Haemodynamic effects from aortocaval compression at different angles of lateral tilt in non-labouring term pregnant women

British Journal of Anaesthesia

Volumn 109, Issue 6, 2012, Pages 950-956

  Lee, S W Y ^a   Khaw, K S ^a   Ngan Kee, W D ^a   Leung, T Y ^a   Critchley, L A H ^a  

^a CHINESE UNIVERSITY OF HONG KONG   (Hong Kong)

Author keywords

cardiac output; Doppler; haemodynamics; patient positioning; pregnancy; term birth; ultrasonography

Indexed keywords

ADULT; AORTOCAVAL COMPRESSION; ARM; ARTERIAL PRESSURE; ARTERY COMPRESSION; ARTICLE; HEART OUTPUT; HEART STROKE VOLUME; HEMODYNAMICS; HUMAN; INFERIOR CAVA VEIN; LEG; MAJOR CLINICAL STUDY; PREGNANT WOMAN; PRIORITY JOURNAL; SUPINE POSITION; SYSTEMIC VASCULAR RESISTANCE; TILTING; VEIN OCCLUSION;

EID: 84869413360     PISSN: 00070912     EISSN: 14716771     Source Type: Journal    
DOI: 10.1093/bja/aes349     Document Type: Article

References (32)

1. Clark SL, Cotton DB, Lee W, et al. Central hemodynamic assessment of normal term pregnancy. Am J of Obstet Gynecol 1989; 161: 1439-42 (Pubitemid 20024006)
2. Lees MM, Scott DB, Kerr MG, Taylor SH. The circulatory effects of recumbent postural change in late pregnancy. Clin Sci 1967; 32: 453-65
3. Scott DB, Kerr MG. Inferior vena caval pressure in late pregnancy. J Obstet Gynaecol Br Commonw 1963; 70: 1044-9
4. Bamber JH. Aortocaval compression: The effect of changing the amount and direction of lateral tilt on maternal cardiodynamics. Int J Obstet Anesth 2000; 9: 197
5. Bamber JH, Dresner M. Aortocaval compression in pregnancy: The effect of changing the degree and direction of lateral tilt on maternal cardiac output. Anesth Analg 2003; 97: 256-8 (Pubitemid 36736572)
6. Kinsella SM, Lohmann G. Supine hypotensive syndrome. Obstet Gynecol 1994; 83: 774-88 (Pubitemid 24153478)
7. McKenzie AG. Researches on supine hypotension in pregnancy. Int Congress Series 2002; 1242: 597-601
8. Bieniarz J, Crottogini JJ, Curuchet E, et al. Aortocaval compression by the uterus in late human pregnancy II. An arteriographic study. Am J Obstet Gynecol 1968; 100: 203-17
9. Dhekne RD, Barron BJ, Koch ER. Radionuclide venography in pregnancy. J Nucl Med 1987; 28: 1290-3 (Pubitemid 17156416)
10. Kinsella SM. Lateral tilt for pregnant women: Why 15 degrees? Anaesthesia 2003; 58: 835-7 (Pubitemid 37059131)
11. Kinsella SM, Whitwam JG, Spencer JAD. Aortic compression by the uterus: Identification with the Finapres digital arterial pressure instrument. Br J Obstet Gynaecol 1990; 97: 700-5 (Pubitemid 20263117)
12. Bieniarz J, Maqueda E, Caldeyro-Barcia R. Compression of aorta by the uterus in late human pregnancy I. Variations between femoral and brachial artery pressure with changes from hypertension to hypotension. Am J Obstet Gynecol 1966; 95: 795-808
13. Marx GF, Husain FJ, Shiau HF. Brachial and femoral blood pressures during the prenatal period. Am J Obstet Gynecol 1980; 136: 11-3 (Pubitemid 10160054)
14. Armstrong S, Fernando R, Columb M, Jones T. Cardiac index in term pregnant women in the sitting, lateral, and supine positions: An observational, crossover study. Anesth Analg 2011; 113: 318-22
15. Kinsella SM, Lee A, Spencer JAD. Maternal and fetal effects of the supine and pelvic tilt positions in late pregnancy. Eur J Obstet Gynecol Reprod Biol 1990; 36: 11-7 (Pubitemid 20162054)
16. Kinsella SM, Whitwam JG, Spencer JAD. Reducing aortocaval compression: how much tilt is enough? Br Med J 1992; 305: 539-40
17. Clark SL, Cotton DB, Pivarnik JM, et al. Position change and central hemodynamic profile during normal third-trimester pregnancy and post partum. Am J Obstet Gynecol 1991; 164: 883-7
18. Ellington C, Katz VL, Watson WJ, Spielman FJ. The effect of lateral tilt on maternal and fetal haemodynamic variables. Obstet Gynecol 1991; 77: 201-3
19. Kerr MG. The mechanical effects of the gravid uterus in late pregnancy. J Obstet Gynaecol Br Commonw 1965; 72: 513-29
20. Scott DB. Inferior vena caval occlusion in late pregnancy. Proc Royal Soc Med 1964; 57: 705
21. Hirabayashi Y, Shimizu R, Fukuda H. Effects of the pregnant uterus on the extradural venous plexus in the supine and lateral positions, as determined by magnetic resonance imaging. Br J Anaesth 1997; 78: 317-9 (Pubitemid 27099926)
22. Ueland K, Novy MJ, Peterson EN, Metcalfe J. Maternal cardiovascular dynamics IV. The influence of gestational age on the maternal cardiovascular response to posture and exercise. Am J Obstet Gynecol 1969; 104: 856-64
23. Young P, Johanson R. Haemodynamic, invasive and echocardiographic monitoring in the hypertensive parturient. Best Pract Res Clin Obstet Gynaecol 2001; 15: 605-22
24. Bray JK, Fernando R, Patel NP, Columb MO. Suprasternal Doppler estimation of cardiac output: standard versus sequential combined spinal epidural anesthesia for cesarean delivery. Anesth Analg 2006; 103: 959-64 (Pubitemid 44576704)
25. Robson SC, Dunlop W, Moore M, Hunter S. Combined Doppler and echocardiographic measurement of cardiac output: Theory and application in pregnancy. Br J Obstet Gynaecol 1987; 94: 1014-27 (Pubitemid 18058533)
26. McDonald S, Fernando R, Ashpole K, Columb M. Maternal cardiac output changes after crystalloid or colloid coload following spinal anesthesia for elective cesarean delivery: A randomized controlled trial. Anesth Analg 2011; 113: 803-10
27. Stewart A, Fernando R, McDonald S, Hignett R, Jones T, Columb M. The dose-dependent effects of phenylephrine for elective cesarean delivery under spinal anesthesia. Anesth Analg 2010; 111: 1230-7
28. Khaw KS, Ngan Kee WD, Critchley LA. Epidural meperidine does not cause hemodynamic changes in the term parturient. Can J Anesth 2000; 47: 155-9 (Pubitemid 30421343)
29. Tihtonen K, Koobi T, Yli-Hankala A, Huhtala H, Uotila J. Maternal haemodynamics in pre-eclampsia compared with normal pregnancy during caesarean delivery. Br J Obstet Gynaecol 2006; 113: 657-63 (Pubitemid 43781696)
30. Critchley LA, Peng ZY, Fok BS, Lee A, Phillips RA. Testing the reliability of a new ultrasonic cardiac output monitor, the USCOM, by using aortic flowprobes in anesthetized dogs. Anesth Analg 2005; 100: 748-53 (Pubitemid 40300073)
31. Jain S, Allins A, Salim A, Vafa A, Wilson MT, Margulies DR. Noninvasive Doppler ultrasonography for assessing cardiac function: Can it replace the Swan-Ganz catheter? Am J Surg 2008; 196: 961-7
32. Nguyen HB, Losey T, Rasmussen J, et al. Interrater reliability of cardiac output measurements by transcutaneous Doppler ultrasound: Implications for noninvasive hemodynamic monitoring in the ED. Am J Emerg Med 2006; 24: 828-35 (Pubitemid 44693157)