Anest. intenziv. Med. 2025;36(3):203-210 | DOI: 10.36290/aim.2025.042

Spinal anaesthesia and maternal hypotension: basic pathophysiology and an opinion of an interdisciplinary working group on its managementShort Communication

Bláha J.1, Heřman H.2, Kacerovský M.3, Koucký M.4, Lukšová M.4, Nosková P.1, Nguyenová Q. G.1, Pařízek A.4, Seidlová D.5, Straňák Z.2, Štourač P.6, 7
1 Klinika anesteziologie, resuscitace a intenzivní medicíny 1. lékařské fakulty Univerzity Karlovy a Všeobecné fakultní nemocnice v Praze
2 Ústav pro péči o matku a dítě a 3. lékařská fakulta Univerzity Karlovy, Praha
3 Gynekologicko­‑porodnické oddělení Krajské zdravotní, a. s. - Nemocnice Most
4 Klinika gynekologie, porodnictví a neonatologie 1. lékařské fakulty Univerzity Karlovy a Všeobecné fakultní nemocnice v Praze
5 II. anesteziologicko­‑resuscitační oddělení Fakultní nemocnice Brno
6 Klinika dětské anesteziologie a resuscitace Fakultní nemocnice Brno a Lékařská fakulta Masarykovy univerzity
7 Ústav simulační medicíny Lékařské fakulty Masarykovy univerzity, Brno

Hypotension after spinal anaesthesia occurs in most parturients undergoing caesarean section. The text describes the mechanism of hypotension, summarises the current evidence for treating this complication, and presents the consensus opinion of an interdisciplinary panel on its management. The text has been endorsed by the Czech Society of Anaesthesiology, Resuscitation, and Intensive Care Medicine, the Czech Gynaecological and Obstetric Society, and the Czech Neonatological Society.

Keywords: hypotension, spinal anaesthesia, caesarean section, arteriolar vasodilation, systemic vascular resistance, vasopressors, phenylephrine, ephedrine, prevention.

Received: March 25, 2025; Revised: September 10, 2025; Accepted: September 10, 2025; Published: September 30, 2025  Show citation

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Bláha J, Heřman H, Kacerovský M, Koucký M, Lukšová M, Nosková P, et al.. Spinal anaesthesia and maternal hypotension: basic pathophysiology and an opinion of an interdisciplinary working group on its management. Anest. intenziv. Med. 2025;36(3):203-210. doi: 10.36290/aim.2025.042.
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