Hypotension after spinal anaesthesia during caesarean section

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Hypotension associated with spinal anaesthesia for caesarean section.

Spinal anaesthesia for Caesarean section is associated with an unacceptably high incidence of hypotension despite the administration of an intravenous fluid preload and the use of uterine displacement. The theoretical benefits of preventing hypotension as opposed to treating it as it occurs are the avoidance o f considerable maternal discomfort, a reduced risk o f serious cardiovascular or resp...

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Changes in pleth variability index and detection of hypotension during spinal anaesthesia for caesarean section.

Background: Hypotension occurs commonly during caesarean section under spinal anaesthesia. As the onset may be rapid, it may fail to be detected by non-invasive blood pressure (BP) measurement in a timely fashion. Pulse oximeters can continuously and non-invasively measure tissue perfusion (perfusion index (PI)) and its variation with the respiratory cycle (pleth variability index (PVI)). As wi...

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Common Complaints Associated with Caesarean Section during Spinal Anaesthesia

Over 20% of deliveries require a caesarean section for the birth of the baby. Caesarean deliveries are performed as an elective or an emergency procedure under General, Spinal, Epidural or combined spinal epidural anaesthesia. The majority of caesarean sections are done under spinal anaesthesia now. Spinal Anaesthesia is preferred for caesarean section because it is simple to perform and is eco...

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The use of vasopressors during spinal anaesthesia for caesarean section

Recent findings Despite continued research indicating advantages of phenylephrine over ephedrine, practitioners in some countries continue to favour ephedrine. Recent research has continued to compare the two drugs with some work emerging on high-risk patients. Concern about reflexive bradycardia during phenylephrine use has led to consideration of alternatives. Norepinephrine which has mild b-...

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The use of vasopressors during spinal anaesthesia for caesarean section.

PURPOSE OF REVIEW Hypotension remains one of the most researched subjects in obstetric anaesthesia. The purpose of this study is to review the most recent published articles on the use of vasopressors during spinal anaesthesia for caesarean section. RECENT FINDINGS Despite continued research indicating advantages of phenylephrine over ephedrine, practitioners in some countries continue to fav...

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ژورنال

عنوان ژورنال: Anaesthesia

سال: 2020

ISSN: 0003-2409,1365-2044

DOI: 10.1111/anae.15060