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2016, Number 1

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Rev Mex Anest 2016; 39 (1)

Prevention and treatment of maternal hypotension during cesarean section under spinal block

Ochoa-Gaitán G, Hernández-Favela P, Ochoa-Millán JG, Acosta-Lua A

Language: Spanish
References: 45
Page: 71-78
PDF size: 229.98 Kb.


ABSTRACT

Perioperative blood pressure management is a key factor for anesthetists, as its instability is associated with adverse events. During anesthesia, blood pressure can be sustained by three vasopressor systems: the sympathetic nervous system, the renin-angiotensin system, and vasopressin. Keeping normovolemia is mandatory to avoid intraoperative hypotension, there are three strategies of fluid administrations that are equivalent for the prevention of maternal hypotension as well a reduced need for vasopressors: 1) colloid preload, 2) colloid co-load, and 3) crystalloid coload. Crystalloid preload is not as effective as any of these three strategies. Hypotension must be quickly treated by an intravenous agent and a decrease of depth of anesthesia to limit its duration and adverse events.


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