Post-spinal hypotension at cesarean section: the denial of evidence.
Post-spinal hypotension at cesarean section appears difficult to prevent, despite the three obligatory so-called preventative measures. So far, literature data provide no compelling evidence that expectations have been met in this regard. A critical appraisal of volume preload, ephedrine prophylaxis and left lateral supine position shows that the preventative measures should be re-evaluated. New avenues should be explored aiming at a better prevention and decrease in both the prevalence and magnitude of post-spinal hypotension at cesarean section.
van Bogaert
L J
LJ
Emmaus Hospital, Winterton, South Africa.
D000775:Anesthesia, Spinal; D002585:Cesarean Section; D005260:Female; D006801:Humans; D007022:Hypotension / Q000453:epidemiology / Q000209:etiology* / Q000517:prevention & control*; D007231:Infant, Newborn; D008955:Models, Cardiovascular; D011247:Pregnancy; D015995:Prevalence; D016683:Supine Position; D014662:Vasoconstrictor Agents / Q000008:administration & dosage / Q000627:therapeutic use
D014662:Vasoconstrictor Agents