Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Nov 2013
Review[Prophylaxis and treatment of arterial hypotension during caesarean with spinal anaesthesia].
Caesarean section is one of the most common surgical procedures worldwide. Arterial hypotension is the most prevalent adverse effect after spinal anaesthesia. ⋯ Strategies to avoid this side effect are analyzed on the basis of the best evidence available so far, summarized as mechanical factors, anesthetics, fluids and vasopressors. After spinal anaesthesia for caesarean section, the best strategy available for prevention of hypotension appears to be the combination of crystalloids along with an alpha 1 agonist vasopressor.
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Rev Esp Anestesiol Reanim · Nov 2013
Meta Analysis[Combined epidural-spinal analgesia during labor: a quantitative systematic review of the literature (meta-analysis)].
To perform a meta-analysis on the use of combined epidural-intrathecal analgesia during labor, including intrathecal fentanyl and/or morphine compared to usual epidural techniques. ⋯ Combined analgesia including intrathecal fentanyl-morphine does not offer significant advantages compared to the standard epidural.