Key result
Crystalloid prehydration is no longer considered mandatory, and phenylephrine is at least as effective as ephedrine for preventing hypotension during spinal anaesthesia for caesarean section.
Why the study?
What are the current strategies for preventing hypotension following spinal anaesthesia in caesarean section?
Population
Pregnant women undergoing caesarean section under spinal anaesthesia
Design
Review
Authors
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Supports phenylephrine preference and questions mandatory crystalloid prehydration; leaves open prospective randomized confirmation.
What are the current strategies for preventing hypotension following spinal anaesthesia in caesarean section?
Phenylephrine is the preferred first-line vasopressor and co-hydration with colloids is favored over crystalloid prehydration for preventing hypotension during spinal anaesthesia for caesarean section.
Jayanta K. Mitra (2012) conducted a review in Hypotension following spinal anaesthesia in caesarean section. Fluid therapy and vasopressors was evaluated. Crystalloid prehydration is no longer considered mandatory, and phenylephrine is at least as effective as ephedrine for preventing hypotension during spinal anaesthesia for caesarean section.
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