The efficacy of prophylactic combination therapy using ephedrine iv alongwith fluid preload as compared to fluid preloading alone or IV ephedrine alone in prevention of maternal hypotension during spinal anesthesia for caesarean section

Pakistan Journal of Medical and Health Sciences

Volumn 6, Issue 3, 2012, Pages 573-576

  Imam, Syed Musharraf ^a   Ali, Chaudhry Amjad ^a   Hussain, Shabbir ^a  

^a CMH Peshawar ^*  (Pakistan)

Author keywords

Caesarian section; Combination therapy; Ephedrine; Hypotension; Spinal anesthesia

Indexed keywords

EPHEDRINE; METOCLOPRAMIDE;

ADULT; ARTICLE; BODY WEIGHT; CESAREAN SECTION; CONTROLLED STUDY; DRUG EFFICACY; DRUG SAFETY; FEMALE; FETUS OUTCOME; HEMODYNAMICS; HUMAN; HYPOTENSION; INTERVENTION STUDY; MATERNAL DISEASE; MATERNAL HYPOTENSION; SPINAL ANESTHESIA; VOMITING;

EID: 84867769693     PISSN: 19967195     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (19)

1. Hussain N, Tayab S, Mahmood T. Spinal anesthesia for caesarean section. J Surg Pakistan 2002; 7:19-21.
2. Rodgers A, Walker N, Schug S, McKee A, Kehlet H, van Zundert A, et al. Reduction of postoperative mortality and morbidity with epidural or spinal anesthesia: Results from overview of randomised trials. Br Med J 2000; 321:1493.
3. Ng K, Parsons J, Cyna AM, Middleton P. Anestesia raquídea versus epidural para la cesárea. Biblioteca Cochrane Plus 2008.
4. Simmons SW, Cyna AM, Dennis AT, Hughes D. Analgesia espinaly epidural combinadas versus analgesia epidural en el trabajo de parto. Biblioteca Cochrane Plus 2008.
5. Reidy J, Douglas J. Vasopressors in obstetrics. Anesthesiol Clin. 2008; (26):75-88.
6. Clark RB, Thompson DS, Thomson CH. Prevention of spinal hypotension associated with caesarean section. Anesthesiology 1996; 45: 670-674.
7. Mitra JK. Prevention of Hypotension following spinal anaesthesia in caesarean section - then and now. Kathmandu Univ Med J 2010;9:415-9.
8. Levin A, Datta S, Segal S. The effect of posture on hypotension after spinal anaesthesia for caesarian section. Anesthesiology 1998;88:A10.
9. Harrop-Griffiths W. Ephedrine is the vasopressor of choice for obstetric regional anaesthesia. IJOA 2002, 11: 275-281.
10. Clarke RB, Thompson DS, Thompson CH. Prevention of spinal hypotension associated with cesarean section. Anesthesiology 2002; 45: 670-4.
11. Clark VA, Sharwood-Smith GH, Stewart AV. Ephedrine requirements are reduced during spinal anaesthesia for caesarean section in preeclampsia. Int J Obstet Anesth 2005;14:9-13.
12. Romero R, Nien JK, Espinoza J. A longitudinal study of angiogenic (placental growth factor) and anti-angiogenic (soluble endoglin and soluble vascular endothelial growth factor receptor-1) factors in normal pregnancy and patients destined to develop preeclampsia and deliver a small for gestational age neonate. J Matern Fetal Neonatal Med 2008;21:9-23.
13. Chaiworapongsa T, Espinoza J, Gotsch F. The maternal plasma soluble vascular endothelial growth factor receptor-1 concentration is elevated in SGA and the magnitude of the increase relates to Doppler abnormalities in the maternal and fetal circulation. J Matern Fetal Neonatal Med 2008;21:25-40.
14. Adsumelli RSN. A different method that is effect of SCD in conjunction with vasopressor. Br J Anaesth 2003; 91: 695-8.
15. Akhtar FM, Pirzada A, Ashraf V. Prevention of hypotension in caesarean delivery under spinal anaesthesia; the combination of modified supine wedged position, crystalloid co-hydration and prophylactic atropine PAFMJ: 2008; 4: 362-4.
16. Kaya S, Karaman H, Erdogan H, Akyilmaz A, Turhanoglu S. Combined use of low-dose bupivacaine, colloid preload and wrapping of the legs for preventing hypotension in spinal anaesthesia for caesarean section. J Int Med Res 2007; 35(5): 615.
17. Ngan-Kee WD, Khaw KS. Vasopressors in obstetrics: What should we be using? Curr. Opin Anaesthesiol 2006; 19:238-43.
18. Bhagat H, Malhotra K, Ghiilayal SK, Srivastava PC. Evaluation of preloading and vasoconstrictors as a combined prophylaxis for hypotension during sub arachnoid anesthesia Indian J Anaesth 2004; 48: 299- 303.
19. Khooshideh M Heidari MH. Comparison of the hemodynamic effects of pretreatment with crystalloids versus crystalloids plus ephedrine during spinal anesthesia for caesarean section. Shiraz E-Med J 2009; 10: 212-4.