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Neuraxial hypotension

Discussion in 'Anesthesiology' started by DreamLover, Dec 10, 2008.

  1. DreamLover

    DreamLover Bored Certified
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    Does anyone out there know of a decent article that describes a known relationship of using low dose IM ephedrine/IV ephedrine/IV phenylephrine to treat hypotension post epidural placement and subsequent placental abruption?

    Anyone have any thoughts on this?

    Thanks!
     
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  3. Planktonmd

    Moderator Emeritus Lifetime Donor Classifieds Approved 10+ Year Member

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    Are you saying that the injection of Ephedrine or Phenylephrine would be somehow responsible for the abruption?
     
  4. mille125

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    i dont see a causal relationship here...
     
  5. DreamLover

    DreamLover Bored Certified
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    no...I'm not saying it is...I was wondering if anyone out there had ever postulated the idea....I peresonally can't come up with a good mechanism that would describe it.....that's why I was asking
     
  6. Planktonmd

    Moderator Emeritus Lifetime Donor Classifieds Approved 10+ Year Member

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    Did someone tell you that an abruption happened because you gave a pressor?
     
  7. toughlife

    toughlife Resident
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    :laugh:
     
  8. DreamLover

    DreamLover Bored Certified
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    no, not at all...it's just that 2 cases this week alone involved a great sympathectomy with accompanying hypotension, treatment of hypotension and subsequent within the hour c-sections for abruptions....just associations, certainly not causations-I think it is just a random thing that occured and probably more related to the no prenatal care /poorly compliant population that the university serves
     
  9. mille125

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    bingo
     
  10. huktonfonix

    huktonfonix board certified!
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    Im sure the coke use amongst this population isnt helping either
     

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