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Phenylephrine Infusion: Driving a Wedge in Our Practice of Left Uterine Displacement?

Farber, M.K.; Bateman, B.T.

Obstetric Anesthesia Digest: June 2018 - Volume 38 - Issue 2 - p 55–56
doi: 10.1097/
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(Anesthesiology. 2017;127(2):212–214)

Reported in up to 95% of healthy women, maternal hypotension is very common after spinal anesthesia during cesarean delivery when no prophylactic therapy is used. Both mechanical prophylaxis (tilting or wedging) and pharmacologic prophylaxis are recommended to prevent hypotension following a neuraxial anesthetic. Left uterine displacement, using either a pelvic wedge or lateral table adjustment, is widely used during cesarean delivery under spinal anesthesia to prevent hypotension related to aortocaval compression.

Department of Anesthesiology, Perioperative and Pain Medicine, Division of Obstetric Anesthesia, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA

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