Revista Ciencias Biomédicas (Jun 2014)
USE OF FLUIDS AND VASOPRESSORS IN THE PREVENTION AND MANAGEMENT OF THE SPINAL ANESTHESIA-INDUCED HYPOTENSION DURING SCHEDULED CESAREAN SECTION IN COLOMBIAN WOMEN (IN SPANISH)
Abstract
Introduction: during the scheduled cesarean section, the main side effect of the spinal anesthesia is the spinal anesthesia-induced hypotension (SAIH). Objective: to identify the course of action with regard to the use of fluids and vasopressors for the prevention and management of the SAIH during the cesarean section in healthy women. Methods: a survey by means of e-mail address was carried out to the members of the Sociedad Colombiana de Anestesiología y Reanimación (SCARE) in April in 2012, with the objective to determine their strategies for the prevention and management of the SIAH with regard to the use of fluids and vasopressors. This survey was created by the authors and without the validation process. Results: of 2113 anesthesiologists, just 491 (23.2%) answered the survey. 61.7% of the participants used fluids as prevention strategies of the SAIH. Of them, 60% administered it only as precharge and the other ones as adjuvant. 10.2% of all the participants combined intravenous fluids and vasopressors. 3.7% used only vasopressors and the 24.4% did not use any of those measures as prevention of the SAIH. The crystalloids were used by more than 99% of the survey respondents that administer fluids in a routine way, being the doses of preference between 500 and 1000 cc. Just the 14% of the survey respondents use vasopressors in a prophylactic way, from which the 53% uses etilefrine, the majority in intravenous bolus. The majority of the survey respondent use vasopressors just in a therapeutic way, being preferred by 65% the etilefrine, followed by the ephedrine, both administered mainly in intravenous bolus. Conclusions: the etilefrine is the most used agent by a group of Colombian anesthesiologists belong to the SCARE, mainly in intravenous bolus, as prophylactic and therapeutic measure for the SAIH in cesarean section. Rev.cienc.biomed. 2014;5(2):263-271. KEYWORDS Hypotension, Obstetrical anesthesia, Spinal anesthesia, Vasoconstrictor agents
