ReviewJournal of anesthesia, analgesia and critical care2026
Prediction of spinal anesthesia-induced hypotension during cesarean delivery: a narrative review.
Review in Journal of anesthesia, analgesia and critical care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07655245 (Effect of Preoperative Oral Caffeine on Prophylactic Noradrenaline Requirement During Cesarean Delivery), which is not on this map. Cited by 2 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Effect of Preoperative Oral Caffeine on Prophylactic Noradrenaline Requirement During Cesarean Delivery: A Double-blind Placebo-controlled Trial
Who cites it
2 citing papers in PubMed.
- Article
- Reply to commentary on "The influence of thirty-degree leg elevation on noradrenaline requirements administered as a prophylactic variable infusion during cesarean delivery, an open-label randomized controlled trial."Journal of anesthesia, analgesia and critical care · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Spinal anesthesia-induced hypotension remains a major challenge in obstetric anesthesia, with significant maternal and fetal consequences despite prophylactic measures. Reliable prediction tools are essential to stratify risk and optimize management. This review narratively discusses evidence on clinical, hemodynamic, Doppler-derived, and pulse oximetry-based predictors of spinal anesthesia-induced hypotension in cesarean delivery. Clinical factors such as body mass index, maternal age, baseline blood pressure, and spinal anesthetic dose demonstrate variable predictive value. Hemodynamic markers, including heart rate variability and shock index, show promise but require further validation. Advanced monitoring techniques, such as stroke volume variation, subaortic velocity time integral, and femoral artery Doppler indices, exhibit high accuracy, while venous diameter-based measures (inferior vena cava, internal jugular vein, subclavian vein-axillary vein) yield inconsistent results. Pulse oximetry-derived indices, particularly the perfusion index, demonstrate moderate to good predictive ability across systematic reviews. Composite risk models integrating multiple parameters may enhance precision compared to single predictors. Overall, while several modalities show potential, translation into routine practice requires simplification, validation in larger cohorts, and integration into standard monitoring systems.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.