Refractory hypotension under neuraxial anesthesia for cesarean delivery  

作　　者：Shu-Ying Li Xiao-Jing Chen Xue-Mei Lin 

机构地区：[1]Department of Anesthesiology,West China Second Hospital of Sichuan University,Key Laboratory of Birth Defects and Related Diseases of Women and Children,Sichuan University,Ministry of Education,Chengdu,Sichuan 610041,China

出　　处：《Chinese Medical Journal》2019年第12期1509-1511,共3页中华医学杂志（英文版）

摘　　要：Aortocaval compression syndrome is also known as a supine hypotensive syndrome, it is very common in late pregnancy especially in supine positioning under neuraxial anesthesia. It is occurred when the inferior vena cava and the aorta were compressed by the uterus, and often manifested as hypotension, tachycardia, nausea, dizziness, and syncope. Besides, reducing of uteroplacental perfusion may result in morbidity or even mortality to the fetus. It is critical to recognize the cause of hypotension in the pregnant patient, and it is necessary to alleviate the compressing pressure of uterus on the inferior vena cava immediately if suspected of aortocaval compression. We report a pregnant woman with rheumatoid arthritis (RA) who experienced refractory hypotension resistant to large doses of vasopressor therapy when undergoing cesarean delivery with combined spinal-epidural anesthesia.

关 键 词：REFRACTORY HYPOTENSION neuraxial ANESTHESIA CESAREAN delivery 

分 类 号：R[医药卫生]