In this paper we have reviewed the anaesthetic management of 57 consecutive patients who underwent surgical correction of
coarctation of aorta. The patients were divided into two groups. In group I of ten patients, no volume preloading was done
prior to the release of aortic cross-clamp and the declamping hypotension was managed by rapid infusion of fluids along with
correction of metabolic acidosis. In group II of 47 patients, volume preloading was done along with administration of sodium
bicarbonate 1 mEq/kg just prior to declamping. Statistically significant (p<0.05) decrease in the systolic and diastolic pressures
were observed after declamping in group I; whereas in group II, the hypotension observed was statistically insignificant.
Declamping hypotension can thus be prevented or minimised by appropriate volume preloading and correction of existing metabolic
acidosis just prior to the release of aortic cross-clamp.