Techniques for preventing hypotension during spinal anaesthesia for caesarean section

Incidence and Associated Factors for Neuraxial Anaesthesia-Related Hypotension in COVID-19 Parturients Undergoing Caesarean Delivery: A Multicenter Case-Control Study

“…Latest meta-analysis showed that vasoconstrictor (such as metaraminol, norepinephrine and phenylephrine) intervention was effective and safe in preventing and treating neuraxial anaesthesiarelated hypotension in healthy parturients. Leg compression and uid load might be also helpful (Pereira, Grando et al, 2011;Chooi, Cox et al, 2020;Singh, Singh et al, 2020). Present study also reported similar intervention of vasoconstrictor and uids in COVID-19 parturients.…”

Incidence and Associated Factors for Neuraxial Anaesthesia-Related Hypotension in COVID-19 Parturients Undergoing Caesarean Delivery: A Multicenter Case-Control Study

“…Latest meta-analysis showed that vasoconstrictor (such as metaraminol, norepinephrine and phenylephrine) intervention was effective and safe in preventing and treating neuraxial anaesthesiarelated hypotension in healthy parturients. Leg compression and uid load might be also helpful (Pereira, Grando et al, 2011;Chooi, Cox et al, 2020;Singh, Singh et al, 2020). Present study also reported similar intervention of vasoconstrictor and uids in COVID-19 parturients.…”

Getting to the heart of blood pressure control during caesarean section

“…

Caesarean delivery is one of the most common surgical procedures, yet from an anaesthetic perspective it is one of the most precarious. In no other setting are we required to produce surgical anaesthesia in a patient who is awake, anxious, gravid and about to experience and likely remember every moment.The stakes are clear; hypotension after spinal anaesthesia remains the dominant driver of dizziness, distress and intra-operative nausea during caesarean delivery [1]. From our experience, a single episode of peri-operative nausea is often enough for a woman to describe her experience as negative.

…”

“…The stakes are clear; hypotension after spinal anaesthesia remains the dominant driver of dizziness, distress and intra-operative nausea during caesarean delivery [1]. From our experience, a single episode of peri-operative nausea is often enough for a woman to describe her experience as negative.…”

Effect of combined colloid preloading and crystalloid coloading versus combined colloid and crystalloid coloading on maternal cardiac output during spinal anesthesia for cesarean section under combined prophylactic noradrenaline infusion

“…Therefore, this approach increases the CO value and reduces the incidence of hypotension. A new systematic review and network meta-analysis compared methods of preventing hypotension in parturients undergoing spinal anesthesia after cesarean section from the most effective to the least effective as follows: metaraminol, norepinephrine, phenylephrine, leg compression, ephedrine, colloid administered before induction of anesthesia, angiotensin, colloid given after induction of anesthesia, mephentermine, crystalloid administered after induction of anesthesia, and crystalloid administered before induction of anesthesia ( 26 ). Norepinephrine, whether administered as a bolus or infusion, have the potential to induce hypertension and reflex bradycardia, which may adversely impact maternal cardiac output ( 27 ).…”

Incidence and Associated Factors for Neuraxial Anaesthesia-Related Hypotension in COVID-19 Parturients Undergoing Caesarean Delivery: A Multicenter Case-Control Study

“…Latest meta-analysis showed that vasoconstrictor (such as metaraminol, norepinephrine and phenylephrine) intervention was effective and safe in preventing and treating neuraxial anaesthesiarelated hypotension in healthy parturients. Leg compression and uid load might be also helpful (Pereira, Grando et al, 2011;Chooi, Cox et al, 2020;Singh, Singh et al, 2020). Present study also reported similar intervention of vasoconstrictor and uids in COVID-19 parturients.…”

Getting to the heart of blood pressure control during caesarean section

“…

Caesarean delivery is one of the most common surgical procedures, yet from an anaesthetic perspective it is one of the most precarious. In no other setting are we required to produce surgical anaesthesia in a patient who is awake, anxious, gravid and about to experience and likely remember every moment.The stakes are clear; hypotension after spinal anaesthesia remains the dominant driver of dizziness, distress and intra-operative nausea during caesarean delivery [1]. From our experience, a single episode of peri-operative nausea is often enough for a woman to describe her experience as negative.

…”

“…The stakes are clear; hypotension after spinal anaesthesia remains the dominant driver of dizziness, distress and intra-operative nausea during caesarean delivery [1]. From our experience, a single episode of peri-operative nausea is often enough for a woman to describe her experience as negative.…”

Effect of combined colloid preloading and crystalloid coloading versus combined colloid and crystalloid coloading on maternal cardiac output during spinal anesthesia for cesarean section under combined prophylactic noradrenaline infusion

“…Therefore, this approach increases the CO value and reduces the incidence of hypotension. A new systematic review and network meta-analysis compared methods of preventing hypotension in parturients undergoing spinal anesthesia after cesarean section from the most effective to the least effective as follows: metaraminol, norepinephrine, phenylephrine, leg compression, ephedrine, colloid administered before induction of anesthesia, angiotensin, colloid given after induction of anesthesia, mephentermine, crystalloid administered after induction of anesthesia, and crystalloid administered before induction of anesthesia ( 26 ). Norepinephrine, whether administered as a bolus or infusion, have the potential to induce hypertension and reflex bradycardia, which may adversely impact maternal cardiac output ( 27 ).…”

Incidence and Associated Factors for Neuraxial Anaesthesia-Related Hypotension in COVID-19 Parturients Undergoing Caesarean Delivery: A Multicenter Case-Control Study

“…Latest meta-analysis showed that vasoconstrictor (such as metaraminol, norepinephrine and phenylephrine) intervention was effective and safe in preventing and treating neuraxial anaesthesiarelated hypotension in healthy parturients. Leg compression and uid load might be also helpful (Pereira, Grando et al, 2011;Chooi, Cox et al, 2020;Singh, Singh et al, 2020). Present study also reported similar intervention of vasoconstrictor and uids in COVID-19 parturients.…”

Getting to the heart of blood pressure control during caesarean section

“…

Caesarean delivery is one of the most common surgical procedures, yet from an anaesthetic perspective it is one of the most precarious. In no other setting are we required to produce surgical anaesthesia in a patient who is awake, anxious, gravid and about to experience and likely remember every moment.The stakes are clear; hypotension after spinal anaesthesia remains the dominant driver of dizziness, distress and intra-operative nausea during caesarean delivery [1]. From our experience, a single episode of peri-operative nausea is often enough for a woman to describe her experience as negative.

…”

“…The stakes are clear; hypotension after spinal anaesthesia remains the dominant driver of dizziness, distress and intra-operative nausea during caesarean delivery [1]. From our experience, a single episode of peri-operative nausea is often enough for a woman to describe her experience as negative.…”

Effect of combined colloid preloading and crystalloid coloading versus combined colloid and crystalloid coloading on maternal cardiac output during spinal anesthesia for cesarean section under combined prophylactic noradrenaline infusion

“…Therefore, this approach increases the CO value and reduces the incidence of hypotension. A new systematic review and network meta-analysis compared methods of preventing hypotension in parturients undergoing spinal anesthesia after cesarean section from the most effective to the least effective as follows: metaraminol, norepinephrine, phenylephrine, leg compression, ephedrine, colloid administered before induction of anesthesia, angiotensin, colloid given after induction of anesthesia, mephentermine, crystalloid administered after induction of anesthesia, and crystalloid administered before induction of anesthesia ( 26 ). Norepinephrine, whether administered as a bolus or infusion, have the potential to induce hypertension and reflex bradycardia, which may adversely impact maternal cardiac output ( 27 ).…”