Vasoactive drugs for the management of maternal arterial hypotension after spinal anesthesia for cesarean section. An updated integrative narrative review

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dc.contributor.authorAstete, Martin
dc.contributor.authorLorena Basso, V
dc.contributor.authorLacassie, Hector J.
dc.date.accessioned2025-01-20T16:05:18Z
dc.date.available2025-01-20T16:05:18Z
dc.date.issued2024
dc.description.abstractSpinal neuraxial anesthesia remains the technique of choice due to its large number of maternal-fetal advantages over general anesthesia. However, its adverse effects, such as hypotension, nausea and vomiting continue to represent an important source of morbimortality and a challenge for anesthesiologists. Currently, there are different strategies for its prevention and management, vasoactive drugs being one of the mainstay treatments. In recent years different pharmacological alternatives and administration schemes have emerged in hopes of finding the ideal one and ending this dilemma. The objective of this integrative narrative review is to provide an update on vasoactive drugs used in cesarean section with the latest available evidence. To date, norepinephrine seems to achieve hemodynamic stability with a lower rate of maternal-fetal complications in patients without other associated complications.
dc.fuente.origenWOS
dc.identifier.doi10.1016/j.tacc.2024.101491
dc.identifier.eissn2210-8467
dc.identifier.issn2210-8440
dc.identifier.urihttps://doi.org/10.1016/j.tacc.2024.101491
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/89888
dc.identifier.wosidWOS:001339940100001
dc.language.isoen
dc.revistaTrends in anaesthesia and critical care
dc.rightsacceso restringido
dc.subjectCesarean section
dc.subjectVasoconstrictors
dc.subjectSpinal anesthesia
dc.subjectHypotension
dc.subjectEpinephrine
dc.subjectPhenylephrine
dc.subjectNorepinephrine
dc.subjectEphedrine
dc.titleVasoactive drugs for the management of maternal arterial hypotension after spinal anesthesia for cesarean section. An updated integrative narrative review
dc.typeartículo
dc.volumen58
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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