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Medicas UIS
versão impressa ISSN 0121-0319
Resumo
LOPEZ-HERNANDEZ, María Gabriela e MELENDEZ-FLOREZ, Héctor Julio. Hypotension under regional spinal anesthesia in non-obstetric population. Medicas UIS [online]. 2017, vol.30, n.1, pp.73-78. ISSN 0121-0319. https://doi.org/10.18273/revmed.v30n1-2017006.
Introduction:
regional subarachnoid anesthesia is a very useful technique. however, the leading side effect affects the cardiovascular system. Few studies regarding non-obstetric population are published. Comorbidities and the variety of patients make the diagnosis and management difficult to establish.
Objective:
to review physiopathology, and emphasize risk factors and management of hypotension under regional spinal anesthesia.
Searching Methodology:
literature search was performed using PubMed, Science Direct, EbscoHost and MEDLINE; those exclusively including obstetric population were excluded. 63 articles matched the criteria.
Conclusions:
the risk factors that were identified were age, physical status, hypertension and obesity. Although there is no consensus in the management protocol, identifying these patients at risk allows a preventive intervention and the taking of measures that avoid major complications. Intravenous fluids as co-loading still remain valid; vasopressors should be limited to patients at risk. MÉD.UIS. 2017;30(1):73-8.
Palavras-chave : Anesthesia; Spinal. Hypotension. Vasoconstrictor Agents..