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Review
. 2019 Jun;32(3):268-270.
doi: 10.1097/ACO.0000000000000712.

Low-dose spinal anesthesia for cesarean section to prevent spinal-induced hypotension

Marc Van de Velde  1   2
Affiliations
Review

Low-dose spinal anesthesia for cesarean section to prevent spinal-induced hypotension

Marc Van de Velde. Curr Opin Anaesthesiol. 2019 Jun.

Abstract

Purpose of review: Low-dose combined spinal epidural (CSE) anesthesia is a common technique to anesthetize women for cesarean section. It is used to reduce the incidence of hypotension while providing excellent anesthetic conditions.

Recent findings: Low spinal doses produce effective anesthesia but of limited duration. Therefore, an epidural catheter (and thus CSE) is required to guarantee pain-free surgery. Recent work confirmed that lower spinal doses can reduce significantly hypotension.

Summary: Low-dose CSE is a valuable strategy to anesthetize pregnant women for cesarean section but requires attention and training.

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