Observational study of continuous spinal anesthesia with the catheter-over-needle technique for cesarean delivery

Alonso, Eduardo Torres; Gilsanz, F.; Gredilla, E.; Martínez, Blanca; Canser, E.; Alsina, E.

doi:10.1016/j.ijoa.2008.11.001

Cited by 33 publications

(17 citation statements)

References 34 publications

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“…These values were consistent with the demographic results obtained in other studies [19,20] and confirmed the validity of the selected sample. As mentioned in Table 1, the demographic differences between three groups of control, ephedrine and phenylephrine were negligible which implies the similar distribution between all groups, and the independency of vasopressors influence from demographic variables.…”

Section: Comparison Of Ephedrine and Phenylephrine In Incidence Of Hesupporting

confidence: 92%

“…Headache is a complication which has commonly observed in many anesthesia treatments, such as atropin, ondansetron, ephedrine and phenylephrine, and its incidence with respect to different techniques of infusion and different dosage of drug has been studied [19,24]. Some studies did not report any incident of headache, even in different anesthesia methods, after using ephedrine to prevent hypotension [21].…”

Section: Comparison Of Ephedrine and Phenylephrine In Incidence Of Hementioning

confidence: 99%

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Comparison of ephedrine and phenylephrine in incidence of headache during spinal anesthesia in cesarean delivery

Yari¹,

Choubsaz²,

Farzam³

et al. 2018

biomedicalresearch

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Background: Spinal anesthesia is more acceptable method of anesthesia in elective cesarean section, but hypotension is the major limitation of this technique which might trigger to serious complications for both mother and fetus. The use of vasopressors is necessary to control hypotension caused by spinal anesthesia, however, it might be along with side effects like headache. Methods: In the present study, 105 candidates for elective cesarean delivery were assessed to compare the role of ephedrine and phenylephrine in relation with the incidence of headache. Pearson Chi-square test, Kruskal-Wallis test, Spearman's rho correlation coefficient was performed to analyse the data. P value<0.05 was considered significant. All data were analysed using Stata 12. Results: The incidence of headache during the surgery was 51.4%, 45.7% and 37.1% in ephedrine, phenylephrine and control groups respectively. Not a significant difference was found between ephedrine and phenylephrine regarding the incidence of headache (P=0.541), also no significant difference were found in the severity of the headache (P=0.277). The severity of the headache was not different 24 h after surgery. The number of doses of vasopressor consumption in ephedrine and phenylephrine recipients was not significantly different (P=0.579). No significant difference was found between the number of doses used and the severity of the headache during surgery (P=0.979). However, the average of systolic blood pressure in ephedrine group was higher than phenylephrine group (P=0.001). Also, the impact of ephedrine and phenylephrine on heart rate was similar and affectless. Conclusions: In this study, no significant differences were observed in the incidence and severity of headaches during and after surgery, and the number of doses of vasopressor drug consumption between phenylephrine and ephedrine recipients to treat hypotension associated with spinal anesthesia in cesarean section.

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Section: Comparison Of Ephedrine and Phenylephrine In Incidence Of Hesupporting

confidence: 92%

Section: Comparison Of Ephedrine and Phenylephrine In Incidence Of Hementioning

confidence: 99%

Comparison of ephedrine and phenylephrine in incidence of headache during spinal anesthesia in cesarean delivery

Yari¹,

Choubsaz²,

Farzam³

et al. 2018

biomedicalresearch

View full text Add to dashboard Cite

show abstract

“…15 However, we appreciate that block failures may also occur with IT dosing using a CSA technique. 16 A potential advantage of converting an inadvertent dural puncture to a CSA technique may be the possible reduction in incidence of PDPH. Despite an expected incidence of 55-80%, our patient did not report a PDPH secondary to dural puncture with the 17G Tuohy needle.…”

Section: Discussionmentioning

confidence: 99%

“…Apre`s la naissance d'un enfant vivant en bonne sante´, la pre´sence d'adhe´rences morbides du placenta sur le muscle ute´rin a e´te´confirme´e et une hyste´rectomie supracervicale a e´te´re´alise´e. Des pertes de huit litres de sang sont survenues au cours du postpartum ne´cessitant une re´animation avec 3 800 mL de cristalloı¨des, 1 500 mL de colloı¨des, 16 Abnormal placental attachment (placenta accreta, increta, or percreta) can result in severe postpartum hemorrhage and is associated with significant morbidity and mortality. 1 The incidence of abnormal placentation has increased from approximately 0.8 per 1,000 deliveries in the 1980s to 3 per 1,000 deliveries in the past decade, [2][3][4] which is partly related to a rise in the rates of Cesarean delivery.…”

Section: Résumémentioning

confidence: 99%

Continuous spinal anesthesia for Cesarean hysterectomy and massive hemorrhage in a parturient with placenta increta

Sultan

Hilton

Butwick

et al. 2012

Can J Anesth/J Can Anesth

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“…Although infectious complications following neuraxial anesthesia are rare, they remain a significant cause of morbidity/mortality and subsequent litigation. 3 We queried whether introducing the new Wiley Spinal Ò neuraxial kit (Epimed, NY, USA) for continuous spinal anesthesia 4 (CSA) would affect sterile technique when compared with B. Braun's custom kit (B. Braun, PA, USA) for combined spinal-epidural anesthesia (CSE) used in our hospital. After anesthesiologists and fellows (subjects) received training in the new CSA kit, we compared the number of breaches in sterile technique that occurred when the subjects used the two kits in a simulation session.…”

mentioning

confidence: 99%

A prospective observational study comparing the ease of use and safety of two neuraxial anesthesia kits on an epidural-spinal training model

Benavides

Douglas

Preston

et al. 2014

Can J Anesth/J Can Anesth

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To the Editor, Quality and safety are major initiatives of the anesthesia community. Periodic evaluation of procedural skills could potentially decrease the risk of common and potentially dangerous errors 1,2 while promoting self-awareness. Although infectious complications following neuraxial anesthesia are rare, they remain a significant cause of morbidity/mortality and subsequent litigation. 3 We queried whether introducing the new Wiley Spinal Ò neuraxial kit (Epimed, NY, USA) for continuous spinal anesthesia 4 (CSA) would affect sterile technique when compared with B. Braun's custom kit (B. Braun, PA, USA) for combined spinal-epidural anesthesia (CSE) used in our hospital. After anesthesiologists and fellows (subjects) received training in the new CSA kit, we compared the number of breaches in sterile technique that occurred when the subjects used the two kits in a simulation session.Following approval by the University of British Columbia Research Ethics Board (March 2012) and informed consent, each subject (n = 12) was trained using a lumbar model, GENESIS Simulator (Epimed International, Farmers Branch, TX, USA), to perform CSA with the new kit. Interventions and observations were completed during March-July 2012. Within five weeks following their training, the subjects randomly used the CSE and CSA kits in a videotaped simulation session. To ensure that the videotape assessors were blinded to the subjects' identity, all subjects wore masks, gowns, and gloves to conceal their hands and forearms, and no panoramic views or sounds were captured. Comments were elicited about the kits and lumbar model, and satisfaction was scored on a five-point Likert scale (5 = very satisfied).Two blinded assessors compared the performances randomly using a pre-established checklist 5 to evaluate possible contamination of the operating field. A point was deducted if a breach occurred. Sterile skin preparation and opening the kit were not evaluated in order to focus on draping and handling of needles/catheter for breaches in aseptic technique.The videotapes were scored using the checklist. The areas assessed for breaches in aseptic technique were: placement of the drape on the model, placement of items on the tray and table, awareness of hand location, and handling the needles and catheter. A priori, maintenance of sterility during insertion was the surrogate for assessing risk of infection (safety).The number of breaches was similar between the two kits (Wilcoxon signed-rank test: W = 42; P = 0.14). The median (range) number of breaches in the CSA vs CSE group was 3 (1-4) vs 2 (0-5), respectively. The median (range) difference in the number of breaches (CSA-CSE) was 1 (-3 to 3).The total number of breaches was calculated for each subject for each technique and compared with the number (1-9) vs 5 (3-6), respectively, (W = 13.5; P = 0.56).After the study was completed, the results and some sample videos were presented at a departmental meeting. Discussion centred around the use of simulators/models, with or without videotapin...

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Observational study of continuous spinal anesthesia with the catheter-over-needle technique for cesarean delivery

Cited by 33 publications

References 34 publications

Comparison of ephedrine and phenylephrine in incidence of headache during spinal anesthesia in cesarean delivery

Comparison of ephedrine and phenylephrine in incidence of headache during spinal anesthesia in cesarean delivery

Continuous spinal anesthesia for Cesarean hysterectomy and massive hemorrhage in a parturient with placenta increta

A prospective observational study comparing the ease of use and safety of two neuraxial anesthesia kits on an epidural-spinal training model

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