Comparison of the potency of phenylephrine and norepinephrine bolus doses used to treat post-spinal hypotension during elective caesarean section
International Journal of Obstetric Anesthesia May 17, 2019
Mohta M, et al. - Researchers sought to define the effective dose of norepinephrine for management of post-spinal hypotension as well as compared its potency to phenylephrine. A predetermined dose of either phenylephrine or norepinephrine was administered to 100 consecutive patients who developed post-spinal hypotension. ‘Success’ was defined as correction of hypotension following one minute. They calculated ED95 and ED50 of phenylephrine and norepinephrine boluses as well as their potency ratio. For phenylephrine, ED95 and ED50 values were 43.1 µg and 33.2 µg, and these values were 3.7 µg and 3.2 µg for norepinephrine, using Probit analysis. The estimated relative potency ratio of norepinephrine and phenylephrine was 11.3. Compared to phenylephrine, norepinephrine was found to be approximately 11 times more potent. They concluded 100 μg phenylephrine should be almost equivalent to 9 μg norepinephrine when used as bolus doses for treatment of hypotension.
Go to Original
Only Doctors with an M3 India account can read this article. Sign up for free or login with your existing account.
4 reasons why Doctors love M3 India
-
Exclusive Write-ups & Webinars by KOLs
-
Daily Quiz by specialty
-
Paid Market Research Surveys
-
Case discussions, News & Journals' summaries