Refractory hypotension during caesarean section following pre-operative administration of anti-hypertensive agents

Kannan, Santhana; Millns, J.P.; Kilby, Mark

doi:10.1016/s0959-289x(03)00003-7

Cited by 3 publications

(3 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Numerous case reports related to the use of nifedipine describe cardiovascular adverse events such as severe hypotension, acute myocardial ischaemia or infarction, conduction disturbances, torsade de pointes, ventricular fibrillation faetal distress and death in the literature (7–18).…”

Section: Discussionmentioning

confidence: 99%

“…In 1996, Grossman et al (18) reported the cases of neurologic and cardiac events related to nifedipine use and advised to abandon the routine use of short‐acting nifedipine capsule. But the use of nifedipine continues, and cases are still reported (3,14,15,17,18). In recent case reports, Kannan et al (17) described concomitant use of nifedipine and labetalol that caused hypotension in a complicated delivery with placental abruption, and Schier et al (19) notified hypotension and fatality from administration of labetalol and crushed extended‐release nifedipine.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Adverse events associated with aggressive treatment of increased blood pressure

Yanturali

Akay

Ayrık

et al. 2004

International Journal of Clinical Practice

View full text Add to dashboard Cite

Patients with severely increased blood pressure often present to the emergency department. Rapid lowering of blood pressure can precipitate or worsen end organ damage. We report two cases that developed cerebrovascular and cardiovascular adverse events associated with aggressive treatment of increased blood pressure by the use of sublingual nifedipine capsule. The first patient had developed ischaemic stroke; the second patient actually had acute left ventricular failure causing deteriorated, and required positive inotropic treatment for persistent hypotension. These cases emphasise that the pseudoemergency may rapidly progress into a real emergency when blood pressure is rapidly and aggressively reduced.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Adverse events associated with aggressive treatment of increased blood pressure

Yanturali

Akay

Ayrık

et al. 2004

International Journal of Clinical Practice

View full text Add to dashboard Cite

show abstract

“…274 In using phenylephrine, anesthesiologists are cautioned to evaluate the different formulations 275 and to consider the refractory hypotension that can occur. 276 In an editorial, Vallejo and Ramanathan suggest that the choice of vasopressor should depend on the blood pressure and heart rate. 277 Isomers of currently used agents may prove to be superior alternatives to those in current use, although Kobayashi et al found no difference in umbilical artery or vein contractions to different ephedrine stereoisomers.…”

Section: Complications Of Anesthesiamentioning

confidence: 99%