Spinal-induced hypotension at caesarean section

IF 0.2 Q4 ANESTHESIOLOGY

Anaesthesia and Intensive Care Medicine Pub Date : 2025-04-01 DOI:10.1016/j.mpaic.2025.01.012

Sara Harrop, Catherine E Armstrong

引用次数: 0

Abstract

Spinal-induced hypotension (SIH) is a common but potentially serious side effect of spinal anaesthetics during caesarean section, with potential maternal and fetal consequences. A number of non-pharmacological methods can be employed to reduce the incidence of SIH, including maternal positioning and fluids. However, these should be used in conjunction with pharmacological methods, which have been shown to be superior in reducing SIH. For many years phenylephrine has been the standard vasopressor in obstetrics, but emerging evidence indicates that there may be more appropriate pharmacological options, with a promising/recent focus on investigating noradrenaline.

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剖宫产时脊柱性低血压

脊柱性低血压（SIH）是剖宫产术中脊柱麻醉药常见但潜在的严重副作用，具有潜在的母婴后果。一些非药物方法可用于减少SIH的发生率，包括产妇体位和液体。然而，这些应与药理学方法结合使用，药理学方法已被证明在减少SIH方面具有优势。多年来，苯肾上腺素一直是产科标准的血管加压药，但新出现的证据表明，可能有更合适的药物选择，有希望/最近重点研究去甲肾上腺素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Anaesthesia and Intensive Care Medicine ANESTHESIOLOGY-

CiteScore

0.50

自引率

0.00%

发文量

152

期刊介绍： Anaesthesia and Intensive Care Medicine, an invaluable source of up-to-date information, with the curriculum of both the Primary and Final FRCA examinations covered over a three-year cycle. Published monthly this ever-updating text book will be an invaluable source for both trainee and experienced anaesthetists. The enthusiastic editorial board, under the guidance of two eminent and experienced series editors, ensures Anaesthesia and Intensive Care Medicine covers all the key topics in a comprehensive and authoritative manner. Articles now include learning objectives and eash issue features MCQs, facilitating self-directed learning and enabling readers at all levels to test their knowledge. Each issue is divided between basic scientific and clinical sections. The basic science articles include anatomy, physiology, pharmacology, physics and clinical measurement, while the clinical sections cover anaesthetic agents and techniques, assessment and perioperative management. Further sections cover audit, trials, statistics, ethical and legal medicine, and the management of acute and chronic pain.