Colloid preloading versus crystalloid preloading to prevent hypotension after spinal anesthesia for cesarean delivery

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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 ...

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The Effects of Hydroxyethyl Starch 6% and Crystalloid on Volume Preloading Changes following Spinal Anesthesia

BACKGROUND Hypotension is one of the most common complications after spinal anesthesia for cesarean delivery. Normally, preloading with fluids, especially crystalloids, is used to prevention of hypotension. METHODS In the present randomized clinical trial study, 120 parturients presenting for elective cesarean section with the American Society of Anesthesiologists Class I and II received eith...

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Effect of Prophylactic Ephedrine Infusion versus Crystalloid Preloading on Neonatal Acid-Base Outcome during Spinal Anesthesia for Elective Caesarean Section

Background: Regional anaesthesia has become the preferred technique for caesarean section because general anaesthesia is associated with higher incidence of maternal morbidity and mortality. Ephedrine is the drug of choice to treat spinal-induced hypotension in caesarean patients, but a clinically relevant positive effect on neonatal outcome were not observed in some studies done in the past. S...

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Volume preloading is not essential to prevent spinal-induced hypotension at caesarean section.

We have compared the protective effect of 1000 ml preload with 200 ml preload of crystalloid solution, administered during the 10 min before spinal anaesthesia was induced, in 60 healthy women with no fetal compromise undergoing elective Caesarean section. The spinal anaesthetic was managed identically in both groups by an anaesthetist who was unaware of the volume of fluid administered. A prop...

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Influence of the timing of administration of crystalloid on maternal hypotension during spinal anesthesia for cesarean delivery: preload versus coload

BACKGROUND Prophylactic fluid preloading before spinal anesthesia has been a routine procedure to prevent maternal hypotension during cesarean delivery. Unlike colloid, timing of infusion of crystalloid may be important because of its short stay in intravascular space. We hypothesized that crystalloid loading just after intrathecal injection compared to preload would be more effective in preven...

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ژورنال

عنوان ژورنال: Medicine

سال: 2021

ISSN: 0025-7974,1536-5964

DOI: 10.1097/md.0000000000024607