Non-Invasive Monitoring during Caesarean Delivery: Prevalence of Hypotension and Impact on the Newborn.
- Resource Type
- Article
- Authors
- Vasile, Francesco; La Via, Luigi; Murabito, Paolo; Tigano, Stefano; Merola, Federica; Nicosia, Tiziana; De Masi, Giuseppe; Bruni, Andrea; Garofalo, Eugenio; Sanfilippo, Filippo
- Source
- Journal of Clinical Medicine. Dec2023, Vol. 12 Issue 23, p7295. 10p.
- Subject
- *CESAREAN section
*HYPOTENSION
*HEMODYNAMIC monitoring
*NEWBORN infants
*SPINAL anesthesia
- Language
- ISSN
- 2077-0383
Background: The aim of our study was to investigate the prevalence of perioperative hypotension after spinal anesthesia for cesarean section using non-invasive continuous hemodynamic monitoring and its correlation with neonatal well-being. Methods: We included 145 patients. Spinal anesthesia was performed with a combination of hyperbaric bupivacaine 0.5% (according to a weight/height scheme) and fentanyl 20 μg. Hypotension was defined as a mean arterial pressure (MAP) < 65 mmHg or <60 mmHg. We also evaluated the impact of hypotension on neonatal well-being. Results: Perioperative maternal hypotension occurred in 54.5% of cases considering a MAP < 65 mmHg and in 42.1% with the more conservative cut-off (<60 mmHg). Severe neonatal acidosis occurred in 1.4% of neonates, while an Apgar score ≥ 9 was observed in 95.9% at 1 min and 100% at 5 min. Conclusions: Continuous non-invasive hemodynamic monitoring allowed an early detection of maternal hypotension leading to a prompt treatment with satisfactory results considering neonatal well-being. [ABSTRACT FROM AUTHOR]