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Norepinephrine for Spinal Hypotension During Cesarean Delivery: Another Paradigm Shift?

Carvalho, B.; Dyer, R.A.

Obstetric Anesthesia Digest: March 2016 - Volume 36 - Issue 1 - p 1–2
doi: 10.1097/01.aoa.0000479471.83785.3a
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Commentary

(Anesthesiology. 2015;122:728–730)

In elective cesarean deliveries, spinal anesthesia can often result in maternal hypotension, which can lead to nausea, fetal acidosis, and cardiovascular collapse. Phenylephrine is the standard drug used to prevent hypotension, and has repeatedly been shown to be more effective than ephedrine in a number of studies by Ngan Kee et al.

Department of Anesthesia, Stanford University School of Medicine, Stanford, CA; Department of Anesthesia, University of Cape Town, Cape Town, South Africa

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