Non-Invasive Monitoring during Caesarean Delivery: Prevalence of Hypotension and Impact on the Newborn

Author:

Vasile Francesco1,La Via Luigi1ORCID,Murabito Paolo1,Tigano Stefano2,Merola Federica2,Nicosia Tiziana2,De Masi Giuseppe3,Bruni Andrea4,Garofalo Eugenio4,Sanfilippo Filippo15ORCID

Affiliation:

1. Department of Anesthesia and Intensive Care, University Hospital Policlinico “G. Rodolico-San Marco”, 95123 Catania, Italy

2. School of Anesthesia and Intensive Care, University Hospital Policlinico “G. Rodolico-San Marco”, 95123 Catania, Italy

3. Department of Anesthesia and Intensive Care, Azienda Ospedaliera “Santa Maria”, 05100 Terni, Italy

4. School of Anesthesia and Intensive Care, University “Magna Graecia”, 88100 Catanzaro, Italy

5. Department of General Surgery and Medical—Surgical Specialties, Section of Anesthesia and Intensive Care, University of Catania, 95123 Catania, Italy

Abstract

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.

Publisher

MDPI AG

Subject

General Medicine

Reference52 articles.

1. Global epidemiology of use of and disparities in caesarean sections;Boerma;Lancet,2018

2. Neuraxial and general anaesthesia for caesarean section;Watson;Best Pract. Res. Clin. Anaesthesiol.,2022

3. International consensus statement on the management of hypotension with vasopressors during caesarean section under spinal anaesthesia;Kinsella;Anaesthesia,2018

4. α-2 agonists vs. fentanyl as adjuvants for spinal anesthesia in elective cesarean section: A meta-analysis;Santonocito;Minerva Anestesiol.,2023

5. Epidural analgesia during labour and stress markers in the newborn;Murabito;J. Obstet. Gynaecol.,2021

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