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Supine Hypotensive Syndrome of Pregnancy (Aortocaval Compression)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Avoid HypotensionHypotensionReduced Cardiac OutputBradycardiaAvoid HypovolemiaCareful PositioningAortocaval CompressionUteroplacental Insufficiency

Pathophysiology

After about 20 weeks of gestation the gravid uterus sits at the same L4-L5 level as the lumbar lordosis, with the inferior vena cava sandwiched between them. Upright or sitting, gravity holds the...

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