Strategies to prevent and treat hypotension in cesareans under neuraxial anesthesia: survey of Peruvian anesthesiologists

Authors

  • Yndira Oyola Vargas Médico anestesiólogo; Hospital Nacional Guillermo Almera Irigoyen, EsSalud, Lima, Perú
  • Renato Moreno Gonzales Médico anestesiólogo; Instituto Nacional Materno Perinatal, Ministerio de Salud, Lima, Perú
  • Gunther Vasquez Rojas Médico anestesiólogo; Instituto Nacional Materno Perinatal, Ministerio de Salud, Lima, Perú
  • Jean Paul Gutierrez Guevara Médico anestesiólogo; Instituto Nacional Materno Perinatal, Ministerio de Salud, Lima, Perú
  • Miguel Sandoval Vegas Magister; Facultad de Medicina, Universidad Nacional Mayor de San Marcos, Lima, Perú

DOI:

https://doi.org/10.15381/anales.v79i3.15320

Abstract

To the Editor, Spinal anesthesia is considered the technique of choice in most cesareans, with hypotension being the most common adverse effect. The symptoms that frequently accompany hypotension are: nausea, vomiting, dyspnea and neonatal deleterious effects, among them, low Apgar score and acidosis in cord blood gas analysis1. The question is what is the most effective strategy to prevent and treat hypotension secondary to spinal anesthesia for caesarean section? It is crucial in obstetric anesthesia and the response is related to the physiological events that lead to hypotension. For many years the administration of a volume of crystalloids prior to the placement of spinal anesthesia was mandatory, just as ephedrine was considered the vasopressor of choice to treat such hypotension. The available scientific evidence shows us the opposite2.

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Published

2018-10-09

Issue

Vol. 79 No. 3 (2018)

Section

Cartas al Editor

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How to Cite

1.
Oyola Vargas Y, Moreno Gonzales R, Vasquez Rojas G, Gutierrez Guevara JP, Sandoval Vegas M. Strategies to prevent and treat hypotension in cesareans under neuraxial anesthesia: survey of Peruvian anesthesiologists. An Fac med [Internet]. 2018 Oct. 9 [cited 2024 Jul. 17];79(3):262-3. Available from: https://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/15320