지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 97 - 102 (6page)
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초록· 키워드
오류제보하기
Spinal anesthesia is widely used for parturients undergoing scheduled elective caesarean section. Hypotension associated with spinal anesthesia is a major concern in obstetrics. Preventive methods for post-spinal hypotension include intravenous fluid preloading, bolus or continuous injection of vasopressors. Intravenous fluid preloading reduces the incidence and severity of maternal hypotension during spinal anesthesia administered for cesarean section. Although fluid preloading prevents maternal hypotension, it is not advisable to delay spinal anesthesia for preloading a fixed volume of intravenous fluid. Ephedrine, the drug of choice to prevent maternal hypotension during spinal anesthesia for caesarean delivery, acts by maintaining the uteroplacental blood flow. Phenylephrine is also effective in reducing maternal hypotension during this procedure. Both the vasopressors are acceptable for preventing hypotension. However, in the absence of maternal bradycardia, phenylephrine is the preferred drug for the management of hypotension during regional anesthesia for caesarean section, because of its improved fetal acid-base status.
목차
등록된 정보가 없습니다.
참고문헌 (34)
참고문헌 신청
Goetzl LM / 2002 / ACOG Practice Bulletin. Clinical Management Guidelines for Obstetrician-Gynecologists Number 36, July 2002. Obstetric analgesia and anesthesia / Obstet Gynecol 100:177~191
Hawkins JL / 2011 / Anesthesia-related maternal mortality in the United States : 1979-2002 / Obstet Gynecol 117:69~74
Kinsella SM / 1994 / Supine hypotensive syndrome / Obstet Gynecol 83:774~788
Eckstein KL / 1974 / Aortocaval compression and uterine displacement / Anesthesiology 40:92~96
Hughes SC / 2002 / Shnider and Levinson’s anesthesia for obstetrics / Lippincott Williams & Wilkins :136~137
Hawkins JL / 2011 / Anesthesia-related maternal mortality in the United States : 1979-2002 / Obstet Gynecol 117:69~74
Kinsella SM / 1994 / Supine hypotensive syndrome / Obstet Gynecol 83:774~788
Eckstein KL / 1974 / Aortocaval compression and uterine displacement / Anesthesiology 40:92~96
Hughes SC / 2002 / Shnider and Levinson’s anesthesia for obstetrics / Lippincott Williams & Wilkins :136~137
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