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Gynecol. Obstet. Invest. · Jan 1985
Haemodynamic effects of fenoterol for labour inhibition during spinal or epidural anaesthesia.
- H Müller, H Gips, A Brähler, W Künzel, and G Hempelmann.
- Gynecol. Obstet. Invest. 1985 Jan 1;19(2):64-72.
AbstractHaemodynamic investigations, partly using invasive monitoring, concerning interactions between the beta-mimetic effect of fenoterol and the alpha-sympathetic blockade of spinal or epidural anaesthesia were made in a total of 49 patients during pregnancy, during caesarean section and in non-pregnant women. Haemodynamic effects of fenoterol during regional anaesthesia were compared with those during general anaesthesia (n = 17). Epidural or spinal anaesthesia enhance vascular beta-mimetic reactions at the start of tocolysis, leading to a profound but short-lasting decrease in blood pressure. This initial hypotension is more pronounced after regional than after general anaesthesia.
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