Özet:

In spinal anesthesia applications in the CESARYAN operations, the effects on the injection rate, hypotension and Ephedrin doses Summary Target In pregnancy, a variety of methods are used to avoid the hypotension effect of spinal anesthesia. In our study, we also aimed at assessing the hemodynamic effect of the speed factor in the caesarean operations, in the spinal anesthesia attempts, to investigate whether the injection speeds of 30 and 60 seconds differ from the point of view of maternal hypotension, the doses of the used efedrine, the engine and the sensory block. After obtaining the required permissions and approvals, the Caesarine will undergo surgery under spinal anesthesia, ASA I-II, 100 patients, randomly divided into two groups. Group I, 2 ml 0. 5 hyperbaric bupivakain was given within 30 seconds, while injected to Group II within 60 seconds. The patient’s motor and sensual block(T10) start times, hemodynamic data and the quantities of the ephedrin used were recorded. There are statistically significant differences between the time of start of the engine block (p=0.00) and the time of reaching the sensual block level (T10) (p=0.047) in terms of the time of start of the engine block (p=0.00). In Group II, the motor and sensual block start time(T10) is significantly later. There was no difference between the bromage scores. There was no significant difference between the total and the first 10 minutes of the ephedrin consumption. There was no significant difference in recorded arterial blood pressure data. In our study, which compared the injection speeds of 30 and 60 seconds in spinal anesthesia applications for Caesar, we found that doubling the dose rate did not make a difference in hemodynamic data and the need for epidermis. In this regard, we believe that the use of different variables requires more comprehensive studies. Keywords: Caesarine, injection rate, hypotension, efedrin

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