Critical appraisal of crystalloid preloading and co-loading strategies for prevention of spinal-induced hypotension in cesarean delivery
Ahmed Razaa, Shahzadi Gulfishanb, Abdullah Amanc, Meer Hassan Luckyd, Mohammad Jalal Nazarie
- aDepartment of Medicine, Shaikh Khalifa Bin Zayed Al-Nahyan Medical College, Shaikh Zayed Postgraduate Medical Institute (SZPGMI), Lahore, Pakistan
- bDepartment of Medicine, Riphah International University, Rawalpindi, Pakistan
- cDepartment of Medicine, Pakistan Institute of Medical Sciences, Islamabad, Pakistan
- dDepartment of Medicine, Shaikh Zayed Hospital, Lahore, Pakistan
- eDepartment of Medicine, Medical Research and Technology Centre, Khatam Al-Nabieen University, Kabul, Pakistan
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Abstract
We read with great interest Baboker et al ’s [ 1 ] study comparing crystalloid preloading and co-loading to prevent spinal-induced hypotension during elective cesarean delivery. The authors have addressed an important clinical issue in obstetric anesthesia by evaluating fluid strategies to prevent spinal anesthesia-induced hypotension. This study provides valuable evidence supporting the role of crystalloid co-loading in improving maternal hemodynamic stability and reducing complications during cesarean delivery. We appreciate the authors’ efforts in exploring this topic; however, the study has the following limitations that warrant consideration.
TL;DRThis study provides valuable evidence supporting the role of crystalloid co-loading in improving maternal hemodynamic stability and reducing complications during cesarean delivery. (Semantic Scholar)