BACKGROUND AND OBJECTIVES The hypotension following spinal anesthesia remains common place in cesarean delivery. The combination of reduced dose of local anesthetics with intrathecal opioids makes it possible to achieve adequate spinal anesthesia with minimum hypotension. We investigate whether this synergistic phenomenon could be used to provide less frequent hypotension while incurring adequa...

Background: Hypotension following spinal block can be reduced or minimized prophylactically left lateral uterine displacement, volume loading with crystalloid solutions, phenylephrine infusion ephedrine administration. Fluid pre does not negate the hypotension entirely but decreases risk. This however is time consuming and vasopressors are often required to correct associated hypotension. Proph...

background caesarian section is a commonplace surgery in females for which spinal anesthesia is the preferred method. the local anesthetic medications used in the surgery are often associated with complications such as nausea, vomiting, dyspnea, hypotension, and bradycardia. in the present study, we decreased the dose of the anesthetic drug and added an opioid instead. objectives we tried to fi...

Background: Spinal anaesthesia is widely used for caesarean surgery because it provides a fast and profoundsensory motor block, on the other hand Hypotension very common complication of spinal anaesthesia.Hence Ephedrine infusion has to be control hypotension.Method: Out 60 (sixty), 30 were administrated with ephedrine controlled group was samequantity normal saline during anaesthesias. Hemodyn...

UNLABELLED We evaluated in this qualitative systematic review the efficacy of increasing central blood volume on the incidence of hypotension after spinal anesthesia for elective cesarean delivery. Randomized controlled trials investigating any method of increasing central blood volume before the initiation of obstetric spinal anesthesia were sought by using MEDLINE (1966-2000), Embase (January...

Background: Current guidelines recommend prophylactic vasopressor administration during spinal anesthesia for cesarean delivery to maintain intraoperative blood pressure above 90% of the baseline value. We sought determine optimum mean arterial (MAP) reading guide management hypotension. Methods: performed a secondary analysis data collected from normotensive patients presenting elective in ter...

BACKGROUND Hypotension following spinal anesthesia for Cesarean delivery is common. Fluid loading is recommended to prevent hypotension, but preload is often ineffective. In non-pregnant patients, coloading has been shown to better maintain cardiac output after spinal anesthesia. The purpose of this meta-analysis was to determine whether the timing of the fluid infusion, before (preload) or dur...

A case of selective necrosis of the central grey matter of the caudal spinal cord secondary to severe prolonged hypotension is presented. The hypotension was due to localised dissection of the ascending aorta which did not interfere structurally with any of the spinal cord vasculature.

Background. Cesarean section is performed through an open abdominal incision (laparotomy) and the uterus (hysterotomy). Generally, cesarean with regional anesthesia techniques, spinal being primary choice. Complications that often occur after administration of include hypotension, bradycardia, postoperative nausea vomiting. The aim this study was thus to identify incidence vomiting caused by du...

INTRODUCTION Intracranial hemorrhage usually occurs as a complication of hypertension, coagulopathy, or trauma. In rare instances, remote cerebellar hemorrhage (RCH) may complicate supratentorial or spinal surgery. METHODS Retrospective case series study. RESULTS We describe three cases of RCH complicating spinal and cranial surgical procedures associated with cerebrospinal fluid hypotensio...