BACKGROUND Although controversial, many studies have shown effectiveness of colloid loading as a substitute for crystalloids on reducing the incidence of hypotension in spinal anesthesia. This study was conducted to compare the effects of three intravenous fluid regimens on hemodynamic changes following spinal anesthesia in cesarean section. The regimens included 6% Hydroxyethylstarch 130/0.4 (...

Background: 90% of C-sections are supported by spinal anesthesia, which is complicated arterial hypotension in 60%-80% cases. The perfusion index seems to be a significant prognostic tool for hypotension. Objective: Тo confirm the value predicting associated with anesthesia. Materials and methods: study included 105 female patients who underwent С-section under A decrease mean pressure ≤ 20% wa...

AIMS A systematic literature review comparing the efficacy of ephedrine and phenylephrine for the management of spinal anesthesia-induced hypotension during Cesarean sections (C-sections) was published in 2002. A number of well-designed trials with controversial results have been published afterward. Therefore, an updated meta-analysis was necessary. METHODS The MEDLINE, EMBASE, and the Cochr...

BACKGROUND Hypotension after spinal anesthesia for cesarean delivery remains a major clinical problem. Fluid preloading regimens together with vasopressors have been used to reduce its incidence. Previous studies have used noninvasive arterial blood pressure measurement and vasopressor requirements to evaluate the effect of preload. We used a suprasternal Doppler flow technique to measure mater...

To prevent hypotension during spinal anesthesia for caesarean section, we assessed IV ondansetron of invasive maternal hemodynamic and fetal gazometric parameters.

Data on factors contributing to the development of postoperative cardiac complications (myocardial infarction, heart failure, arrhythmias) in non-cardiosurgical operations are presented. Hypotension and blood loss usually distinguished among such factors, but less attention is paid role neuroendocrine reactions, particular, hyperactivation sympathoadrenal system; protective effect anesthesia, r...

Hypotension following obstetric spinal anaesthesia remains a common and important problem. While recent research advances have brought us closer to the perfect recipe for the obstetric spinal anaesthetic, these advances have not been translated into practical guidelines able to reduce the unacceptable number of fatalities that occur in environments where resources are limited. In South Africa, ...

Spinal cord injury (SCI), in addition to motor and sensory problems, may also lead autonomic dysfunction. Postural orthostatic tachycardia syndrome (POTS) is one of them has often been reported traumatic brain injuries, multiple sclerosis, other spinal pathologies. However, there not much data on POTS SCI even extensive databases. We present a case an adolescent female with paraplegia due SCI. ...