Hyperbaric bupivacaine for spinal anesthesia in cesarean section.

Abstract:

:The efficacy and safety of 0.5% hyperbaric bupivacaine (Sensorcaine, Astra) was evaluated in 22 patients undergoing elective cesarean section under spinal anesthesia. The dose varied from 7.5 to 10 mg, (depending on the patient's height) which was significantly lower than previously reported. Patients were placed in head-down tilt immediately after subarachnoid injection. The mean spread of analgesia was to T3, which was reached in 10-15 min. Regression was complete in 258 +/- 16 min. Complete motor paralysis of lower extremities occurred in only two patients. Complete recovery of motor function in all patients was evident in less than 2.5 h. All infants were vigorous at birth and there were no serious maternal complications. The incidence of hypotension was 4.5%, the lowest reported as a consequence of spinal anesthesia in this group of patients. A technique involving the use of reduced doses of hyperbaric bupivacaine (0.5%) in conjunction with head-down tilt appears to be useful for spinal anesthesia for cesarean section.

journal_name

Anesth Analg

journal_title

Anesthesia and analgesia

authors

Santos A,Pedersen H,Finster M,Edström H

subject

Has Abstract

pub_date

1984-11-01 00:00:00

pages

1009-13

issue

11

eissn

0003-2999

issn

1526-7598

journal_volume

63

pub_type

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