Karnataka Anaesthesia Journal

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Vasopressors in Obstetric Anaesthesia: Current Considerations


Affiliations
1 Department of Anaesthesiology, Karnataka Institute of Medical Sciences, Hubli – 580022, Karnataka, India
 

Caesarean section is a routine operation in each and every hospital and spinal anaesthesia for it, is now the popular technique. Unfortunately maternal hypotension is the most common unwanted consequence of spinal anaesthesia that causes maternal and foetal adverse effects. Vasopressors are the most reliable method for management of hypotension. Ephedrine and phenylephrine are commonly used drugs to treat hypotension. Lot of research and clinical data are supporting the use of phenylephrine over ephedrine. New research is also emanating showing norepinephrine as an effective alternative to phenylephrine. Automated computer control system using multidrug vasopressor infusion may play a potential role in future.

Keywords

Ephedrine, Maternal hypotension, Norepinephrine, Phenylephrine, Vasopressors
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  • Vasopressors in Obstetric Anaesthesia: Current Considerations

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Authors

Safiya I. Sheikh
Department of Anaesthesiology, Karnataka Institute of Medical Sciences, Hubli – 580022, Karnataka, India
K. S. Sushma
Department of Anaesthesiology, Karnataka Institute of Medical Sciences, Hubli – 580022, Karnataka, India

Abstract


Caesarean section is a routine operation in each and every hospital and spinal anaesthesia for it, is now the popular technique. Unfortunately maternal hypotension is the most common unwanted consequence of spinal anaesthesia that causes maternal and foetal adverse effects. Vasopressors are the most reliable method for management of hypotension. Ephedrine and phenylephrine are commonly used drugs to treat hypotension. Lot of research and clinical data are supporting the use of phenylephrine over ephedrine. New research is also emanating showing norepinephrine as an effective alternative to phenylephrine. Automated computer control system using multidrug vasopressor infusion may play a potential role in future.

Keywords


Ephedrine, Maternal hypotension, Norepinephrine, Phenylephrine, Vasopressors

References