International Journal of Obstetric Anesthesia
Volume 18, Issue 4 , Pages 356-361 , October 2009

A survey of the management of spinal-induced hypotension for scheduled cesarean delivery

  • T.K. Allen
    • ,
  • H.A. Muir
    • ,
  • R.B. George
    • ,
  • A.S. Habib

      Affiliations

    • Corresponding Author InformationCorrespondence to: A.S. Habib, MBBCh, MSc, FRCA, Associate Professor of Anesthesiology, Duke University Medical Center, Box 3094, Durham, NC 27710, USA. Tel.: +1 919 668 6266; fax: +1 919 668 6265.

,Accepted 30 March 2009.

References 

  1. Saravanan S, Kocarev M, Wilson RC, Watkins E, Columb MO, Lyons G. Equivalent dose of ephedrine and phenylephrine in the prevention of post-spinal hypotension in Caesarean section. Br J Anaesth. 2006;96:95–99
  2. Cyna A M, Andrew M, Emmett R S, Middleton P, Simmons S W. Techniques for preventing hypotension during spinal anaesthesia for caesarean section. Cochrane Database of Systematic Reviews 2006, Issue 4. Art. No.: CD002251. DOI: 10.1002/14651858.CD002251.pub2.
  3. Cooper DW, Carpenter M, Mowbray P, Desira WR, Ryall DM, Kokri MS. Fetal and maternal effects of phenylephrine and ephedrine during spinal anesthesia for cesarean delivery. Anesthesiology. 2002;97:1582–1590
  4. Ngan Kee WD, Khaw KS, Ng FF. Prevention of hypotension during spinal anesthesia for Cesarean delivery: An effective technique using combination phenylephrine infusion and crystalloid cohydration. Anesthesiology. 2005;103:744–750
  5. Ngan Kee WD, Khaw KS, Ng FF. Comparison of phenylephrine infusion regimens for maintaining maternal blood pressure during spinal anaesthesia for Caesarean section. Br J Anaesth. 2004;92:469–474
  6. Ngan Kee WD, Khaw KS, Ng FF, Lee BB. Prophylactic phenylephrine infusion for preventing hypotension during spinal anesthesia for cesarean delivery. Anesth Analg. 2004;98:815–821
  7. Burns SM, Cowan CM, Wilkes RG. Prevention and management of hypotension during spinal anaesthesia for elective Caesarean section: a survey of practice. Anaesthesia. 2001;56:777–798
  8. Riley ET. Spinal anaesthesia for Caesarean delivery: keep the pressure up and don’t spare the vasoconstrictors. Br J Anaesth. 2004;92:459–461
  9. Siddik SM, Aouad MT, Kai GE, Sfeir MM, Baraka AS. Hydroxyethylstarch 10% is superior to Ringer’s solution for preloading before spinal anesthesia for Cesarean section. Can J Anesth. 2000;47:616–621
  10. Ueyama H, He Y-L, Tanigami H, Mashimo T, Yoshiya I. Effects of crystalloid and colloid preload on blood volume in the parturient undergoing spinal anesthesia for elective Cesarean section. Anesthesiology. 1999;9:1571–1576
  11. Nishikawa K, Yokoyama N, Saito S, Goto F. Comparison of effects of rapid colloid loading before and after spinal anesthesia on maternal hemodynamics and neonatal outcomes in cesarean section. J Clin Monitoring Comput. 2007;21:125–129
  12. Beilin Y. The treatment should not be worse than the disease. Anesthesiology. 2006;104:1348–1349
  13. Ngan Kee WD, Lee A. Multivariate analysis of factors associated with umbilical arterial pH and standard base excess after Caesarean section under spinal anaesthesia. Anaesthesia. 2003;58:125–130
  14. Wright RG, Shnider SM, Levinson G, Rolbin SH, Parer JT. The effect of maternal administration of ephedrine on fetal heart rate and variability. Obstet Gynecol. 1981;57:734–738
  15. Carvalho B, Wang P, Cohen SE. A survey of labor patient-controlled epidural anesthesia practice in California hospitals. Int J Obstet Anesth. 2006;15:217–222
  16. Dexter F, Smith TC, Tatman DJ, Macario A. Physicians’ perceptions of minimum time that should be saved to move a surgical case from one operating room to another: internet-based survey of the membership of the association of anesthesia clinical directors. J Clin Anesth. 2003;15:206–210
  17. Burmeister LF. Principles of successful sample surveys. Anesthesiology. 2003;99:1251–1252

 This study was presented in part at the American Society of Anesthesiologists annual meeting, San Francisco, California, October 13–17, 2007.

PII: S0959-289X(09)00091-0

doi: 10.1016/j.ijoa.2009.03.014

International Journal of Obstetric Anesthesia
Volume 18, Issue 4 , Pages 356-361 , October 2009

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