Browsing by Author "Mitra, JK"
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Publication Prevention of Hypotension following Spinal Anaesthesia in Caesarean Section - then and now(Kathmandu University, 2010) Mitra, JKABSTRACT Hypotension during spinal anaesthesia for caesarean section remains a common scenario in our clinical practice. Certain risk factors play a role in altering the incidence of hypotension. Aortocaval compression counteraction does not help to prevent hypotension. Intravenous crystalloid prehydration has poor efficacy; thus, the focus has changed toward co-hydration and use of colloids. Phenylephrine is established as a first- line vasopressor, although there are limited data from high-risk patients. Ephedrine crosses the placenta more than phenylephrine and cause possible alterations in the foetal physiology. Key Words caesarean section, hypotension, spinal anaesthesia