Using midazolam and propofol as a sedation during spinal anesthesia in elective cesarean section.

BackgroundThe most typical setting for performing an elective cesarean section is under spinal anesthesia. To lessen the patients' dread and foster greater acceptance, a sleeping dose of anesthetic medication (propofol or midazolam) is necessary.Objective The ability of a sleep-inducing dose of propofol or midazolam to increase pregnant women undergoing elective c/s under spinal anesthesia's acceptance of regional anestheticPatients and method75 American Society of Anesthesiologists (ASA) physical status II pregnant ladies undergoing elective C/S under spinal anesthesia (bupivacaine 12mg 0,5%) and after clamping the umbilical cord, we gave normal saline immediately for the first group (IV 1 ml, n = 25, which is considered group A), the second group received propofol (bolus 1 mg/kg, n = 25, which is considered group B), and the third group received midazolam (bolus 1–2 mg, n = 25, which is considered group C)And we recorded the Ramsey score, blood pressure, pulse rates, nausea, and vomiting.Results:We found a significant difference in the p-value in the modified Ramsay score in the 1st minute (group A was 1.5±0,8), group B was 4,0 ± 1,01, and group C was 4.5 ± 1,08). In the 15th minute, (group A was 1± 2,1), (group B was 3 ± 0,7), and (group C was 3.5 ± 1,04).Conclusion:The study shows that using a sleeping dose of propofol or midazolam will improve the patient's well-being and increase the acceptance of regional anesthesia. And there are no significant hemodynamic