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Randomized Double-blinded Comparison of Norepinephrine and Phenylephrine for Maintenance of Blood Pressure During Spinal Anesthesia for Cesarean Delivery

Ngan Kee, W.D.; Lee, S.W.Y.; Tan, P.E.; Khaw, K.S.

Obstetric Anesthesia Digest: March 2016 - Volume 36 - Issue 1 - p 1
doi: 10.1097/01.aoa.0000479438.41471.61
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Commentary

(Anesthesiology. 2015;122:736–745)

In women undergoing spinal anesthesia for cesarean delivery, phenylephrine is often administered to control blood pressure, but it can also slow maternal heart rate and decrease cardiac output. This is not generally problematic in healthy deliveries, but if the fetus is stressed, a different vasopressor should be considered.

Department of Anaesthesia and Intensive Care, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong, China

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