International Journal of Obstetric Anesthesia
Volume 19, Issue 1 , Pages 44-49 , January 2010

Retrospective study of association between choice of vasopressor given during spinal anaesthesia for high-risk caesarean delivery and fetal pH

  • D.W. Cooper

      Affiliations

    • Corresponding Author InformationCorrespondence to: Dr David W Cooper, Department of Anaesthesia, Cheriton House, James Cook University Hospital, Marton Road, Middlesbrough, Cleveland TS4 3BW, UK. Tel.: +0044 1642 854600; fax: +0044 1642 282818.
  • ,
  • S. Sharma
  • ,
  • P. Orakkan
  • ,
  • S. Gurung

,Accepted 7 June 2009.

References 

  1. Lee A, Ngan Kee WD, Gin T. A quantitative, systematic review of randomized controlled trials of ephedrine versus phenylephrine for the management of hypotension during spinal anesthesia for cesarean delivery. Anesth Analg. 2002;94:920–926
  2. 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
  3. 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
  4. Cooper DW, Gibb SC, Meek T, et al. Effect of intravenous vasopressor on spread of spinal anaesthesia and fetal acid-base equilibrium. Br J Anaesth. 2007;98:649–656
  5. Ngan Kee WD, Lee A, Khaw KS, Ng FF, Karmakar MK, Gin T. A randomized double-blinded comparison of phenylephrine and ephedrine infusion combinations to maintain blood pressure during spinal anesthesia for cesarean delivery: the effects on fetal acid-base status and hemodynamic control. Anesth Analg. 2008;107:1295–1302
  6. Burns SM, Cowan CM, Wilkes RG. Prevention and management of hypotension during spinal anaesthesia for elective Caesarean section: A survey of practice. Anaesthesia. 2001;56:794–798
  7. McGlennan A, Patel N, Sujith B, Bell R. A survey of pre-loading and vasopressor use during regional anaesthesia for caesarean section. Int J Obstet Anesth. 2007;16:S27
  8. Allen TK, Habib AS, George RB, Muir HA. A Survey of the management of spinal induced hypotension for scheduled cesarean delivery. Anesthesiology. 2007;107:A669
  9. Practice guidelines for obstetric anesthesia: An updated report by the American Society of Anesthesiologists Task Force on Obstetric Anesthesia. Anesthesiology 2007;106:843–63.
  10. Cooper DW, Gowni RR. Impact of changing from ephedrine to phenylephrine as the first-line vasopressor during urgent caesarean section. Int J Obstet Anesth. 2006;15:339–340
  11. Ngan Kee WD, Lau TK, Khaw KS, Lee BB. Comparison of metaraminol and ephedrine infusions for maintaining arterial pressure during spinal anesthesia for elective cesarean section. Anesthesiology. 2001;95:307–313
  12. Mercier FJ, Riley ET, Frederickson WL, Roger-Christoph S, Benhamou D, Cohen SE. Phenylephrine added to prophylactic ephedrine infusion during spinal anesthesia for elective cesarean section. Anesthesiology. 2001;95:668–674
  13. 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
  14. James KS, McGrady E, Patrick A. Combined spinal-extradural anaesthesia for preterm and term caesarean section: is there a difference in local anaesthetic requirements?. Br J Anaesth. 1997;78:498–501
  15. Clark RB, Thompson DS, Thompson CH. Prevention of spinal hypotension associated with Cesarean section. Anesthesiology. 1976;45:670–673
  16. Ngan Kee WD, Khaw KS, Lau TK, Ng FF, Chui K, Ng KL. Randomised double-blinded comparison of phenylephrine vs ephedrine for maintaining blood pressure during spinal anaesthesia for non-elective Caesarean section. Anaesthesia. 2008;63:1319–1326
  17. Khaw KS, Wang CC, Ngan Kee WD, et al. Supplementary oxygen for emergency Caesarean section under regional anaesthesia. Br J Anaesth. 2009;102:90–96

 This study was presented in part at the Society for Obstetric Anesthesia and Perinatology Annual Meeting, Chicago, 2008.

PII: S0959-289X(09)00128-9

doi: 10.1016/j.ijoa.2009.06.002

International Journal of Obstetric Anesthesia
Volume 19, Issue 1 , Pages 44-49 , January 2010