Open AccessCombined Colloid Preload and Crystalloid Coload Versus Crystalloid Coload During Spinal Anesthesia for Cesarean Delivery: A Randomized Controlled Trial
Author(s) -
Mona K. Tawfik,
A.I. Tarbay,
Ahmed Mohamed Elaidy,
Karim Awad,
Hanaa Mohamed Ezz,
Mohamed Ahmed Tolba
Publication year - 2019
Publication title -
anesthesia and analgesia/anesthesia and analgesia
Language(s) - English
Resource type - Journals
eISSN - 1526-7598
pISSN - 0003-2999
DOI - 10.1213/ane.0000000000003306
Subject(s) - medicine , preload , anesthesia , ephedrine , inferior vena cava , hemodynamics , fentanyl , randomized controlled trial , surgery
The optimal strategy of fluid administration during spinal anesthesia for cesarean delivery is still unclear. Ultrasonography of the inferior vena cava (IVC) has been recently used to assess the volume status and predict fluid responsiveness. In this double-blind, randomized controlled study, we compared maternal hemodynamics using a combination of 500-mL colloid preload and 500-mL crystalloid coload versus 1000-mL crystalloid coload. We assessed the IVC at baseline and at subsequent time points after spinal anesthesia.