Obstetric anesthesia

A survey in the West Midlands of the United Kingdom of current practice in managing hypotension in lower segment caesarean section under spinal anaesthesia

Int J Obstet AnesthPublished Cross-sectional study

Authors' conclusion

Although NICE has since recommended prophylactic phenylephrine infusion and a target blood pressure, the previous international consensus statement was not adhered to routinely.

Study context

Population
Consultant obstetric anaesthetists and obstetric anaesthetic departments, 11 NHS Trusts in the Midlands, Englandconsultants responding
Participants
102 participants
Outcome
Adherence to 2017 international consensus recommendations on managing hypotension during caesarean section under spinal anaesthesia; local guidelines; clinicians' treatment thresholds
Methodological detailssurvey, multicentre, trainee-led research network
  • Survey
  • Multicentre
  • Trainee-led research network

Main finding

As reported in the abstract

Sites with a policy for vasopressor use

73%

Phenylephrine used as first-line drug

91%

Target BP listed in policies

50%

Observational data: associations, not effects.

Original publication

A survey in the West Midlands of the United Kingdom of current practice in managing hypotension in lower segment caesarean section under spinal anaesthesia. Int J Obstet Anesth. Published 1 June 2023. doi:10.1016/j.ijoa.2023.103899

Composed by AI from the published abstract and checked against it. How Briefs are made →

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