130101 CSの脊麻 Co-load

Meta-analysis 8 研究, 518 例
低血圧発症
Co-load 159/268 (59.3%)
Pre-load 156/250 (62.4%)
差なし
血管収縮薬は必要
Banerjee A. Can J Anesth 2010; 57: 24-31
http://link.springer.com/article/10.1007%2Fs12630-009-9206-7

‘‘Although fluid preloading reduces the frequency of maternal hypotension, initiation of spinal anesthesia should not be delayed to administer a fixed volume of intravenous fluid.’’
American Society of Anesthesiologists Task Force on Obstetric Anesthesia. Practice guidelines for obstetric anesthesia: an updated report by the American Society of Anesthesiologists Task Force on Obstetric Anesthesia.
Anesthesiology 2007; 106: 843
http://journals.lww.com/anesthesiology/Citation/2007/04000/Practice_Guidelines_for_Obstetric_Anesthesia__An.27.aspx