Publication: Prevention of Hypotension following Spinal Anaesthesia in Caesarean Section - then and now
Date
2010
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
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
Description
J Mitra
1Department of Anaesthesia College of Medicine and JNM Hospital Kalyani, Nadia, India