Hypotension after spinal anesthesia for cesarean section: identification of risk factors using an anesthesia information management system

Brenck, Florian; Hartmann, Bernd; Katzer, Christian; Obaid, Reyad S.; Brüggmann, Dörthe; Benson, Matthew A.; Röhrig, Rainer; Jünger, Alexander

doi:10.1007/s10877-009-9168-x

Cited by 60 publications

(60 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The reported rates of spinal anesthesia-induced hypotension in various studies range between 5% and 60%. This wide range is due to the description of hypotension, the time interval when blood pressure measurements are made, age, sex, type of operation, presence of hypertension or diabetes, and the techniques used to collect data (5)(6)(7)(8).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A comparison of the effects of hyperbaric and isobaric bupivacaine spinalanesthesia on hemodynamics and heart rate variability

Toptaş¹,

Uzman²,

İŞİTMEZ³

et al. 2014

Turk J Med Sci

View full text Add to dashboard Cite

Molecular Electric Multipole Moment (MEMM) integrals have been derived for diatomic molecular systems, and then some lower multipole moments as dipole moments and quadrupole moments have been calculated for some diatomic molecules. The calculations have been performed by using our analytical formula over Slater-Type orbitals (STOs) with Cade and Huo's basis sets and the GAMESS program package working with Gaussian-Type basis sets (GTOs). The expressions which involve factorials are given in terms of binomial coefficients in order to speed up calculations. The results have been obtained in agreement with data found in the literature.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Factors that increase the risk of hypotension include patient factors (advanced age, female sex, pregnancy, obesity, diabetes mellitus, hypertension, and anemia) and technical factors such as a block level at or above T5, use of opioids during premedication, and high local anesthetic dosages (5)(6)(7)(8).…”

Section: Introductionmentioning

confidence: 99%

A comparison of the effects of hyperbaric and isobaric bupivacaine spinalanesthesia on hemodynamics and heart rate variability

Toptaş¹,

Uzman²,

İŞİTMEZ³

et al. 2014

Turk J Med Sci

View full text Add to dashboard Cite

show abstract

“…The occurrence of hypotension due to SA ranges between 15% and 56.5% in some studies 11 12. Hypotension results from a decline in systemic vascular resistance from the sympathetic blockage via vasodilation and the spread of central blood volume to the splanchnic beds and lower extremities.…”

Section: Discussionmentioning

confidence: 99%

Multiple territory watershed infarcts following spinal anaesthesia

2014

View full text Add to dashboard Cite

Hypotension is one of the most common complications of spinal anaesthesia (SA). The intraoperative drop in the blood pressure is clearly associated with increased morbidity and mortality. In order to increase the awareness of this complication, we report a case of devastating stroke following an SA in a previously well woman with risk factors for vascular diseases. The patient developed multiple territory watershed infarcts and she eventually died from aspiration pneumonia 14 days after hospitalisation. The case highlights the risk of hypotension complicating SA.

show abstract

“…Spinal anaesthesia is a widely used anaesthetic technique for caesarean as it avoids the risks of general anesthesia related to difficult intubation and aspiration of gastric contents [1][2][3]. Spinal anesthesia in pregnant women is associated with greater incidence of hypotension (80%) observed in non-pregnant women despite the preloaded or coloaded fluid [4].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Intravenous Prophylactic Phenylephrine for the Prevention of Spinal Anaesthesia Induced Hypotension during Caesarean Section. A Prospective Observational Study

Agegnehu¹,

Gebregzi²,

Lemma³

et al. 2017

J Anesth Clin Res

View full text Add to dashboard Cite

Background: Hypotension is one of the common complications of spinal anaesthesia. It has many detrimental effects to the mother and fetus if left untreated. Recently, phenylephrine is introduced for the treatment of hypotension in our hospital. However, its efficacy on the prevention of spinal anaesthesia induced hypotension is still under controversy. We aimed to assess the effectiveness of phenylephrine prophylaxis on spinal hypotension after caesarean section.

show abstract

Hypotension after spinal anesthesia for cesarean section: identification of risk factors using an anesthesia information management system

Abstract: Knowledge of these risk factors should increase the anesthesiologist's attention to decide for the necessity to employ prophylactic or therapeutic techniques or drugs to prevent the neonate from any risk resulting of hypotension of the mother.

Cited by 60 publications

References 31 publications

A comparison of the effects of hyperbaric and isobaric bupivacaine spinalanesthesia on hemodynamics and heart rate variability

A comparison of the effects of hyperbaric and isobaric bupivacaine spinalanesthesia on hemodynamics and heart rate variability

Multiple territory watershed infarcts following spinal anaesthesia

Effectiveness of Intravenous Prophylactic Phenylephrine for the Prevention of Spinal Anaesthesia Induced Hypotension during Caesarean Section. A Prospective Observational Study

Contact Info

Product

Resources

About