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British Journal of Anaesthesia, 2001, Vol. 87, No. 5 772-774
© 2001 The Board of Management and Trustees of the British Journal of Anaesthesia

Short Communications

Randomized controlled study of colloid preload before spinal anaesthesia for Caesarean section{dagger}

W. D. Ngan Kee, K. S. Khaw, B. B. Lee, F. F. Ng and M. M. S. Wong

Department of Anaesthesia and Intensive Care, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong, China*Corresponding author

{dagger}Submitted for presentation in part as a free paper at the 2001 Annual Meeting of the American Society of Anesthesiologists, New Orleans, USA, October 2001.

We randomized women having elective Caesarean section to receive either no preload (control group, n=33) or 4% gelatin solution (Gelofusine) 15 ml kg–1 (colloid group, n=35) i.v. before spinal anaesthesia. Intravenous metaraminol was titrated at 0.25–0.75 mg min–1 to maintain systolic arterial pressure (SAP) in the target range 90–100% of baseline after the spinal injection. The control group required more vasopressor in the first 10 min [median 1.7 (range 0–2.9) mg vs 1.4 (0–2.8), P=0.02] at a greater maximum infusion rate [0.5 (0–0.75) vs 0.25 (0–0.5) mg min–1, P=0.0005] and had a lower minimum SAP [90 (51–109) vs 101 (75–127) mm Hg, P=0.006] than the colloid group. Nausea was less frequent in the colloid group (6 vs 24%) but neonatal outcome was similar in the two groups. Colloid preload improved haemodynamic stability but did not affect neonatal outcome when arterial pressure was maintained with an infusion of metaraminol during spinal anaesthesia for Caesarean section.

Br J Anaesth 2001; 87: 772–4


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