Abstract
During cesarean delivery with neuraxial anesthesia, maternal hemodynamic changes occur with prehydration of intravenous fluid, block onset and delivery of the fetus. The direction and degree of these hemodynamic changes is influenced by multiple interacting variables including the physiologic and anatomic alterations of pregnancy, maternal and fetal characteristics, comorbid conditions, the neuraxial technique, the amount of blood loss and fluid and drug administration. In this review, the influences of each of these variables, as well as the techniques used to evaluate, prevent and treat hypotension, are discussed to provide a comprehensive overview of the cardiovascular alterations in the parturient undergoing cesarean delivery with neuraxial anesthesia.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 59-75 |
| Number of pages | 17 |
| Journal | Expert Review of Obstetrics and Gynecology |
| Volume | 7 |
| Issue number | 1 |
| DOIs | |
| State | Published - Jan 2012 |
| Externally published | Yes |
Keywords
- cardiac output
- cesarean delivery
- cesarean section
- epidural anesthesia
- hemodynamic changes
- neuraxial anesthesia
- spinal anesthesia
- transesophageal echocardiography
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Reproductive Medicine
- Obstetrics and Gynecology
- Maternity and Midwifery