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Then patients were placed in a supine position with the table in left lateral tilt. BP and HR were measured every two minutes initially, till delivery of the baby and then every five minutes till the end of the operation.

The patients were shifted to post anaesthesia care unit (PACU) and vital signs monitored. The data collected included systolic, diastolic and mean arterial pressures and heart rates. Statistical analysis was performed through SPSS version 12. Descriptive statistics were presented as tables. Chi-square test was applied to compare the mean values of systolic blood pressure.

The demographic data of the patients and the indications of the surgery are given in Table 1. No statistical difference was found between two groups regarding mean age, body weight and indications of c-section. Total quantity of ephedrine used in Group B was more, 12. A higher proportion of patients in the control group suffered from nausea than in the interventional group, 5(14. It was relieved promptly with administration of additional ephedrine. In Group A, ephedrine was administered when ephedrine products occurred, and 23 (65.

Preload with crystalloids or colloids, is a ephedrine products practice for elective cases, but it does not prevent hypotension reliably 2. Ephedrine addictive is uterine displacement and vasopressors are the other measures in use.

Incorporation of measures that ephedrine products prevent maternal hypotension may improve maternal and fetal outcome. Phenylephrine aim diet pill with ephedrine years ephedrine are helpful vasopressor to interactions: ephedrine hcl much the hypotension.

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The predominant beta effect of ephedrine increases arterial pressure by increasing cardiac output. Lionel Simon et ephedrine products. There are some drawbacks to the use of ephedrine. Ephedrine go here induce a dose-related, undesirable maternal tachycardia and its use for ephedrine products treatment of hypotension does not completely restore preanesthetic levels of uterine blood flow even when it restores maternal blood pressure to baseline measurements.

The best prophylaxis of maternal hypotension during caesarean section is still controversial. Thus, ephedrine remains the vasopressor of choice in obstetrics. We used prophylactic ephedrine in a dose of 15 mg with intermittent boluses of ephedrine prn, and found that the former was better in controlling maternal hypotension (pWe conclude that prophylactic use of ephedrine is more efficient for maintenance of blood pressure during spinal anaesthesia for caesarean section as compared to its prn use.

Turkoz A, Togal T, Gokdeniz R, I Topraks H, Esroy Effectiveness of intravenous ephedrine infusion during spinal anaesthesia for caesarean section based on maternal hypotension, neonatal acid-base status and lactate levels. Ueyama H, Yan-ling H, Tanigami H, Mashimo T, Yoshiva Effects of crystalloid and colloid preload on blood volume in the parturient undergoing spinal anaesthesia for elective caesarean section.

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Regardless of your perspective, due to liability concerns and difficulty getting insurance, most companies are in the process of discontinuing ephedra. This means it will only be available by the large ephedra diet companies that can afford the insurance premiums, and those who are willing to sell ephedra without insurance or those who are underinsured. Some companies are willing to close their business in the event of lawsuit or contact by regulatory authorities. Purchasing from such a supplier means the practitioner will be left without recourse in the event of a liability or regulatory action.

It is necessary that the practitioner consider ephedra substitutes for the near future. A: For respiratory applications, perilla (zi su ye), cinnamon (gui zhi) and schizonepeta (jing jie) are possible substitues. Other substitutes include ecucalyptus, ginger and tylophora. One might also consider cordyceps, which increases respiratory capacity, normalizes blood pressure, and treats fatigue.

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