• Kathmandu Univ Med J (KUMJ) · Oct 2010

    Review

    Prevention of hypotension following spinal anaesthesia in caesarean section--then and now.

    • J K Mitra.
    • Department of Anaesthesia, College of Medicine and JNM Hospital, Kalyani, Nadia, India. mitra.jayanta@gmail.com
    • Kathmandu Univ Med J (KUMJ). 2010 Oct 1;8(32):415-9.

    AbstractHypotension during spinal anaesthesia for caesarean section remains a common scenario in our clinical practice. Certain risk factors play a role in altering the incidence of hypotension. Aortocaval compression counteraction does not help to prevent hypotension. Intravenous crystalloid prehydration has poor efficacy; thus, the focus has changed toward co-hydration and use of colloids. Phenylephrine is established as a firstline vasopressor, although there are limited data from high-risk patients. Ephedrine crosses the placenta more than phenylephrine and cause possible alterations in the foetal physiology.

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