Comparison Between Colloid Preload and Crystalloid Coload in Cesarean Section Under Spinal Anesthesia

Tawfik, Mona K.; Hayes, Salwa M.S.; Jacoub, F.Y.; Badran, B.A.; Gohar, F.M.; Shabana, Amir M.; Abdelkhalek, Mostafa; Emara, M.M.

doi:10.1097/01.aoa.0000472746.32671.21

Cited by 5 publications

(23 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In spite of some procedures for the prophylaxis, the incidence of hypertension during spinal anesthesia for C-section is approximately 80%. Accordingly, numerous studies have been conducted on the type of fluid infusion (crystalloid and colloid), fluid infusion time (pre-load or during spinal anesthesia), and fluid infusion volume (8, 9). In the meantime, several studies have been able to show that colloid solutions as preloading infusion are effective in the prevention of the hypotension after SA (10, 11).…”

Section: Introductionmentioning

confidence: 99%

A Comparison Between the Effects of Preloading with Ringer's Solution and Voluven on Hemodynamic Changes in Patients Undergoing Elective Cesarean Section Under Spinal Anesthesia

et al. 2019

View full text Add to dashboard Cite

Introduction: The most common complications after spinal anesthesia for Cesarean section is hypotension. Administration of intravenous crystalloid or colloid fluid before the induction of anesthesia is a way to prevent it. Aim: The aim of this study was to compare the effects of preloading with ringer’s solution and Voluven on hemodynamic changes in patients underwent elective Caesarean section under spinal anesthesia. Methods: This study was conducted on 70 pregnant women. They were randomly divided into two groups of 35. Group I received 10 ml/kg Ringer’s solution (R group) and group II received 10 ml/kg Voluven (V group) over 15 min before spinal anesthesia. Mean SBP, DBP, MAP, HR, SPO2, mean Apgar of newborn at 1 and 5 minutes after birth, mean blood pH and analysis of umbilical venous blood gases of newborns, prevalence of nausea and vomiting, and the rate of shivering and its severity were recorded in the both groups. Results: Blood pH and analysis of blood gases and Apgar of newborn at 1 and 5 minutes after birth were similar in both groups. Shivering did not differ significantly between the two groups. Level of anesthesia and the incidence of nausea and vomiting in the R group were significantly higher than those in the V group (P=0.041 and P=0.029, respectively). Conclusion: The administration of both crystalloid and colloid fluids were effective in preventing the hypotension, although the use of Voluven was preferred to Ringer with respect to the level of the blockade and the incidence of nausea and vomiting.

show abstract

Section: Introductionmentioning

confidence: 99%

A Comparison Between the Effects of Preloading with Ringer's Solution and Voluven on Hemodynamic Changes in Patients Undergoing Elective Cesarean Section Under Spinal Anesthesia

et al. 2019

View full text Add to dashboard Cite

show abstract

“…We elected to use crystalloid instead of colloid intraoperatively because crystalloid is no less effective than colloid in reducing the incidence of hypotension after spinal anesthesia for cesarean delivery, particularly when combined with vasopressors. 18 There are additional concerns about nephrotoxicity associated with hydroxyethyl starch solutions, which we judged to be undesirable in a patient whose optimal renal function postoperatively would be important in addressing the generalized anasarca. 19 Her symptoms dramatically improved immediately after delivery of the fetus, further supporting the diagnosis of Mirror syndrome.…”

Section: Discussionmentioning

confidence: 98%

Maternal Mirror Syndrome Masquerading as Congestive Heart Failure: A Case Report

Smith

Binstock

et al. 2018

A&A Practice

View full text Add to dashboard Cite

Mirror syndrome is a rare pregnancy complication, life-threatening to mother and fetus. Increasing survival rates of congenital heart disease into reproductive age mean that complications like Mirror syndrome in this population may be more challenging to diagnose, given overlapping signs of edema in cases of heart failure exacerbation. We report a case of a pregnant woman with a history of unspecified congenital heart disease, presenting with swelling and distension, with diagnostic findings not consistent with preeclampsia. Her course was complicated by dyspnea, oliguria, and fetal hydrops. A cesarean delivery under neuraxial anesthesia was performed. We review the clinical manifestations of Mirror syndrome and discuss anesthetic and obstetric management considerations for this condition. Mirror syndrome, also known as Ballantyne syndrome or triple edema, is a rare clinical syndrome in which maternal and placental edema develop in association with fetal hydrops, resulting in significant maternal and fetal morbidity and mortality. The condition has been reported in association with many different causes of fetal hydrops, isoimmunization,

show abstract

“…La farmacocinética de los cristaloides ha demostrado que la expansión de volumen plasmático con su infusión, aumenta cuando esta se realiza después de la inducción de anestesia 41 . El compartimiento central se disminuye y se hace menor que el volumen plasmático al haber un traslado al compartimiento periférico, es decir, hacia las extremidades y el lecho esplácnico, en el momento que se instaura el bloqueo 42,43 .…”

Section: Manejounclassified

“…Sin embargo el debate existe todavía, un reciente metaanálisis no logró demostrar disminución de requerimiento de vasopresor con cocarga versus precarga de cristaloides 45 . Los estudios de co-carga versus precarga de coloides [46][47][48] co-carga de coloides 49,50 tampoco han demostrado beneficio en ninguno de los escenarios 41 . Ngan Kee y cols.…”

Section: Manejounclassified

See 1 more Smart Citation

Hipotensión bajo anestesia regional subaracnoidea en población no obstétrica

López-Hernández

Meléndez-Flórez

2017

revmed

View full text Add to dashboard Cite

RESUMENIntroducción: la anestesia regional subaracnoidea es una técnica muy útil; sin embargo, su principial efecto secundario afecta el sistema cardiovascular. Los estudios en población no obstetrica son escasos; la variedad de comorbilidades y tipos de pacientes dificultan el diagnóstico y manejo. Objetivo: revisar la fisiopatología, enfatizar en factores de riesgo y actualizar el manejo de la hipotensión bajo anestesia subaracnoidea en pacientes no obstétricos. Metodología de Búsqueda: se realizó una búsqueda en las bases bibliográficas PubMed, Science Direct, EbscoHost, MEDLINE; se excluyeron aquellos artículos que incluían únicamente población obstétrica. 63 artículos cumplieron los criterios. Conclusiones: los factores de riesgo identificados fueron edad, estado físico previo, hipertensión y obesidad. Aunque no hay consenso en el manejo, identificar pacientes en riesgo permite la intervencion preventiva y tomar decisiones que disminuyan complicaciones mayores. Los líquidos intravenosos como co-carga mantienen vigencia. El uso de vasopresores profilácticos debe limitarse en pacientes con factores de riesgo. Hypotension under regional spinal anesthesia in non-obstetric populationABSTRACT Introduction: regional subarachnoid anesthesia is a very useful technique. however, the leading side effect affects the cardiovascular system. Few studies regarding non-obstetric population are published. Comorbidities and the variety of patients make the diagnosis and management difficult to establish. Objective: to review physiopathology, and emphasize risk factors and management of hypotension under regional spinal anesthesia. Searching Methodology: literature search was performed using PubMed, Science Direct, EbscoHost and MEDLINE; those exclusively including obstetric population were excluded. 63 articles matched the criteria. Conclusions: the risk factors that were identified were age, physical status, hypertension and obesity. Although there is no consensus in the management protocol, identifying these patients at risk allows a preventive intervention and the taking of measures that avoid major complications. Intravenous fluids as co-loading still remain valid; vasopressors should be limited to patients at risk. MÉD.UIS. 2017;30(1):73-8.

show abstract

Comparison Between Colloid Preload and Crystalloid Coload in Cesarean Section Under Spinal Anesthesia

Cited by 5 publications

References 0 publications

A Comparison Between the Effects of Preloading with Ringer's Solution and Voluven on Hemodynamic Changes in Patients Undergoing Elective Cesarean Section Under Spinal Anesthesia

A Comparison Between the Effects of Preloading with Ringer's Solution and Voluven on Hemodynamic Changes in Patients Undergoing Elective Cesarean Section Under Spinal Anesthesia

Maternal Mirror Syndrome Masquerading as Congestive Heart Failure: A Case Report

Hipotensión bajo anestesia regional subaracnoidea en población no obstétrica

Contact Info

Product

Resources

About