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Hypotension during epidural anaesthesia for Caesarean section
Author(s) -
HALLWORTH D.,
JELLICOE J. A.,
WILKES R. G.
Publication year - 1982
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1982.tb00994.x
Subject(s) - medicine , caesarean section , preload , anesthesia , liter , elective caesarean section , general anaesthesia , surgery , pregnancy , hemodynamics , genetics , biology
Summary The incidence of hypotension occurring in women undergoing elective Caesarean section with epidural anaesthesia was investigated in 20 patients receiving an intravenous preload of 1 litre of Hartmann's solution and in 20 patients receiving 0.5 litre of polygelatin (Haemaccel) and 0.5 litre of Hartmann's solution. Hypotension occurred in 45% of the Hartmann's group but in only 5% of the polygelatin and Hartmann's group. An argument for the use of a 2‐litre intravenous preload of crystalloid solution is offered to provide prophylaxis against hypotension occurring during Caesarean section under epidural anaesthesia.