Ondansetron Administration Prior to Subarachnoid Block in Cesarean Section: An Evidence Based Practice Analysis
Jeremy Bustamante, DNAP, CRNA
- Sigma Affiliation
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Top Visiting Cities
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Bustamante, Jeremy by View
Popular Works for Bustamante, Jeremy by Download
Subarachnoid block (SAB) is a preferred regional technique utilized by many institutions for caesarean section. A sensory block height of T5 is necessary for a successful caesarean under SAB. Unfortunately, side effects often emerge related to the physiological changes as a result of sympathetic nervous system inhibition. Current research suggests up to 55%-90% of parturients experience extended block height resulting in hypotension and bradycardia.There is a reduction in cardiac output due to a decrease in systemic vascular resistance and venous pooling. Similarly, the shift of cardiac autonomic balance toward parasympathetic stimulation causes bradycardia and activation of left ventricular mechanoreceptors due to a decreased ventricular volume. The mechanism is known as the Bezold-Jarisch reflex (BJR).
|Type||Other Graduate Paper|
|Review Type||Faculty Approved: Degree-based Submission|
|CINAHL Subject(s)||Cesarean Section;
Ondansetron--Administration and Dosage;
Anesthesia, Spinal--Adverse Effects--In Pregnancy;
Anesthesia, Spinal--Adverse Effects;
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
The following license files are associated with this item:
Showing items related by title, author, creator and subjects.
Norepinephrine vs. phenylephrine for perioperative hypotension following subarachnoid block in patients undergoing cesarean delivery: An evidence based practice analysis Meisinger, LoganSubarachnoid block for patients undergoing cesarean delivery is common practice amongst anesthesia providers caring for the parturient population. Advantages of this type of anesthetic for cesarean delivery provide a number ...
Effects of perioperative Midazolam administration on postoperative nausea and vomiting in patients undergoing general anesthesia: An evidence-based practice analysis McMillin, Haley R.Patients undergoing general anesthesia are at risk of developing postoperative nausea and vomiting (PONV) with reported incidences ranging from 30% to as high as 80% in high-risk populations. The fear of experiencing nausea ...
Mepivacaine and bupivacaine spinal comparisons for motor function return, discharge time, and transient neurologic symptoms: An evidence based practice analysis Backman, Grant M.Bupivacaine is the most common local anesthetic used in spinals for total knee arthroplasty (TKA) and total hip arthroplasty (THA) procedures, despite its extended duration (3-9 hours). Most TKA's can be completed in ...
Beach, Jason (2017-06-23)Opioid-based medications are often the first medications selected for pain control in young patients; however opioids possess several unwanted side effects such as respiratory depression, nausea, vomiting and allergic ...
Dexmedetomidine as an intrathecal adjuvant for subarachnoid block for women undergoing elective cesarean section: An integrative review Funk, MarkAims and Objectives: This integrative review aims to evaluate the safety and effectiveness of intrathecal dexmedetomidine as an adjunct to hyperbaric bupivacaine for elective cesarean sections using subarachnoid block ...