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169968 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

AProvide additional inhaled nitric oxide to vasodilate the uterine vasculature
BIncrease maternal cardiac output with use of epinephrine
CIncrease intravascular volume with fluids
DUse reverse Trendelenburg to decrease aortocaval compression
Anaesthesia
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