[Comparison of prophylactic infusion of ephedrine and phenylephrine during Cesarean section under spinal anaesthesia]

Ugeskr Laeger. 2006 Apr 3;168(14):1428-31.
[Article in Danish]

Abstract

Spinal anaesthesia for caesarean delivery may be associated with hypotension and fetal acidosis. Prophylactic infusion of phenylephrine (PE) immediately after the induction of anaesthesia appears to be a more effective approach than administration of ephedrine to reduce the incidence, frequency and severity of hypotension. Furthermore, PE appears to be associated with better fetal acid-base status than is ephedrine.

Publication types

  • Comparative Study
  • English Abstract

MeSH terms

  • Acidosis / prevention & control
  • Adrenergic alpha-Agonists / administration & dosage*
  • Adrenergic alpha-Agonists / adverse effects
  • Anesthesia, Obstetrical* / adverse effects
  • Anesthesia, Spinal* / adverse effects
  • Cesarean Section*
  • Ephedrine / administration & dosage*
  • Ephedrine / adverse effects
  • Female
  • Humans
  • Hypotension / prevention & control
  • Infant, Newborn
  • Infusions, Intravenous
  • Phenylephrine / administration & dosage*
  • Phenylephrine / adverse effects
  • Pregnancy
  • Vasoconstrictor Agents / administration & dosage*
  • Vasoconstrictor Agents / adverse effects

Substances

  • Adrenergic alpha-Agonists
  • Vasoconstrictor Agents
  • Phenylephrine
  • Ephedrine