Indication

Prevention of hypotension during spinal anesthesia

Prevention of hypotension during spinal anesthesia refers to the prophylactic mitigation of an acute, perioperative decrease in systemic arterial blood pressure that occurs as an adverse cardiovascular effect of neuraxial block. Read more about Prevention of hypotension during spinal anesthesia

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About Prevention of hypotension during spinal anesthesia.

Prevention of hypotension during spinal anesthesia refers to the prophylactic mitigation of an acute, perioperative decrease in systemic arterial blood pressure that occurs as an adverse cardiovascular effect of neuraxial block.

This complication primarily affects the cardiovascular and central nervous systems, frequently manifesting in surgical patients undergoing lower-body procedures and notably in obstetric populations undergoing Cesarean delivery.

Pathophysiologically, the intrathecal administration of local anesthetics produces preganglionic sympathetic vasomotor blockade, causing significant arterial and venous vasodilation, peripheral blood pooling, and diminished venous return.

The resulting precipitous drop in systemic vascular resistance and effective circulating cardiac output can compromise vital organ perfusion and uteroplacental blood flow if not preemptively counteracted.

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