Email this article Combined spinal-epidural anesthesia for caesarian section - gathering limitations or damping them?
- Authors: Sokologorskiy S.V.1, Shifman E.M.1, Burlev A.V.1, Kokoev E.B.1, Gerasimov U.A.1
-
Affiliations:
- Scientific Center of Obstetrics, Gynecology, and Perinatology named after V I. Kulakov, Moscow
- Issue: Vol 4, No 3 (2010)
- Pages: 34-37
- Section: Articles
- URL: https://journals.rcsi.science/1993-6508/article/view/36081
- DOI: https://doi.org/10.17816/ра.v4i3.36081
- ID: 36081
Cite item
Full Text
Abstract
The clinical experience of 100 combined spinal-epidural anesthesias (CSEA), 100 epidural and 50 single-shot spinal blockades for elective cesarean section were reviewed. The CSEA included epidural catheterization following intrathecal administration of 12-15 mg of 0,5% bupivocaine. For spinal and epidural anesthesia standard technique was employed involving 12-15 mg of 0,5% bupivocaine intrathecally or 150 mg 0,75% ropivocaine epidurally. The results suggest that CSEA as have being applied in our work has no additional benefits but more rapid onset of action when compared with epidural anesthesia, and possibility of the post surgery epidural analgesia in contrast of single-shot spinal blockade.
Full Text
##article.viewOnOriginalSite##About the authors
S. V. Sokologorskiy
Scientific Center of Obstetrics, Gynecology, and Perinatology named after V I. Kulakov, Moscow
E. M. Shifman
Scientific Center of Obstetrics, Gynecology, and Perinatology named after V I. Kulakov, Moscow
A. V. Burlev
Scientific Center of Obstetrics, Gynecology, and Perinatology named after V I. Kulakov, Moscow
E. B. Kokoev
Scientific Center of Obstetrics, Gynecology, and Perinatology named after V I. Kulakov, Moscow
U. A. Gerasimov
Scientific Center of Obstetrics, Gynecology, and Perinatology named after V I. Kulakov, Moscow
References
- American Society of Anesthesiologists Task Force on Obstetric Anesthesia. Practice guidelines for obstetric anesthesia: an updated report by the American Society of Anesthesiologists Task Force on Obstetric Anesthesia // Anesthesiology. 2007; 106: 843-863.
- Dahl V., Spreng U. J. Anaesthesia for urgent (grade 1) caesarean section // Cur. Opin. Anaesthesiology. 2009; 22: 352356.
- Kinsella S. M. A prospective audit of regional anaesthesia failure in 5080 caesarean sections // Anaesthesia. 2008; 63: 822-832.
- Popham P., Buettner A., Mendola M. Anaesthesia for emergency caesarean section, 2000-2004, at the Royal Women's Hospital, Melbourne // Anaesth. Intensive Care. 2007; 35: 74-79.
- Roofthoofta E., Van de Velde M. Low-dose spinal anaesthesia for Caesarean section to prevent spinal-induced hypotension // Cur. Opin. Anaesthesiology. 2008; 21: 259-262.
