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September 11, 2025SBV Journal of Basic Clinical and Applied Health ScienceOpen Access

Comparing the Effectiveness of Wedge versus 15° Left Table Tilt in Maintaining Hemodynamic Stability during Cesarean Section Under Spinal Anesthesia: A Randomized Active Control, Blinded Trial

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Authors

JAJ. AlfairoseCRChintan RamaniERE. Rupika

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Overview

Randomized trial comparing hemodynamic stability in cesarean section with spinal anesthesia, showing implications for positioning techniques.

Key Points

  • The wedge positioning method effectively maintained hemodynamic stability with less ephedrine requirement compared to tilt.
  • Mean arterial pressure was significantly higher in the wedge group than in the table tilt group.
  • Surgeon satisfaction levels were notably superior in the wedge group, highlighting its practical advantages.
  • There was no significant difference in neonatal outcomes as measured by APGAR scores between the two positioning methods.

Cite This Study

Alfairose et al. (2025) studied this question.

synapsesocial.com/papers/68d41720713b0b5dfea631f9https://doi.org/10.4103/sbvj.sbvj_31_25
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Effect of Maternal Table Tilt During Cesarean Delivery Under Spinal Anesthesia on Norepinephrine Requirements: A Prospective Observational Comparative Study2026
  2. 2The Effect of Left Lateral Positioning on Hypotension in Cesarean Section Patients Under Spinal Anesthesia Immediately After Injection2025
  3. 3Prevention of spinal anaesthesia-induced hypotension during caesarean section using noninvasive cardiac output monitoring2025 · 2 citations
  4. 4EFFICACY OF PROPHYLACTIC USE OF PHENYLEPHRINE FOR PREVENTION OF HYPOTENSION IN CESAREAN SECTION UNDER SUBARACHNOID BLOCK: A RANDOMIZED CONTROLLED TRIAL2025
  5. 5Comparing the prophylactic effect of ondansetron versus ephedrine on hemodynamic instability caused by spinal anesthesia for cesarean section2025