Hemodynamic changes associated with neuraxial anesthesia in pregnant women with covid 19 disease: a retrospective case-control study

• DOI: 10.1186/s12871-022-01719-0
• Publication Date: 2022-06-09T08:03:02Z
• Authors: D. Sangroula; B. Maggard; A. Abdelhaleem; S. Furmanek; V. Clemons; B. Marsili; R. Stikes; M. Hill; A. Sigdel; S. P. Clifford; J. Huang; O. Akca; M. C. Logsdon
• Keywords: Neuraxial Blockade; Obstetric anesthesia

Neuraxial blocks is the recommended mode of analgesia and anesthesia in parturients with Coronavirus 19 (COVID-19). There limited data on hemodynamic responses to neuraxial COVID-19 patients. We aim compare positive propensity-matched negative parturients.We conducted retrospective, cross-sectional case-control study changes associated a Tertiary care academic medical center. Fifty-one women confirmed by nasopharyngeal reverse transcription-polymerase chain reaction (RT-PCR), were compared COVID controls (n = 51). Hemodynamic after block recorded electronic recording system analyzed using paired unpaired T- test Wilcoxon-Mann-Whitney Rank Sum tests. The primary outcome was ≥ 20% change MAP HR placement.In epidural group, 7% had > decrease mean arterial pressure (MAP) from baseline 15% (P 0.66). In spinal 83% more than 71% control 0.49). drop 40% occurred 29% group versus 17% 0.5465). 54% required vasopressors whereas 38% 0.387). found significant correlation between body mass index (BMI) 30 hypotension ( +) parturient odds ratio (8.63; 95% CI-1.93 - 37.21) 0.007).Incidence severity similar parturients. BMI risk factor for as described preexisting literature, this seen likely reason patients not showing correlation, that sample size small.