TY - JOUR
T1 - Fluid preload before spinal anaesthesia in Caesarean section
T2 - The effect on neonatal acid-base status
AU - Chanimov, M.
AU - Gershfeld, S.
AU - Cohen, M. L.
AU - Sherman, D.
AU - Bahar, M.
PY - 2006/8
Y1 - 2006/8
N2 - Background and objective: We evaluated the effect of two different preload solutions: (i) Ringer's lactate (compound sodium lactate intravenous infusion BP) and (ii) 0.9% sodium chloride solution on the neonatal acid-base status of the newborn infants. The two standard regimens were compared to detect a possible difference. Methods: A 2 L crystalloid fluid bolus was administered immediately before spinal anaesthesia for elective Caesarean section in two groups of 20 healthy parturients, while rigorously maintaining maternal normotension. Results: No significant differences in the Apgar scores at 1 and 5 min, or infant well-being were demonstrated in either of the two groups. The data show that umbilical artery PCO2 is lower in the Ringer's lactate group and that pH is insignificantly higher by 0.03. Conclusions: The choice of Ringer's lactate or saline for fluid preload does not have any effect on neonatal well-being.
AB - Background and objective: We evaluated the effect of two different preload solutions: (i) Ringer's lactate (compound sodium lactate intravenous infusion BP) and (ii) 0.9% sodium chloride solution on the neonatal acid-base status of the newborn infants. The two standard regimens were compared to detect a possible difference. Methods: A 2 L crystalloid fluid bolus was administered immediately before spinal anaesthesia for elective Caesarean section in two groups of 20 healthy parturients, while rigorously maintaining maternal normotension. Results: No significant differences in the Apgar scores at 1 and 5 min, or infant well-being were demonstrated in either of the two groups. The data show that umbilical artery PCO2 is lower in the Ringer's lactate group and that pH is insignificantly higher by 0.03. Conclusions: The choice of Ringer's lactate or saline for fluid preload does not have any effect on neonatal well-being.
KW - Anaesthesia, obstetrical, caesarean section
KW - Anaesthetic techniques, regional, spinal
KW - Complications, hypotension, fetal acidosis, intravenous fluids
UR - http://www.scopus.com/inward/record.url?scp=33745712796&partnerID=8YFLogxK
U2 - 10.1017/S0265021506000044
DO - 10.1017/S0265021506000044
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C2 - 16438767
AN - SCOPUS:33745712796
VL - 23
SP - 676
EP - 679
JO - European Journal of Anaesthesiology
JF - European Journal of Anaesthesiology
SN - 0265-0215
IS - 8
ER -