[Severe hypotension in cesarean section. Aortocaval compression and regional anesthesia].
Three patients due to be operated by caesarean section under regional anaesthesia developed severe hypotension/circulatory collapse. The sympaticus blockade induced by epidural-/spinal anaesthesia aggravates the effect of aortocaval compression present in all pregnant women at term. We discuss prophylactic measures and treatment of hypotension.
Hetland
S
S
Polak
D
D
Steen
P A
PA
D000328:Adult; D000767:Anesthesia, Epidural / Q000009:adverse effects*; D000773:Anesthesia, Obstetrical / Q000009:adverse effects*; D000775:Anesthesia, Spinal / Q000009:adverse effects*; D001011:Aorta / Q000503:physiopathology; D002585:Cesarean Section; D005260:Female; D006801:Humans; D007022:Hypotension / Q000209:etiology* / Q000517:prevention & control; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000503:physiopathology; D012769:Shock / Q000209:etiology / Q000517:prevention & control; D014684:Venae Cavae / Q000503:physiopathology
Alvorlig hypotensjon ved keisersnitt. Aortokaval kompresjon og regional anestesi.