Can we minimize hypotension following spinal anesthesia for cesarean section?
نویسنده
چکیده
Spinal (subarachnoid) anesthesia is considered nowadays as the “Gold standard” technique for cesarean section. The technique has a very rapid onset and provides a dense neural block. Because of the small dose of local anesthetic used, there is minimal risk of local anesthetic toxicity, and minimal transfer of the drug to the fetus1. An important “bonus” is the “awake” mother who can witness the wonderful moment of delivery of her newborn.
منابع مشابه
The Effect of Prophylactic Infusion of Combined Ephedrin and Phenylephrine on Maternal Hemodynamic after Spinal Anesthesia for Cesarean Section: A Randomized Clinical Trial
Several techniques have been proposed to prevent hypotension in obstetric patients. Ephedrine and phenylephrine are individually used to prevent maternal hypotension; however, each has its own drawbacks. Some researchers have reported that the infusion of combined ephedrine and phenylephrine immediately after spinal anesthesia for cesarean delivery reduces the incidence of maternal hypotension....
متن کاملمقایسهی اثرات تجویز کلوئید قبل و بعد ازآنستزی اسپاینال Co-Loading)و (Pre-Loadingدر پیشگیری از هیپوتانسیون مادران دراعمال سزارین
Background and Objective: Hypotension associated with spinal anesthesia for cesarean section is still a clinical problem. The role of crystalloid preloading to prevent hypotension associated with spinal anesthesia in parturients during cesarean section has been challenged. However, studies with crystalloids predict that fluid loading should be more efficacious if administered immediately after ...
متن کاملComparison of Intravenous bolus Phenylephrine and Ephedrine in the Prevention of Post- spinal Hypotension during Cesarean Section
Abstract Introduction: Spinal anesthesia is a commonly used anesthetic technique for cesarean section. The hypotension is the serious and common complication for it. Prevention of this complication is an important challenge for anesthesiologists. Objective: The aim of this study is to compare the effect of prophylactic bolus injection of Phenylephrine and Ephedrine in the prevention of hypote...
متن کاملMINIDOSE BUPIVACAINE – FENTANYL SPINAL ANESTHESIA FOR CESAREAN SECTION IN PREECLAMPTIC PARTURIENTS
ABSTRACT Background: Spinal anesthesia for cesarean section is associated with a high incidence of hypotension. The synergism between intrathecal opioids and local anesthetics may make it possible to achieve reliable spinal anesthesia with minimal hypotension using a minidose of local anesthetic. Methods: Forty-four preeclamptic parturients undergoing cesarean section were randomized in two gr...
متن کاملComparison of Prophylactic Infusion of Phenylephrine with Ephedrine for Prevention of Hypotension in Elective Cesarean Section under Spinal Anesthesi: A Randomized Clinical Trial
Background: Spinal anesthesia is an accepted technique in elective cesarean sections. However, hypotension, resulted from sympathectomy is a common problem, especially in pregnant women. Prevention of this complication by sympathomimetic agents is of potential clinical significance. The aim of this study is to compare the effect of prophylactic infusion of Phenylephrine versus Ephedrine in the ...
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ورودعنوان ژورنال:
- Middle East journal of anaesthesiology
دوره 20 5 شماره
صفحات -
تاریخ انتشار 2010