Spinal anaesthesia in obstetrics

Pirenne, Vincent; Dewinter, Geertrui; Velde, Marc Van de

doi:10.1016/j.bpa.2023.03.006

Cited by 2 publications

(1 citation statement)

References 54 publications

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“…There is little interference between the mother and child, and the pregnant woman stays awake throughout the operation, which promotes early contact between the mother and child. This approach is more humane [5]. CSEAs are widely used in clinical practice because of the advantages of rapid onset of SA, perfect blocks and controllable duration of operation with epidural catheters.…”

Section: Introductionmentioning

confidence: 99%

A clinical study on spinal anaesthesia with an equal dose and different concentrations of ropivacaine combined with epidural anaesthesia during caesarean section

Li,

Liu,

Zhao

et al. 2024

Preprint

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Background: Patients who undergo spinal anaesthesia combined with epidural block during caesarean section often have prolonged dyskinesia and leg numbness after the operation. This study explored whether small-dose and low-concentration local anaesthetics can meet the needs of surgery while helping relieve motor blocks earlier, reduce discomfort during leg numbness, and promote early maternal activity to provide additional options for women undergoing caesarean section. Methods: One hundred and twenty patients who underwent elective caesarean section were randomly divided into three groups according to the local anaesthetic concentration: 0.6%, 0.5%, and 0.4% ropivacaine. In all the groups, the puncture point, total dose and injection speed were the same, and an epidural catheter was inserted. Additionally, 2% lidocaine was added to the epidural catheter when the effect of spinal anaesthesia decreased during the operation. The primary outcome was the duration of lidocaine supplementation. Other secondary outcomes were the onset time, duration, highest sensory and motor block levels, use of additional epidural drugs, vital signs, adverse reactions, satisfaction and so on. Results: The sensory and motor block levels decreased faster and were shorter in the 0.4% ropivacaine group than in the other two groups, but additional epidural drugs were needed. Intraoperative circulation was more stable. There were no significant differences in adverse reactions or satisfaction among the groups. Conclusions: A small dose of 0.4% ropivacaine can meet the needs of surgery during combined spinal-epidural anaesthesia for caesarean section, and parturients can recover lower limb sensation and motor function faster after surgery; however, it is necessary to determine the operation time and administer epidural drugs in a timely manner. Trial registration: ChiCTR-2000030968 (Chictr.org.cn); registered on 20/03/2020.

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Section: Introductionmentioning

confidence: 99%

A clinical study on spinal anaesthesia with an equal dose and different concentrations of ropivacaine combined with epidural anaesthesia during caesarean section

Li,

Liu,

Zhao

et al. 2024

Preprint

View full text Add to dashboard Cite

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Complications in Spinal Anesthesia

Aquiles Hidalgo Acosta,

Octavio Zambrano Hidalgo,

Fernanda Calderón León

et al. 2024

Advances in Regional Anesthesia - Future Directions in the Use of Regional Anesthesia

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The justification of this chapter is based on knowing the neurological complications that can be triggered during or after spinal anesthesia since it is one of the most performed procedures in anesthesiology, the main objective is to make a chapter with the most described complications in spinal anesthesia. What are the complications of spinal anesthesia? What complications have been described during the procedure or during its postoperative recovery? The spinal anesthesia technique is a necessary procedure to perform a surgical intervention whose objective is to temporarily block the brain’s ability to recognize painful stimuli. Knowing possible complications that can occur during spinal anesthesia or in the postoperative period allows for early diagnosis and treatment. Complications in anesthesia can be clinically manifested by headache, gluteal pain that radiates to the lower limbs, neuropathy, severe paresthesia, among others, and can generate reversible and irreversible disabling lesions depending on their mechanism of injury.

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Spinal anaesthesia in obstetrics

Cited by 2 publications

References 54 publications

A clinical study on spinal anaesthesia with an equal dose and different concentrations of ropivacaine combined with epidural anaesthesia during caesarean section

A clinical study on spinal anaesthesia with an equal dose and different concentrations of ropivacaine combined with epidural anaesthesia during caesarean section

Complications in Spinal Anesthesia

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