title: [Management of hypotension during spinal anaesthesia for elective caesarean section: a survey of practice in Lorraine region].
abstract: OBJECTIVE
  The aim of the survey was to describe current practice in management of hypotension during spinal anaesthesia for elective caesarean section in Lorraine.
  
  
  METHODS
  Cross-sectional study by a mail survey.
  
  
  METHODS
  A 20-item postal questionnaire was sent to all anaesthetists working in public or private hospital with a maternity unit in Lorraine.
  
  
  RESULTS
  The response rate was 65%. Fifty-one percent of the respondents did not have a written procedure for the management of spinal-induced hypotension. Fluid preloading with or without vasopressor was the most common practice. Colloids were used by 20% of the respondents. For prevention of hypotension, 37% used ephedrine, 28% used phenylephrine mostly in association with ephedrine and 9% based their choice on heart rate. Twenty-six percent did not administer any vasopressor to prevent hypotension. First choice vasopressor for treatment of hypotension was ephedrine. Anaesthetists in academic practice were more likely to use coloading and phenylephrine administration, but none of them used colloids for pre- or coloading.
  
  
  CONCLUSIONS
  Management of hypotension during spinal anaesthesia for elective caesarean section was significantly influenced by the type of practice.
authors.affiliation: Service d'anesthésie-réanimation, maternité régionale universitaire de Nancy, 10, rue du Docteur-Heydenreich, 54000 Nancy, France.
authors.forename: C
authors.initials: C
authors.lastname: Sertznig
authors.forename: F
authors.initials: F
authors.lastname: Vial
authors.forename: G
authors.initials: G
authors.lastname: Audibert
authors.forename: P-M
authors.initials: PM
authors.lastname: Mertes
authors.forename: H
authors.initials: H
authors.lastname: El Adssi
authors.forename: H
authors.initials: H
authors.lastname: Bouaziz
mesh_terms: D000328:Adult; D000773:Anesthesia, Obstetrical; D000775:Anesthesia, Spinal; D002585:Cesarean Section; D003430:Cross-Sectional Studies; D000077324:Crystalloid Solutions; D004809:Ephedrine / Q000627:therapeutic use; D005260:Female; D005440:Fluid Therapy; D005602:France; D019538:Health Care Surveys; D006801:Humans; D007022:Hypotension / Q000188:drug therapy / Q000628:therapy*; D007431:Intraoperative Complications / Q000628:therapy*; D007552:Isotonic Solutions / Q000627:therapeutic use; D010656:Phenylephrine / Q000627:therapeutic use; D010952:Plasma Substitutes / Q000627:therapeutic use; D011247:Pregnancy; D011795:Surveys and Questionnaires; D014662:Vasoconstrictor Agents / Q000627:therapeutic use
chemical_list: D000077324:Crystalloid Solutions; D007552:Isotonic Solutions; D010952:Plasma Substitutes; D014662:Vasoconstrictor Agents; D010656:Phenylephrine; D004809:Ephedrine