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A comparison of catheter vs needle injection of local anesthetic for induction of epidural anesthesia for cesarean section.

Abstract：

:It is generally believed that bolus injections of local anesthetic through an epidural needle produce a more rapid onset of blockade, but at the expense of an increased incidence and severity of hypotension, whereas intermittent injections through a catheter take longer to achieve adequate anesthesia but with a lower risk of hypotension. The present study investigated two commonly used needle and catheter epidural injection techniques for differences in speed of onset of surgical anesthesia and incidence and severity of hypotension. Term parturients scheduled for elective cesarean section were randomized into two groups to receive epidural anesthesia with intermittent injection either through the epidural needle (n = 44) or via a previously placed catheter (n = 44). The incidence and severity of hypotension was similar in the two groups. No significant difference was found for the time to onset of surgical anesthesia. In the absence of benefits of needle injection, incremental catheter administration of local anesthetic with its multiple safety advantages is the technique of choice for induction of epidural anesthesia for cesarean section.

journal_name

Int J Obstet Anesth

journal_title

International journal of obstetric anesthesia

authors

Husain FJ,Herman NL,Karuparthy VR,Knape KG,Downing JW

doi

10.1016/s0959-289x(97)80006-4

subject

Has Abstract

pub_date

1997-04-01 00:00:00

pages

101-6

issue

2

eissn

0959-289X

issn

1532-3374

pii

S0959289X97800064

journal_volume

6

pub_type

临床试验,杂志文章,随机对照试验

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