Spinal anaesthesia for Caesarean delivery: keep the pressure up and don't spare the vasoconstrictors

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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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Spinal anaesthesia for caesarean section. The use of 0.5% bupivacaine.

Subarachnoid anaesthesia was induced with 0.5% bupivacaine 2-3.5 ml in 33 women scheduled for elective Caesarean section. Three patients failed to develop adequate analgesia with bupivacaine but were managed satisfactorily with heavy cinchocaine. All the other patients developed adequate analgesia eventually. Since the spread of analgesia was uniquely dependent on posture a new hypothesis is pr...

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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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Efficacy of low-dose bupivacaine in spinal anaesthesia for Caesarean delivery: systematic review and meta-analysis.

Spinal anaesthesia is the preferred anaesthetic technique for elective Caesarean deliveries. Hypotension is the most common side-effect and has both maternal and neonatal consequences. Different strategies have been attempted to prevent spinal-induced hypotension, including the use of low-dose bupivacaine. We conducted a systematic search for randomized controlled trials comparing the efficacy ...

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ژورنال

عنوان ژورنال: British Journal of Anaesthesia

سال: 2004

ISSN: 0007-0912

DOI: 10.1093/bja/aeh084