Skip Navigation

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow E-Letters: Submit a response to the article
Right arrow Alert me when this article is cited
Right arrow Alert me when E-letters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Search for citing articles in:
ISI Web of Science (9)
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Kinsella, S. M.
Right arrow Articles by Thomas, T. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Kinsella, S. M.
Right arrow Articles by Thomas, T. A.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

British Journal of Anaesthesia, 2000, Vol. 85, No. 2 311-313
© 2000 The Board of Management and Trustees of the British Journal of Anaesthesia

Brief Communication

Randomized study of intravenous fluid preload before epidural analgesia during labour

S. M. Kinsella*, M. Pirlet1, M. S. Mills2, J. P. Tuckey3 and T. A. Thomas

Sir Humphry Davy Department of Anaesthesia, St Michael’s Hospital, Southwell Street, Bristol BS2 8EG, UK. 1Department of Anaesthesia, Centre Universitaire de Santé de l’Estrie, 3001 12e Avenue Nord, Sherbrooke, Quebec, Canada J1H 5N4. 2Department of Obstetrics and Gynaecology, St Michael’s Hospital, Southwell Street, Bristol BS2 8EG. 3Department of Anaesthesia, Royal United Hospital, Combe Park, Bath BA1 3NG, UK

Abstract

We performed a randomized controlled trial of the effect of intravenous fluid preload on maternal hypotension and fetal heart rate (FHR) changes in labour after the first epidural injection. Group 1 (49 women) received 1 litre of crystalloid preload. Group 2 (46 women) received no preload. No statistically significant difference was shown between the two groups for either of the outcomes. Hypotension was found in three women in group 1 and five in group 2 (P=0.4). Deterioration in FHR pattern was found in four women in group 1 and 11 in group 2 (P=0.08). This study has not shown a significant increase in the incidence of hypotension when intravenous preload is omitted before epidural analgesia using a low concentration of bupivacaine during labour. Because of the clinical importance of the difference in the rate of FHR deterioration between the two groups, we continue to administer preload for high-risk cases.

Br J Anaesth 2000; 85: 311–3

Footnotes

* Correspondingauthor


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 Anesth. Analg.Home page
A. Riesmeier, A. Schellhaass, J. Boldt, and S. Suttner
Crystalloid/Colloid Versus Crystalloid Intravascular Volume Administration Before Spinal Anesthesia in Elderly Patients: The Influence on Cardiac Output and Stroke Volume
Anesth. Analg., February 1, 2009; 108(2): 650 - 654.
[Abstract] [Full Text] [PDF]


Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.