Management of hypotension after spinal anesthesia during caesarean section: a multicenter survey of physicians and review of the literature

• DOI: 10.22141/2224-0586.19.5.2023.1610
• Publication Date: 2023-10-20T18:45:18Z
• Authors: N.V. Tytarenko; A.V. Vozniuk; O.I. Datsiuk; E.V. Slyvka; S.K. Litvinov; A.V. Kostiuchenko; G.M. Mazur; O.V. Sergiychuk; G.V. Bevz
• Keywords: Phenylephrine

Background. Hypotension during caesarean section under spinal anesthesia occurs in 75–90 % of cases and may causes adverse effects a mother newborn. The purpose the work is to analyze adherence anesthesiologists guidelines current protocols on management hypotension maternity hospitals/departments Vinnytsia region. Materials methods. We conducted multicenter survey involving 70 from 21 hospitals or departments medical facilities Our electronic questionnaire included questions about measures prevent treat cesarean anesthesia. Results. 98.5 who provide care for obstetric patients region routinely use phenylephrine maintain hemodynamics after However, share respondents vasopressor prophylactically only 15.7 %. It was found that, addition phenylephrine, doctors perform non-pharmacological prevention anesthesia: 35.7 — aortocaval compression, 8.5 12.9 elastic compression lower extremities with/without respectively. Also, most (67.1 %) prescribe pre-infusion with both crystalloids colloids subsequent post-infusion volume crystalloid solutions 400 1500 ml more. According data obtained, often hyperbaric bupivacaine (60 %); isobaric (35.7 lidocaine (4.3 are used less often. Conclusions. analysis practice indicates need develop implement clear unified strategy ­managing vasopressors within framework program accelerated recovery women labor