Burden of Proof (original) (raw)

The editorial discusses the importance of evidence-based practice in obstetric anesthesia, especially concerning the management of hypotension during spinal anesthesia for cesarean deliveries. It critiques the continued preference for ephedrine over phenylephrine, despite emerging evidence supporting phenylephrine's superiority in maternal and fetal outcomes. Recent studies, including a randomized trial by Ngan Kee et al., are highlighted, showing that phenylephrine maintains better blood pressure with fewer adverse effects than ephedrine, which is associated with higher rates of neonatal acidosis.