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Revista Mexicana de Anestesiología

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2026, Number S1

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Rev Mex Anest 2026; 49 (S1)

The administration or co-administration of fluids prior to neuroaxial block for cesarean section is not an outdated practice and should not be replaced by norepinephrine

Flores-Sánchez EE
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Language: Spanish
References: 15
Page: 373-374
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REFERENCES

  1. Ngan Kee WD. Prevention of maternal hypotension after regionalanaesthesia for caesarean section. Curr Opin Anaesthesiol. 2010;23:304-309. doi: 10.1097/ACO.0b013e328337ffc6.

  2. Banerjee A, Stocche RM, Angle P, Halpern SH. Preload or coload forspinal anesthesia for elective Cesarean delivery: a meta-analysis. Can JAnaesth. 2010;57:24-31.

  3. Heesen M, Carvalho B, Rijs K, et al. Crystalloid preload versuscrystalloid coload during spinal anesthesia for elective cesarean section;systematic review with meta-analysis and trial sequential analysis.Anesth Analg. 2020;131:899-909.

  4. Chooi C, Cox JJ, Lumb RS, Middleton P, Chemali M, Emmett RS, etal. Techniques for preventing hypotension during spinal anaesthesia forcaesarean section. Cochrane Database Syst Rev. 2017;8:CD002251.

  5. McDonalds S Fernando R, Ashpole K, Columb M. Effect of timing offluid administration on maternal hypotension during spinal anaesthesiafor caesarean delivery: a systematic review. Int J Obstet Anesth.2014;23:105-115.

  6. Dyer RA, Reed AR, van Dyk D, Arcache MJ, Hodges O, LombardCJ, et al. Hemodynamic effects of ephedrine, phenylephrine, and thecoadministration of phenylephrine with oxytocin during spinal anesthesiafor elective cesarean delivery. Anesthesiology. 2009;111:753-765. doi:10.1097/ALN.0b013e3181b437e0.

  7. Kinsella SM, Carvalho B, Dyer RA, Fernando R, McDonnell N, MercierFJ, et al. Interntational consensus statement on the management ofhypotension with vasopressors during caesarean section under spinalanaesthesia. Anaesthesia. 2018;73:71-92.

  8. Mercier FJ, Augé M, Hoffmann C, Fischer C, Le Gouez A. Maternalhypotension during spinal anesthesia for caesarean delivery. MinervaAnestesiolo. 2013;79:62-73.

  9. Sciscione AC, Ivester T, Largoza M, Manley J, Shlossman P,Colmorgen GH. Acute pulmonary edema in pregnancy. Obstet Gynecol.2003;101:511-515. doi: 10.1016/s0029-7844(02)02733-3.

  10. Ngan Kee WD. Fluid management in obstetric anesthesia: a practicalapproach. Curr Opin Anaestehsiol. 2019;32:357-364.

  11. Practice guidelines for obstetric anesthesia: an updated report bythe American Society of Anesthesiologists Task Force on ObstetricAnesthesia and the Society for Obstetric Anesthesia and Perinatology.Anesthesiology. 2016;124:270-300.

  12. Xu B, Li X, Lui J, Li J He H, Zhang Z, Comparison of norepinephrineand phenylephrine infusions for preventing hypotension during spinalanesthesia for cesarea delivery: a meta-analysisi. Anesth Analg.2020;130:1761-1773.

  13. Theodoraki K, Hadzilia S, Valsamidis D, Kalopita K, Stamatakis E.Colloid preload versus crystalloid co-load in the setting of norepinephrineinfusion during cesarean section: time and type of administered fluidsdo not matter. J Clin Med. 2023;12:1333.

  14. Xu S, Shen X, Liu S, Yang J, Chen X. Effect of crystalloid coloadon the dose requierement of norepinephrine for preventing spinalinducedhypotension during cesarean delivery. Drug Des Devel Ther.2023;17:123-131.

  15. Tawfik MM, Hayes SM, Jacoub FY, Badran BA, Gohar FM, ShabanaAM, et al. Comparison between colloid preload and crystalloid co-loadin cesarean section under spinal anesthesia: a randomized controlledtrial. Int J Obstet Anesth. 2014;23:317-323.




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Rev Mex Anest. 2026;49