Abstract
(Anesth Analg. 2018;126:1809–1811) Although phenylephrine is the first-choice vasopressor for the prevention and treatment of maternal hypotension during spinal anesthesia for cesarean delivery, its sole action as an alpha-adrenergic agonist can cause significant dose-dependent bradycardia, which in turn, may compromise fetal health. Consequently, norepinephrine, which has both alpha-1-adrenergic and beta-1-adrenergic activity has been proposed as an alternative.
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