Hypotension under regional spinal anesthesia in non-obstetric population
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López-Hernández, M. G., & Meléndez-Flórez, H. J. (2017). Hypotension under regional spinal anesthesia in non-obstetric population. Médicas UIS, 30(1), 73–78. https://doi.org/10.18273/revmed.v30n1-2017006

Abstract

regional subarachnoid anesthesia is a very useful technique. however, the leading side effect affects the cardiovascular system. Few studies regarding non-obstetric population are published. Comorbidities and the variety of patients make the diagnosis and management difficult to establish. Objective: to review physiopathology, and emphasize risk factors and management of hypotension under regional spinal anesthesia. Searching Methodology: literature search was performed using PubMed, Science Direct, EbscoHost and MEDLINE; those exclusively including obstetric population were excluded. 63 articles matched the criteria. Conclusions: the risk factors that were identified were age, physical status, hypertension and obesity. Although there is no consensus in the management protocol, identifying these patients at risk allows a preventive intervention and the taking of measures that avoid major complications. Intravenous fluids as co-loading still remain valid; vasopressors should be limited to patients at risk. MÉD.UIS. 2017;30(1):73-8.

Keywords: Anesthesia, Spinal. Hypotension. Vasoconstrictor Agents.

https://doi.org/10.18273/revmed.v30n1-2017006
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