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July 4, 2014Southern African Journal of Anaesthesia and AnalgesiaOpen Access

Predicting spinal hypotension during Caesarean section

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Why the study?

What are the predictors of spinal hypotension during Caesarean section?

Population

Pregnant women undergoing Caesarean section under spinal anaesthesia

Design

Review

Authors

DBDavid G. BishopUniversity of KwaZulu-Natal

Discussion

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Implication

Autonomic assessment may aid spinal hypotension prediction in Caesarean delivery but should not change practice; leaves open validation with standardized methods in larger studies.

Structured PICO

What are the predictors of spinal hypotension during Caesarean section?

P
Population
Pregnant women undergoing Caesarean section under spinal anaesthesia
I
Intervention
Methods to predict spinal hypotension (e.g., supine stress test, heart rate variability, perfusion index)
O
Outcome
Spinal hypotension

This review highlights that assessing autonomic function, such as through heart rate variability, shows promise in predicting severe spinal hypotension during Caesarean section, though current evidence is limited by inconsistent definitions and small study sizes.

Limitations

  • Lack of consensus regarding definitions of hypotension
  • Small study sizes in the available evidence
  • Lack of standardization in techniques for assessing heart rate variability

Cite This Study

David G. Bishop (2014) studied this question.

synapsesocial.com/papers/6a8a53071e528df4f2ec714ehttps://doi.org/10.1080/22201181.2015.959336
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Prediction of spinal anesthesia-induced hypotension during cesarean delivery: a narrative review2026 · 4 citations
  2. 2Management of hypotension after spinal anesthesia administered for caesarean section2017 · 1 citations
  3. 3Postspinal Anesthesia Hypotension in Caesarean Delivery: A Narrative Review2024 · 12 citations
  4. 4Prevention of hypotension after spinal anaesthesia for caesarean section: a systematic review and network meta‐analysis of randomised controlled trials2019 · 143 citations
  5. 5Prevention of Hypotension following Spinal Anaesthesia in Caesarean Section - then and now2012 · 11 citations