Rachianesthésie pour césarienne: remplissage, vasopresseurs et hypotension

The effect of 0.5 L 6 % hydroxyethyl starch 130/0.42 versus 1 L Ringer’s lactate preload on the hemodynamic status of parturients undergoing spinal anesthesia for elective cesarean delivery using arterial pulse contour analysis

“…The incidence of maternal hypotension was high in both the crystalloid (73.3 %) and colloid (46.7 %) groups, and was similar to previous reports [7][8][9]. However, in our study, obstetric patients undergoing CD under SA preloaded with 0.5 L of balanced potato-derived 6 % HES 130/0.42 (Tetraspan Ò ) exhibited better hemodynamic stability compared to patients preloaded with 1 L lactated R/L.…”

An Update on Drugs Used for Lumbosacral Epidural Anesthesia and Analgesia in Dogs

“…In humans, post-epidural hypotension was found to be very frequent (55–90%) in patients undergoing cesarean section and spinal anesthesia (54). A crystalloid or colloid preload alone was ineffective in preventing hypotension following the administration of the local anesthetic (17, 54).…”

“…In humans, post-epidural hypotension was found to be very frequent (55–90%) in patients undergoing cesarean section and spinal anesthesia (54). A crystalloid or colloid preload alone was ineffective in preventing hypotension following the administration of the local anesthetic (17, 54). Ephedrine (0.05 mg kg −1 IV), a non-selective agonist of beta and alpha receptors increases mean arterial blood pressure due to increases in systemic vascular resistance and cardiac output, may be effective in the treatment of post-epidural hypotension.…”

Évolution de la pratique de la rachianesthésie pour les césariennes en Côte d’Ivoire

“…La phényléphrine, agent alpha-agoniste pur, permet de corriger l'hypotension et minimise la survenue d'une acidose foetale avec moins d'effets secondaires que l'éphédrine seule. 3 Malheureusement nous ne disposons pas à ce jour de cette molécule dans nos blocs opératoires. Les nouveau-nés étaient évalués uniquement à l'aide du score d'Apgar, l'analyse du pH du cordon n'étant pas disponible dans notre établissement.…”