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Which is better ephedrine or phenylepherine to treat hypotention during cesarean section?

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Question ajoutée par Abdul Sattar Shamsuddin , Specialist Anesthesia Registrar , Sindh Institute of Urology and Transplantation (SIUT),Civil hospital karachi ,Dow university of health sciences
Date de publication: 2015/05/15
Hany Wadie Hanna Ruzayk --Ruzayk
par Hany Wadie Hanna Ruzayk --Ruzayk , Consultant Anaesthetist , Taiba Hospital

Phenylephrine (PE) has been taking over recently as the drug of choice in treating hypotension during CS. This followed a study that showed better Apgar scores in babies born from women who had PE compared to those who had ephedrine. However care should be taken during the use of PE as severe reflex bradycardia that needs treatment may occur. 

TAHA MZID
par TAHA MZID , MEDECIN , clinique espoir

Ephedrine causes tachycardia, bradycardia may result phnypherine

both drug can be used at the same time

Mohammad ilyas
par Mohammad ilyas , Anesthesiologist , shifa international hospital

phenylephrine is best , cause it doen't affect the heart rate

If the patient is tachycardic , it's better to give phenyl ephedrine , if not then ephedrine ..

phenylephrine is the new molecule used to regulate hypotension during cesarean section; but at the same time she used in combination with ephedrine infusion

Phenylephedrine IN selective cesarean section

Elwaleed Seddig Ibrahim Ibrahim
par Elwaleed Seddig Ibrahim Ibrahim , Senior regisrar of cardiac anaesthedia , Armed force hospital

Ephedrine is superior to phenyepherine

nageh hassan
par nageh hassan , Specialist , Anesthesia & ICU

there is no much dfference btween both except the act that , phenylephrine is superior to ephedrine  due to higher foetal umblical blood PH.

Florien NGABOYURWANDA
par Florien NGABOYURWANDA , Anesthetist , Ministry of health in Rwanda

ephedrine is better than phenylephrine

Ahmed  Abdalwahab
par Ahmed Abdalwahab , Senior specialist cardiac anesthesia , Prince Sultan Cardiac Center

PHENYLEPHERINE IS BETTER LESS TACHYCARDIA ,NO TACHYPHYLAXIS..

ali mohamed saad
par ali mohamed saad , Specialist , Anesthesiologis

phenylepherine is better as not affect heart rate, more potent to increase heart rate specially with regional blocks during LSCS

Bandana AGRAWAL
par Bandana AGRAWAL , ICU Intensivist , Sidra Medicine

 ephedrine is better because it also help in increasing the heart rate up

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