• C Sertznig, F Vial, G Audibert, P-M Mertes, H El Adssi, and H Bouaziz.
• Service d'anesthésie-réanimation, maternité régionale universitaire de Nancy, 10, rue du Docteur-Heydenreich, 54000 Nancy, France.
• Ann Fr Anesth Reanim. 2011 Sep 1;30(9):630-5.

ObjectiveThe aim of the survey was to describe current practice in management of hypotension during spinal anaesthesia for elective caesarean section in Lorraine.Study DesignCross-sectional study by a mail survey.MethodsA 20-item postal questionnaire was sent to all anaesthetists working in public or private hospital with a maternity unit in Lorraine.ResultsThe response rate was 65%. Fifty-one percent of the respondents did not have a written procedure for the management of spinal-induced hypotension. Fluid preloading with or without vasopressor was the most common practice. Colloids were used by 20% of the respondents. For prevention of hypotension, 37% used ephedrine, 28% used phenylephrine mostly in association with ephedrine and 9% based their choice on heart rate. Twenty-six percent did not administer any vasopressor to prevent hypotension. First choice vasopressor for treatment of hypotension was ephedrine. Anaesthetists in academic practice were more likely to use coloading and phenylephrine administration, but none of them used colloids for pre- or coloading.ConclusionManagement of hypotension during spinal anaesthesia for elective caesarean section was significantly influenced by the type of practice.Copyright © 2011 Elsevier Masson SAS. All rights reserved.

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