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Using midazolam and propofol as a sedation during spinal anesthesia in elective cesarean section.

,

Document Type : Research Paper

Abstract

Abstract
Background
The most typical setting for performing an elective cesarean section is under spinal anesthesia. To lessen the patients' dread and foster greater acceptance, a sleeping dose of anesthetic medication (propofol or midazolam) is necessary.

Objective
The ability of a sleep-inducing dose of propofol or midazolam to increase pregnant women undergoing elective c/s under spinal anesthesia's acceptance of regional anesthetic

Patients and method
75 American Society of Anesthesiologists (ASA) physical status II pregnant ladies undergoing elective C/S under spinal anesthesia (bupivacaine 12mg 0,5%) and after clamping the umbilical cord, we gave normal saline immediately for the first group (IV 1 ml, n = 25, which is considered group A), the second group received propofol (bolus 1 mg/kg, n = 25, which is considered group B), and the third group received midazolam (bolus 1–2 mg, n = 25, which is considered group C)
And we recorded the Ramsey score, blood pressure, pulse rates, nausea, and vomiting.

Results:
We found a significant difference in the p-value in the modified Ramsay score in the 1st minute (group A was 1.5±0,8), group B was 4,0 ± 1,01, and group C was 4.5 ± 1,08). In the 15th minute, (group A was 1± 2,1), (group B was 3 ± 0,7), and (group C was 3.5 ± 1,04).

Conclusion:
The study shows that using a sleeping dose of propofol or midazolam will improve the patient's well-being and increase the acceptance of regional anesthesia. And there are no significant hemodynamic

Keywords

Main Subjects

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Iraqi Postgraduate Medical Journal
Volume 23, Issue 4
October 2024
Page 494-499
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