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Table 4 Blood pressure and heart rate changes and vasopressor requirement in patients receiving spinal anesthesia

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

 

COVID-19 ( +)

COVID-19 (-)

p-value

 

24

24

 

Baseline MAP, median [IQR]

89.5 [82.0, 104.2]

91.0 [84.0, 101.0]

0.721

Drop in MAP, n (%)

23 (96)

23 (96)

 > .999

  Less than 20%

3 (13)

6 (25)

0.599

  More than 20%

20(83)

17(71)

0.49

  20–30%

5(21)

5(21)

 > 0.99

  30–40%

8 (33)

8(33)

 > 0.99

   > 40%

7(29)

4 (17)

0.546

ARV2 of MAP (variability of MAP), median [IQR]

163.64 [76.79, 266.66]

124.75 [63.4, 182.62]

0.344

Baseline heart rate, median [IQR]

92.5 [81.0, 100.0]

91.0 [80.8, 100.8]

0.974

Decrease in heart rate, n (%)

15 (62)

16 (67)

 > .999

Percent decrease in heart rate

 Less than 20%

4 (17)

2 (8)

 

 20–30%

6 (25)

7 (29)

0.99

 30–40%

3 (12)

6 (25)

 

  > 40%

2 (8)

1 (4)

 

Increase in heart rate, n (%)

13 (54)

13 (54)

0.288

Percent increase in heart rate

 Less than 20%

4 (17)

4 (17)

 

 20–30%

5 (21)

5 (21)

 

 30–40%

1 (4)

3 (12)

 

  > 40%

3 (12)

1 (4)

 

Vasopressors required, n (%)

13 (54)

9 (38)

0.387

 Phenylephrine, n (%)

11 (45.8)

10 (42)

 

 Total dose, median [IQR]

300 [225, 450]

350[225, 550]

 

 Ephedrine, n (%)

7 (29.1)

0 (0)

 

 Total dose, median [IQR]

10 [10, 15]

0 [0,0]

 
  1. Abbreviations: MAP Mean arterial pressure, ARV of MAP Variability of mean arterial pressure