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A comparison of the effect of phenylephrine versus ephedrine on the arterial blood pressure in women receiving spinal anesthesia for elective cesarean section /

Samy Nashaat Samy Ghaly

A comparison of the effect of phenylephrine versus ephedrine on the arterial blood pressure in women receiving spinal anesthesia for elective cesarean section / مقارنة بين تأثير الفينيل إفرين والإفدرين على ضغط الدم الشرياني في السيدات اللاتي يجرين عملية ولادة قيصرية تحت التخدير النصفي Samy Nashaat Samy Ghaly ; Supervised Ezzat Samy Aziz , Sahar Sayed I. Badawy , Reham Magdy Sadek Khafagy - Cairo : Samy Nashaat Samy Ghaly , 2014 - 89 P. : charts , facsimiles ; 25cm

Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Anesthesia

Background: Maternal hemodynamic changes are common during spinal anesthesia for cesarean delivery. Many agents are used for treating hypotension. This study compares the effect of ephedrine and phenylephrine on maternal hypotension in spinal anesthesia for cesarean section and their effect on fetal outcome. Results: Both drugs contolled the blood pressure effectively. Group P required less number of boluses than Group E for blood pressure control. Maternal Bradycardia was more noticed in group P. All neonatal Apgar scores at 5 minutes were 9. There was no difference in the incidence of nausea and vomiting in both groups. Conclusion:In combination with rapid co-loading, Phenylephrine is as effective as Ephedrine, when given in intravenous boluses, in controlling spinal anesthesia-induced hypotension in elective cesarean section, with similar neonatal outcome



Ephedrine Phenylephrine Spinal Anesthesia