Techniques for preventing hypotension during spinal anaesthesia for caesarean section

Blood pressure and cardiac output during caesarean delivery under spinal anaesthesia: a prospective cohort study

“…Even in this perspective, the moderate dose of bupivacaine in the spinal anaesthesia combined with the low-dose phenylephrine protocol seems to prevent the spinal anaesthesia-induced hypotension. This finding is in contrast to previous findings, which reported maternal hypotension after spinal anaesthesia 11 16 22…”

Blood pressure and cardiac output during caesarean delivery under spinal anaesthesia: a prospective cohort study

“…Even in this perspective, the moderate dose of bupivacaine in the spinal anaesthesia combined with the low-dose phenylephrine protocol seems to prevent the spinal anaesthesia-induced hypotension. This finding is in contrast to previous findings, which reported maternal hypotension after spinal anaesthesia 11 16 22…”

Case report: spontaneous coronary artery dissection during elective caesarean section under spinal anaesthesia

“…In our unit, postspinal hypotension is managed by a preload of 500–1000 ml intravenous crystalloid before administration of spinal anaesthesia, and then commencement of a phenylephrine infusion (100 μg.ml −1 ) at 20 ml.h −1 following spinal injection. This is consistent with the Cochrane review recommendations [6].…”

Comparative Evaluation of Haemodynamic Changes on Using Prophylactic Infusion of Ephedrine Alone Versus Ephedrine Plus Phenylephrine in Caesarean Section Under Spinal Anaesthesia

“…This is more important in the initial 10 minutes following subarachnoid block to prevent detrimental effects on both mother and foetus. 16 Our study was also comparable with Ramanathan et al who suggested that intravenous bolus doses of Ephedrine and Phenylephrine restored blood pressure similarly during epidural anaesthesia for caesarean delivery by producing a comparable increase in preload only. 17 In present study E group received 40.60±4.59mg Ephedrine through infusion pump, 0.37±0.49mg Ephedrine as top up dose and 42.73±4.40mg Ephedrine as overall total dose.…”

Blood pressure and cardiac output during caesarean delivery under spinal anaesthesia: a prospective cohort study

“…Even in this perspective, the moderate dose of bupivacaine in the spinal anaesthesia combined with the low-dose phenylephrine protocol seems to prevent the spinal anaesthesia-induced hypotension. This finding is in contrast to previous findings, which reported maternal hypotension after spinal anaesthesia 11 16 22…”

Case report: spontaneous coronary artery dissection during elective caesarean section under spinal anaesthesia

“…In our unit, postspinal hypotension is managed by a preload of 500–1000 ml intravenous crystalloid before administration of spinal anaesthesia, and then commencement of a phenylephrine infusion (100 μg.ml −1 ) at 20 ml.h −1 following spinal injection. This is consistent with the Cochrane review recommendations [6].…”

Comparative Evaluation of Haemodynamic Changes on Using Prophylactic Infusion of Ephedrine Alone Versus Ephedrine Plus Phenylephrine in Caesarean Section Under Spinal Anaesthesia

“…This is more important in the initial 10 minutes following subarachnoid block to prevent detrimental effects on both mother and foetus. 16 Our study was also comparable with Ramanathan et al who suggested that intravenous bolus doses of Ephedrine and Phenylephrine restored blood pressure similarly during epidural anaesthesia for caesarean delivery by producing a comparable increase in preload only. 17 In present study E group received 40.60±4.59mg Ephedrine through infusion pump, 0.37±0.49mg Ephedrine as top up dose and 42.73±4.40mg Ephedrine as overall total dose.…”

Blood pressure and cardiac output during caesarean delivery under spinal anaesthesia: a prospective cohort study

“…Even in this perspective, the moderate dose of bupivacaine in the spinal anaesthesia combined with the low-dose phenylephrine protocol seems to prevent the spinal anaesthesia-induced hypotension. This finding is in contrast to previous findings, which reported maternal hypotension after spinal anaesthesia 11 16 22…”

Case report: spontaneous coronary artery dissection during elective caesarean section under spinal anaesthesia

“…In our unit, postspinal hypotension is managed by a preload of 500–1000 ml intravenous crystalloid before administration of spinal anaesthesia, and then commencement of a phenylephrine infusion (100 μg.ml −1 ) at 20 ml.h −1 following spinal injection. This is consistent with the Cochrane review recommendations [6].…”

Comparative Evaluation of Haemodynamic Changes on Using Prophylactic Infusion of Ephedrine Alone Versus Ephedrine Plus Phenylephrine in Caesarean Section Under Spinal Anaesthesia

“…This is more important in the initial 10 minutes following subarachnoid block to prevent detrimental effects on both mother and foetus. 16 Our study was also comparable with Ramanathan et al who suggested that intravenous bolus doses of Ephedrine and Phenylephrine restored blood pressure similarly during epidural anaesthesia for caesarean delivery by producing a comparable increase in preload only. 17 In present study E group received 40.60±4.59mg Ephedrine through infusion pump, 0.37±0.49mg Ephedrine as top up dose and 42.73±4.40mg Ephedrine as overall total dose.…”