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 ...

Background Maternal hypotension following spinal anesthesia can be actively countered by the use of vasopressors. Prophylactic infusion vasopressors with a rescue bolus dosing was observed to more effective for hemodynamic stability when compared administering dose alone. Although phenylephrine is recommended drug treat hypotension, many recent studies have focussed on role norepinephrine infus...

Background: Spinal anesthesia is popular, simple and well accepted reliable technique for below umbilicus surgery. It frequently used lower segment section because of its rapid onset, a dense neural block, avoidance risk airway, little local anesthetic toxicity minimal transfer drug to the fetus, as failure block. Objectives this study was compare incidence severity hypotension, dose requiremen...

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 ...

: Spinal anesthesia is increasingly popular over general due to several advantages. Hypotension can complicate spinal during a cesarean section, which could have negative repercussions on the mother and fetus. This study aimed compare efficacy of low-dose norepinephrine infusion with boluses in managing hypotension among parturients undergoing section under subarachnoid block. Ninety-nine witho...

hypotension occurs during spinal anesthesia. Only one prior case has been published describing profound hypotension in a parturient with bipolar disease, controlled with lithium and risperidone, undergoing spinal anesthesia for Cesarean delivery. The patient was refractory to conventional treatment with ephedrine and iv fluids, and eventually responded to large doses of phenylephrine.2 The trea...

I report a case of hypotension and bradycardia before spinal anesthesia in a pregnant woman with mild to moderate hypertension treated with nifedipine and methyldopa, scheduled for an elective cesarean delivery. She had the history of neurally-mediated syncopes. Two main factors (increased vagal tone and adverse effects of antihypertensive drugs) could explain the hypotension and bradycardia be...

BACKGROUND AND AIMS Perfusion index (PI) is a new parameter tried for predicting hypotension during spinal anaesthesia for the lower segment caesarean section (LSCS). This study aimed at investigating the correlation between baseline perfusion index and incidence of hypotension following SAB in LSCS. METHODS In this prospective observational study, 126 parturients were divided into two groups...