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Total and High Spinal Anaesthesia

MAT0054/ Total and High Spinal /Version 3/April 2017 Page 1 of 8 Document Ref: MAT 0054 WOMEN AND CHILDREN S and CLINICAL SUPPORT SERVICES DIVISION Clinical Guideline For use in: (Clinical Area) Maternity Department For use by: (Staff Group) Doctors and Midwives Distributed to: Staff in the Maternity Department Author/s: Jane Hermanowski, Specialty Registrar, Anaesthetics Aditi Modi, Consultant, Anaesthetics Other contributors: Deborah Meldrum, Consultant, Anaesthetics Clive Duke, Consultant, Anaesthetics Date of issue: April 2017 Date of review / by: April 2020 Status: APPROVED Equality impact assessment (HO 2010) April 2017 Approved by: Malini Prasad Lead Consultant Obstetrician PP.

o Atropine 200-500mcg Treat hypotension: o IV fluid bolus o Vasopressors: phenylephrine, ephedrine, metaraminol boluses titrated to effect An IV infusion may be required Consider dilute adrenaline (10mcg/ml minimum dilution) if no response to above – for only anaesthetist to do

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