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Aortocaval Compression Syndrome: Time to Revisit Certain Dogmas

Lee, A.J.; Landau, R.

Obstetric Anesthesia Digest: June 2018 - Volume 38 - Issue 2 - p 56–58
doi: 10.1097/01.aoa.0000532248.08399.5b
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(Anesth Analg. 2017;125(6):1975–1985)

A fundamental principle in the management of pregnant women has been the avoidance of the supine position in late pregnancy to prevent aortocaval compression (ACC) by the gravid uterus. However, this principle is based on studies designed over 70 years ago. In this review, the authors addressed the body of literature that has accumulated since the 1920s regarding ACC by the gravid uterus and proposed a critical reappraisal of common beliefs.

Department of Anesthesiology, Columbia University, New York, NY

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