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Anaesthesia
After performing a single-shot intrathecal anaesthetic consisting of 6.5mg of preservative free bupivacaine and 25 ug of fentanyl, the surgical incision is made and systemic hypotension ensued. To avoid significant decrease in uterine blood flow, first-line therapy to consider is
Provide additional inhaled nitric oxide to vasodilate the uterine vasculature
Increase maternal cardiac output with use of epinephrine
Increase intravascular volume with fluids
Use reverse Trendelenburg to decrease aortocaval compression
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