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Discontinue oxytocin Consider administration of tocolytic agent for treatment of uterine tachysystole or hypertonus.
Perform rapid intravenous administration of a non dextrose containing, balanced salt solution. Treat hypotension with either ephedrine or phenylephrine
Preparation of Anaesthesia
Monitoring :
Pulse oximetry ECG Non invasive BP monitoring FHR monitoring (Fetal scalp or buttock ECG)
Aspiration Prophylaxis
Positioning :
Supplemental oxygenation :
Adjuvant Agents
General anaesthesia:
Dysnoea:
Avoidance of sedative premedication Deliberate use of low concentration volatile halogenated dose during hypotension and hemorrhage Presence of partial neuraxial blockade requiring GA conversion.
The most common cause for for this complaint in neuraxial blockade is hypotension (causing hypoperfusion of the brain stem) and not high spinal Other causes are due to blunting of thoracic proprioception
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