Local Anaesthetic Infiltration for Caesarean Section

Cooper, Michael G; Feeney, Emily; Joseph, Magnano; McGuinness, Julie

doi:10.1097/00132582-199001000-00071

Cited by 5 publications

(7 citation statements)

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“…In developing countries, including China, local infiltration anesthesia is generally used for the above-mentioned cases. 7 In other countries, local anesthesia is also used in emergencies when neuraxial and general anesthesia are not available or /yes T10-12 T10-12 40 40 3/5 Case 2 Yes/yes T10-12 T10-12 50 60 5/7 Case 3 a No/no T10-11 T10-11 60 50 4/5 Case 4 Yes/yes T10-12 T11-12 60 60 3/6 IIIH ϭ ilioinguinal-iliohypogastric; NRS ϭ numeric rating scale (0 -10; 0 ϭ no pain, 10 ϭ worst pain imaginable; value refers to average score for the first 24 h postoperatively). a Case3 received a supplemental local anesthetic by the surgeon.…”

Section: Discussionmentioning

confidence: 99%

Bilateral Ultrasound-Guided Transversus Abdominis Plane Block Combined with Ilioinguinal-Iliohypogastric Nerve Block for Cesarean Delivery Anesthesia

Mei¹,

Chuan-gang²,

Feng

et al. 2011

Anesthesia &Amp; Analgesia

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The ultrasound-guided transversus abdominis plane block and ilioinguinal-iliohypogastric nerve block have been shown to provide pain relief after abdominal surgery. A combination of the 2 blocks may provide acceptable surgical anesthesia for cesarean delivery. We describe 4 women who had contraindications to neuraxial anesthesia, who underwent cesarean delivery with ultrasound-guided bilateral transversus abdominis plane block combined with ilioinguinal-iliohypogastric nerve block using 40 mL 0.5% ropivacaine. Breakthrough pain during the delivery of the fetus was treated with small doses of IV ketamine and propofol. We suggest that this technique may be an alternative to local anesthesia for cesarean delivery in clinical practice.

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Section: Discussionmentioning

confidence: 99%

Bilateral Ultrasound-Guided Transversus Abdominis Plane Block Combined with Ilioinguinal-Iliohypogastric Nerve Block for Cesarean Delivery Anesthesia

Mei¹,

Chuan-gang²,

Feng

et al. 2011

Anesthesia &Amp; Analgesia

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“…One of the primary advantages of infiltrative anesthesia stems from its safer use in relation to patient respiratory status: unlike general anesthesia, the use of infiltrative anesthesia does not cause severe respiratory compromise. 17 In comparison, the pulmonary risks and post-operative respiratory function complications are well known with use of general anesthetic, while the use of regional block is circumstantial and unpredictable in some cases. 17 Another major concern is the risk of intra and post-operative bleeding.…”

Section: Positive Aspects Of Infiltrative Anesthesia For Cesarean Delmentioning

confidence: 99%

“…17 In comparison, the pulmonary risks and post-operative respiratory function complications are well known with use of general anesthetic, while the use of regional block is circumstantial and unpredictable in some cases. 17 Another major concern is the risk of intra and post-operative bleeding. The use of infiltrative anesthesia reduces the risk of bleeding in cesarean delivery and provides better surgical outcomes.…”

Section: Positive Aspects Of Infiltrative Anesthesia For Cesarean Delmentioning

confidence: 99%

“…12 Aside from the procedural concerns, infiltrative anesthesia can easily be manipulated for patients with structural complications: a successful cesarean delivery case using infiltrative anesthesia in a patient with severe congenital kyphoscoliosis, pelvic tilt, and dislocated hip, with paraplegia from T10-L1 has been reported. 17 …”

Section: Positive Aspects Of Infiltrative Anesthesia For Cesarean Delmentioning

confidence: 99%

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Cesarean delivery under local anesthesia: A literature review

Rezai¹,

Patel²,

Àlex³

et al. 2018

OGIJ

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Background: Pregnancy oversight and the childbirth process have been modernized with advances in medicine, which have diverged from the natural birthing process. Today many more women are opting for elective caesarean delivery (CD) to reduce the mental, physical, and painful burden of giving birth. In response to patient requests, cesarean delivery birthing procedures are now being performed around the world. In March 2017, the Centers for Disease Control (CDC) reported 32.0% of pregnancies were delivered via cesarean delivery in the U.S. Recently; there has been a focus on evaluating the use of infiltrative anesthesia during cesarean delivery. Previously infiltrative anesthesia was only considered for use in rare sittings and high-risk patients, in which general anesthesia was not readily available or contraindicated. This article focuses on the rare use of infiltrative anesthesia for cesarean delivery. Discussion:In cases of life threatening high-risk emergency, cesarean delivery is the standard treatment. In some emergency situations or when vaginal delivery is contraindicated, barriers exist towards administration of general or regional anesthesia. A review of the literature identifies historic reports of an alternative pain management, in such scenarios. Infiltrative anesthesia for cesarean delivery has been previously used in areas where health care funds, hospital resources, and staff are limited, typically in small hospitals and rural communities. Conclusion:Cesarean delivery under infiltrative anesthesia may be seen as an antiquated method, but it is an important clinical option as it may still have some useful applications. Cesarean delivery under infiltrative anesthesia should be viewed as an alternative in specific situations and not simply a procedure of historic interest.

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“…[17][18][19] However, local anesthetic infiltration is a technique rarely used today for cesarean section in developed countries. It is more often used in undeveloped countries with an inadequate number of experienced anesthesia providers and/or limited anesthesia equipment and supplies.…”

Section: Local Anesthesiamentioning

confidence: 99%