Comparison of four subarachnoid solutions in a needle-through-needle technique for elective caesarean section
Reads0
Chats0
TLDR
Using both spinal and extradural anaesthesia with a 26-gauge, long spinal needle through a 16- gauge Tuohy needle for elective Caesarean section is recommended because it allows rapid onset of anaesthesia and the advantages of an extradural catheter.Abstract:
We have used both spinal and extradural anaesthesia with a 26-gauge, long spinal needle through a 16-gauge Tuohy needle for elective Caesarean section. Four different subarachnoid solutions of bupivacaine were compared: 0.5% heavy bupivacaine alone, or with adrenaline, fentanyl or adrenaline and fentanyl. The incidence of complications and time of regression of the sensory block were analysed. The technique is recommended because it allows rapid onset of anaesthesia and the advantages of an extradural catheter. The subarachnoid solution of choice was 0.5% heavy bupivacaine 12.5 mg with fentanyl 10 μgread more
Citations
More filters
Reference EntryDOI
Epidural local anaesthetics versus opioid-based analgesic regimens on postoperative gastrointestinal paralysis, PONV and pain after abdominal surgery.
TL;DR: Administration of epidural local anaesthetics to patients undergoing laparotomy reduce gastrointestinal paralysis compared with systemic or epidural opioids, with comparable postoperative pain relief.
Journal ArticleDOI
Intraoperative and postoperative analgesic efficacy and adverse effects of intrathecal opioids in patients undergoing cesarean section with spinal anesthesia: a qualitative and quantitative systematic review of randomized controlled trials.
TL;DR: The purpose of this systematic review was to investigate the effect of intrathecal opioids added to spinal anesthesia on intraoperative and postoperative pain and to evaluate adverse effects in patients scheduled for cesarean section, using evidence from all relevant randomized controlled and blinded trials.
Journal ArticleDOI
Postoperative nausea and vomiting in regional anesthesia: a review.
TL;DR: This review focuses on PONV in the setting of perioperative regional anesthesia and a multitude of medications, such as synthetic opioids, 2-agonists, and cholinesterase inhibitors, introduced in an attempt to enhance the action of local anesthetics.
Journal ArticleDOI
Intrathecal Sufentanil, Fentanyl, or Placebo Added to Bupivacaine for Cesarean Section
Gunnar Dahlgren,Christer Hultstrand,Jan Jakobsson,Mikael Norman,Eva W. Eriksson,Helena Martin +5 more
TL;DR: Small doses of fentanyl or sufentanil (synthetic opioids) added to bupivacaine (local anesthetic) for spinal anesthesia for cesarean section reduce the need for intraoperative antiemetic medication and increase the duration of analgesia in the early postoperative period compared with placebo.
Journal ArticleDOI
Bupivacaine-sparing effect of fentanyl in spinal anesthesia for cesarean delivery.
TL;DR: The optimal dose of hyperbaric bupivacaine to produce surgical anesthesia was 12 mg, which was accompanied by high sensory block, and the addition of fentanyl significantly delayed the onset of postoperative pain and sensory recovery, but motor recovery time did not change with additional fentanyl.