Comparison of the hemodynamic effects of hypertensive and normotensive patients after spinal anesthesia

İNTRODUCTİON: By injecting a small amount of local anesthetic in the subarachnoid space of spinal anesthesia is a simple technique that allows the temporary suspension of the nerve caused deep and rapid surgical block. A fairly common way used safely and successfully for more than a hundred years spinal anesthesia, especially in the lower abdomen, perineum and extremities, including general anesthesia in surgical procedures. Spinal and epidural anesthesia reduces postoperative mortality. Also It provides reduction in the incidence of major postoperative complication,such as deep vein thrombosis and pulmonary embolism, myocardial infarction,bleeding complications, pneumonia,respiratory depression and reduce the need for transfusion by reducing intraoperative blood loss.spinal anesthesia reduces postoperative pain and analgesic requirement. Perioperative hypotension and bradycardia are the most important complications of spinal anesthesia. Hypertension is a major health problem affecting the adult population. In our country, the prevalence of hypertension in adult males % 36.3, adult women % it was found that 49.1. The hypotensive effect of spinal anesthesia in hypertensive patients has been shown to be more pronounced. In our study, we aimed to compare the hemodynamic effects of spinal anesthesia in patients with normotensive and hypertensive patients. MATERİAL AND METHOD: Our study, after approval by the ethics committee of dicle University Medical Faculty hospital, various scheduled for elective surgery under spinal anesthesia, the period of Operation not exceeding 2 hours between the ages of 40-60, ASA I-II patients was performed on a total of 60 physiological scores from the group. RESULTS: There was no difference according to age, weight,height and gender between two groups(p>0.05). Gender in group H as E/K ratio was significantly higher in group N.(P<0.05). The number of patients with ASA II physiological score in group H was significantly higher in the N(P<0.05). Before spinal anastesia, systolic,diastolic, and mean arterial pressure levels were significantly higher in both groups than systolic,diastolic, and mean arterial levels in service room. (p < 0.05). After the application of spinal anesthesia group H systolic,diastolic and mean arterial pressure was significantly higher compared to group N.(p<0.01). There was no significantly difference according to heart rate values during all the periods between two groups.(p>0.05). In group H 6 (20%) and in group N 3 (10%) patients developed hypotension. Group H, 3 patients (10%), in group N 2 (6.6%) patients atropin was administered due to bradycardia. None of the patients were no periods of desaturation and sensory block level in any of the patients did not top T8. CONCLUSİON: Hypotension due to spinal anesthesia are more common in hypertensive patients. we can conclude that the necessary precautions,suc as the determination of potential risk factors before the implementation of spinal anesthesia, the infusion liquid prior to implementation, giving proper position is to the patient after spinal anesthesia and as in all cases be made available as emergency drugs are taken when it can be applied safely. KEYWORDS: Normotensive, Hypertension, Spinal anesthesia.