Hypotension during Regional Anaesthesia for Caesarean Birth
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چکیده
1. Patient Positioning and Physical Methods ........................................... 2 1.1 Uterine Displacement ............................................................... 2 1.2 Leg Elevation and Compression .................................................2 2. Intravenous Fluids ............................................................................ 3 3. Modifications of Regional Technique .................................................. 3 4. Vasopressors .................................................................................... 3 4.1 Ephedrine ................................................................................ 4 4.2 Phenylephrine .......................................................................... 4 4.3 Metaraminol ............................................................................. 5 5. Combination Therapies ..................................................................... 5 6. Complicated Parturients .................................................................... 5 Key Messages ........................................................................................... 6 References ............................................................................................. ... 6
منابع مشابه
Severe vasovagal attack during regional anaesthesia for caesarean section.
A patient experienced a severe vasovagal attack during regional anaesthesia for elective Caesarean section. The combination of vagal over-activity and sympathetic block produced profound hypotension that threatened the life of the mother and infant. The vasovagal syndrome is described, and its prevention and management discussed.
متن کاملPerfusion index derived from a pulse oximeter can predict the incidence of hypotension during spinal anaesthesia for Caesarean delivery.
BACKGROUND Hypotension during spinal anaesthesia for Caesarean delivery is a result of decreased vascular resistance due to sympathetic blockade and decreased cardiac output due to blood pooling in blocked areas of the body. Change in baseline peripheral vascular tone due to pregnancy may affect the degree of such hypotension. The perfusion index (PI) derived from a pulse oximeter has been used...
متن کاملPossible effects of anaesthetic management on the 1 yr followed-up risk of herpes zoster after Caesarean deliveries.
BACKGROUND As general anaesthesia may compromise the immune system, it has been hypothesized that latent varicella-zoster virus is more likely to be reactivated and cause herpes zoster in mothers after Caesarean deliveries under general anaesthesia. Our study was thus aimed at investigating the risk of herpes zoster among women during the first year after Caesarean deliveries under either gener...
متن کاملVentilatory management of severe acute respiratory failure for Y2K.
condition of mother and infant at cesarean section. Anesth Analg 1969; 48:986–93 8. Clark RB, Thompson DS, Thompson CH: Prevention of spinal hypotension associated with cesarean section. ANESTHESIOLOGY 1976; 45:670–4 9. Russell IF: Effect of posture during the induction of subarachnoid analgesia for caesarean section. Right v left lateral. Br J Anaesth 1987; 59:342–6 10. Norris MC: Hypotension ...
متن کاملVolume 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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تاریخ انتشار 2008