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International Consensus Statement on the Management of Hypotension With Vasopressors During Caesarean Section Under Spinal Anaesthesia

Kinsella, S.M.; Carvalho, B.; Dyer, R.A.; Fernando, R.; McDonnell, N.; Mercier, F.J.; Palanisamy, A.; Sia, A.T.H.; Van de Velde, M.; Vercueil, A. Consensus Statement Collaborators

doi: 10.1097/01.aoa.0000547270.12467.06
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(Anaesthesia. 2018;73:71–92)

The objective of this comprehensive consensus statement was to provide practical and independent advice to physicians for treating and managing spinal anesthesia-induced maternal hypotension in both resource-rich and resource-poor environments. This clinical best practices summary was necessary as there has been much variation in the methods used to manage spinal anesthesia-induced hypotension during cesarean section, and maternal hypotension increases risks to both maternal and fetal/neonatal health. While generalized recommendations have been made for the management of this problem by professional organizations, the authors indicated this was the first consensus statement providing specific, pragmatic recommendations for managing spinal anesthesia-induced hypotension.

Department of Anaesthesia, St Michael’s Hospital, Bristol, UK

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