Anesthésie pour césarienne

Chassard, D.; Bouvet, Lionel

doi:10.1016/j.anrea.2015.01.001

Cited by 7 publications

(4 citation statements)

References 87 publications

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“…This finding was made by Cowper et al who reported that SA leads to maternal hypotension in 50% -80% of cases [3]. Similarly, other authors have shown that SA-induced hypotension is thought to result from preganglionic sympathetic block and therefore vasodilation [4] [5].…”

Section: Introductionmentioning

confidence: 83%

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Management of Arterial Hypotension Induced by Spinal Anesthesia during Cesarean Section at the Parakou University Hospital in Benin in 2020: Ephedrine versus Noradrenaline

Tchaou¹,

Massaoulé²,

Oriane³

et al. 2022

OJAnes

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Background: Spinal anesthesia (SA) is a preferred anesthetic technique for childbirth through caesarean section. It causes a sympathetic block responsible for low blood pressure which can be prevented or treated with vasopressors. Aim: This research aims to compare the effect of Noradrenaline with that of Ephedrine in the management of arterial hypotension caused by SA during Caesarean act. Study method: It was a cross-sectional study with two comparative settings which took place at the Teaching hospital of Parakou from April 15 th to August 15 th 2020. It included all parturients who underwent a caesarian act and received spinal anesthesia. To prevent hypotension two groups were formed. The first group parturient received Noradrenaline (10 γ) as prophylactic and the second group received Ephedrine (10 mg) before anesthesia. The main evaluation criteria were the time before the hypotension occurs and, the secondary endpoint was the number of hypotension episode. The two groups were compared using the usual statistical tests. The study received the approval of the Local Ethical committee of University of Parakou. Results: Two hundred and four parturients were compiled with 102 in each group. The mean age was 28.37 ± 6.15 years with extremes of 16 and 45 years. The main indications for Caesarean section were respectively iterative Caesarean section (46.57%) for scheduled Caesarean section and acute fetal distress (15.69%) for emergency Caesarean section. The incidence of hypotension was 38.24%.

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Section: Introductionmentioning

confidence: 83%

“…Two sympathomimetic agents have been widely studied in different protocols. Ephedrine was the first vasopressor used in the management of post SA-induced hypotension, but it is not without consequences and is thought to be responsible for neonatal acidosis [4] [8].…”

Section: Introductionmentioning

confidence: 99%

Management of Arterial Hypotension Induced by Spinal Anesthesia during Cesarean Section at the Parakou University Hospital in Benin in 2020: Ephedrine versus Noradrenaline

Tchaou¹,

Massaoulé²,

Oriane³

et al. 2022

OJAnes

View full text Add to dashboard Cite

show abstract

“…Pourtant, les spécificités de prise en charge et les conséquences potentielles sur le pronostic final sont telles qu'il est indispensable de s'être bien préparé à faire face à cet événement improbable et à pouvoir ainsi coordonner l'action et le comportement des multiples intervenants souvent déroutés, voire incohérents. L'article de Chassard et Bouvet [1] porte sur l'anesthésie pour césarienne et nous fourni les éléments développés dans la Conférence d'essentiel du Pr Dominique Chassard lors du congrès de la Sfar en septembre dernier. Douze points essentiels sont listés en début d'article.…”

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“…En consé-quence, il ne faut surtout pas sous-doser les concentrations anesthésiques chez la femme enceinte, car cela majore le risque de mémorisation alors qu'il est déjà élevé du fait de l'absence habituelle d'emploi d'un morphinique avant le clampage du cordon ombilical. Un autre point d'évolution marqué des pratiques concerne le moment de réalisation de l'antibioprophylaxie [1]. Classiquement, il était effectué après le clampage du cordon [8].…”

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