Effect of vasopressors on fetal umbilical arterial blood after spinal anaesthesia during caesarean section

2021 ◽  
Vol 18 (3) ◽  
pp. 117-121
Author(s):  
Divya V ◽  
Keyword(s):  
Caesarean Section ◽  
Spinal Anaesthesia ◽  
Arterial Blood

EFFICACY OF PHENYLEPHRINE AND EPHEDRINE IN MAINTAINING MATERNAL BLOOD PRESSURE INTRA OPERATIVELY DURING SPINAL ANESTHESIA FOR CAESAREAN SECTION

2021 ◽  
pp. 25-28
Author(s):  
Anant Prakash ◽  
Rahul Kumar ◽  
Chandeshwar Choudhary ◽  
Debarshi Jana
Keyword(s):  
Blood Pressure ◽  
Caesarean Section ◽  
Spinal Anaesthesia ◽  
Rapid Onset ◽  
Maternal Blood ◽  
Emergency Caesarean Section ◽  
Singleton Pregnancy ◽  
Duration Of Action ◽  
Arterial Blood ◽  
Maternal Blood Pressure

Introduction: Spinal anaesthesia has become a popular technique for caesarean section. It however has the potential to cause rapid onset of maternal hypotension which may have detrimental maternal and neonatal effects. Thus, a number of strategies for treating hypotension have been investigated. Careful positioning and volume preloading with crystalloid or colloids have been used to prevent it, but these are not complete measures and vasopressor is required to correct hypotension quickly . Methodology: 100 parturients ASA I and II scheduled for elective as well as emergency Caesarean section under sub arachnoid block (SAB) were studied. All parturients were at term, had uncomplicated singleton pregnancy with cephalic presentation. Results: Phenylephrine and Ephedrine are effective given prophylactically IV bolus followed by infusion in maintenance of arterial pressure within 15% limit of baseline. Phenylephrine has quicker and shorter duration of action effect in comparison to Ephedrine. Conclusion: Vasopressor drugs Phenylephreine and Ephedrine, effectively maintained arterial blood pressure during spinal anaesthesia for caesarean section

scholarly journals Prevention of Hypotension following Spinal Anaesthesia in Caesarean Section - then and now

2012 ◽  
Vol 8 (4) ◽  
pp. 415-419
Author(s):  
J K Mitra
Keyword(s):  
Risk Factors ◽  
Clinical Practice ◽  
High Risk ◽  
Caesarean Section ◽  
Spinal Anaesthesia ◽  
Limited Data ◽  
First Line ◽  
High Risk Patients ◽  
Risk Patients ◽  
Poor Efficacy

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.http://dx.doi.org/10.3126/kumj.v8i4.6242 Kathmandu Univ Med J 2010;8(4):415-19   

CÆSAREAN SECTION UNDER SPINAL ANÆSTHESIA.

The Lancet ◽  
1930 ◽  
Vol 215 (5567) ◽  
pp. 1012-1014 ◽  
Author(s):  
John William Burns
Keyword(s):  
Caesarean Section ◽  
Spinal Anaesthesia

scholarly journals Spinal anaesthesia for Caesarean section

1996 ◽  
Vol 77 (2) ◽  
pp. 301
Author(s):  
R N Foster ◽  
C M Rogers
Keyword(s):  
Caesarean Section ◽  
Spinal Anaesthesia

scholarly journals Volume preloading, spinal anaesthesia and Caesarean section

1996 ◽  
Vol 76 (2) ◽  
pp. 335-336 ◽  
Author(s):  
A Mallick ◽  
A Samaan ◽  
P Braithwaite
Keyword(s):  
Caesarean Section ◽  
Spinal Anaesthesia
Sign in / Sign up

Export Citation Format

Share Document