trials on the efficacy and safety of ondansetron in preventing postanesthesia shivering. International Journal of Surgery. 2016;35:34-43.
9. Nallam SR, Cherukuru K, Sateesh G. Efficacy of intravenous ondansetron for prevention of postspinal shivering during lower segment cesarean section: A double-blinded randomized trial. Anesthesia, essays and researches. 2017;11(2):508.
10. Rashad MM, Farmawy MS. Effects of intravenous ondansetron and granisetron on hemodynamic changes and motor and sensory blockade induced by spinal anesthesia in parturients undergoing cesarean section. Egyptian Journal of Anaesthesia. 2013;29(4):369-74.
11. Tubog TD, Bramble RS. Ondansetron for Shivering after Spinal Anesthesia in Cesarean Delivery: A Systematic Review and Meta-analysis. Journal of PeriAnesthesia Nursing. 2021.
12. Nnacheta T, Onyekwulu F, Amucheazi A. Prevention of postanesthetic shivering under subarachnoid block for cesarean section: a randomized, controlled study comparing tramadol versus ondansetron. Nigerian journal of clinical practice. 2020;23(5):619-25.
13. Trabelsi W, Romdhani C, Elaskri H, Sammoud W, Bensalah M, Labbene I, et al. Effect of ondansetron on the occurrence of hypotension and on neonatal parameters during spinal anesthesia for elective caesarean section: a prospective, randomized, controlled, double-blind study. Anesthesiology research and practice. 2015;2015.
14. Liu J, Huang S, Sun S, Sun X, Wang T. Comparison of nalbuphine, ondansetron and placebo for the prevention of shivering after spinal anaesthesia for urgent caesarean delivery: a randomised double-blind controlled clinical trial. International Journal of Obstetric Anesthesia. 2020;42:39-46.
15. Qian J, Liu L, Zheng X, Xiao F. Does an earlier or late intravenous injection of ondansetron affect the dose of phenylephrine needed to prevent spinal-anesthesia induced hypotension in cesarean sections? Drug Design, Development and Therapy. 2020;14:2789.
16. Tie H-T, Su G-Z, He K, Liang S-R, Yuan H-W, Mou J-H. Efficacy and safety of ondansetron in preventing postanesthesia shivering: a meta-analysis of randomized controlled trials. BMC anesthesiology. 2014;14(1):1-7.
17. Ferré F, Martin C, Bosch L, Kurrek M, Lairez O, Minville V. Control of spinal anesthesia-induced hypotension in adults. Local and regional anesthesia. 2020;13:39.
18. Sharabiani BA, Sheikhzadeh D, Parsay S, Razmi H, Seyedhejazi M. A comparison of the impact of time on the analgesic efficacy of emla cream application in children undergoing venipuncture: A randomized controlled trial. Perioperative Care and Operating Room Management. 2020;21:100131.
19. Liu L, Drzymalski D, Xu W, Zhang W, Wang L, Xiao F. Dose dependent reduction in median effective concentration (EC50) of ropivacaine with adjuvant dexmedetomidine in labor epidural analgesia: an up-down sequential allocation study. Journal of Clinical Anesthesia. 2021;68:110115.
20. Weiniger CF, Heesen M, Knigin D, Deutsch F, Hilber N, Avidan A. Association between hyperbaric bupivacaine dose and maternal hypotension: Retrospective database study of 8226 women undergoing cesarean delivery under spinal anesthesia. Anesthesia & Analgesia. 2021;133(4):967-75.
21. Gol MK, Dadashzadeh M, Anvari HM. Design and implementation of a checklist for prediction of anesthesia-induced nausea and vomiting in candidate patients for mastectomy. International Journal of Women’s Health and Reproduction Sciences. 2020;8(1):90-4.
22. Chen X, Cai M, Lei X, Yu J. Obesity decreases the EC50 of epidural ropivacaine when combined with dexmedetomidine for labor analgesia. Expert Review of Clinical Pharmacology. 2021;14(8):1051-6.
23. Anvari HMP, Panahi JR, Ansari M, Iraji M, Ghorbanian N, Dehghani A. The Effect of Single Dose of Harpagophytum Capsule (Teltonal) on Post Tracheal Intubation Sore Throat after General Anesthesia. Archives of Anesthesiology and Critical Care. 2016;2(4):239-42.
24. Sheikhzade D, Razaghipour M, Seyedhejazi M, Sharabiani BA, Marahem M. A Comparison of the Sevoflurane and Total Intravenous Anesthesia on the Quality of Recovery in 2 to 10-Year-Old Children. Iranian Journal of Pediatrics. 2021;31(1).
25. Vadhanan P, Kalyanasundaram C, Sundaram S, Rajendran I, Rajasekar P. Effect of prophylactic combination of glycopyrrolate, ondansetron, and ephedrine upon hypotension during obstetric spinal anaesthesia–A randomised controlled trial. Indian Journal of Anaesthesia. 2021;65(12):862.
26. Movassaghi Gargari R, Mohammadipour Anvari H. Effect of Dexmedetomidine on Blood Pressure in Hypertension Patients after Emergency Laparotomy for Trauma: A Randomized Double-blind Clinical Trial. Trauma Monthly. 2021;26(2):94-9.
27. Zheng G, Zhang J, Liu J, Chen C, Zhang L, Cao F. A meta-analysis of randomized controlled trials: efficiency and safety of ondansetron in preventing post-anesthesia shivering during cesarean section. Archives of Gynecology and Obstetrics. 2022:1-9.
- چکیده مشاهده شده: 261 بار