Vasopressors against post-spinal anesthesia hypotension.

Vo, Christine T.; Townsend, Grace; Regens, Alexandra L.; Butt, Amir L.

The letter published in the Journal of Anesthesia critiques a study comparing epinephrine and phenylephrine infusion for preventing maternal hypotension after spinal anesthesia for cesarean delivery. The authors raise concerns about the study design, the definition of hypotension, and the lack of consideration for important covariates like fluid administration and hemoglobin levels. They suggest that further research is needed to evaluate the effectiveness of each vasopressor and associated complications. The authors of the letter commend the effort but do not find strong evidence to support changes in clinical practice based on the study.

SURGICAL blood loss; IRON deficiency anemia; DIASTOLIC blood pressure; SYSTOLIC blood pressure; CESAREAN section; GENERAL anesthesia

Journal of Anesthesia, 2024, Vol 38, Issue 6, p891

0913-8668

Academic Journal

10.1007/s00540-024-03375-9