Spinal Versus Epidural Anesthesia for Cesarean Delivery in Severe Preeclampsia: A Prospective Randomized, Multicenter Study

Visalyaputra, Shusee; Rodanant, Oraluxna; Somboonviboon, Wanna; Tantivitayatan, Kamthorn; Thienthong, Somboon; Saengchote, Wanawimol

doi:10.1097/01.ogx.0000197833.67832.e7

Cited by 12 publications

(13 citation statements)

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“…elective and emergency situations [18,19]. Blockade of light touch sensation from S5 to T5 should avoid the need for supplementation or conversion to general anaesthesia.…”

Section: Epidural Top-upmentioning

confidence: 99%

Emergency Caesarean section: best practice*

Levy

2006

Anaesthesia

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Good multidisciplinary communication is crucial to the safe management of women requiring non-elective Caesarean section. Anaesthetists should participate actively in resuscitation of the fetus in utero; relief of aortocaval compression is paramount. Epidural top-up with levobupivacaine 0.5% is the anaesthetic of choice for women who have been receiving labour epidural analgesia. If epidural top-up fails to provide bilateral light touch anaesthesia from S5 -T5, a combined spinalepidural technique with small intrathecal dose of local anaesthetic is a useful approach. Preeclampsia is not a contra-indication to single-shot spinal anaesthesia, which is the technique of choice for most women presenting for Caesarean section without an epidural catheter in situ. Induction and maintenance doses of drugs for general anaesthesia should not be reduced in the belief that the baby will be harmed. Early postoperative observations are geared towards the detection of overt or covert haemorrhage.

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“…elective and emergency situations [18,19]. Blockade of light touch sensation from S5 to T5 should avoid the need for supplementation or conversion to general anaesthesia.…”

Section: Epidural Top-upmentioning

confidence: 99%

Emergency Caesarean section: best practice*

Levy

2006

Anaesthesia

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“…Neuraxial blockade for patients with pre-eclampsia undergoing cesarean section is a safe and potent anesthetic technique [1]. Fast onset, higher level blockade, lower failure rates, and cost-effectiveness are main causes that make spinal block is the preferred technique although it has numerous side effects which my occur intra operative as hypotension, bradycardia, respiratory depression, short period of block and postoperative complications as nausea, vomiting, shivering, prurites paresthesia, post dural puncture headache (PDPH), allergy, voiding difficulty and shortness of postoperative analgesia [2].…”

Section: Introductionmentioning

confidence: 99%

Evaluation the Effects of Intravenous vs. Spinal Dexmedetomidine during Anesthesia for Cesarean Sections with Severe Pre-Eclampsia

Elgebaly¹

2017

J Anesth Clin Res

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“…[1][2][3] The optimal anesthetic technique for cesarean delivery in women with severe preeclampsia remains controversial. 4,5 A more relevant and interesting problem is how we can improve monitoring of other hemodynamic parameters in preeclamptic parturients.…”

mentioning

confidence: 99%

Is It More Informative to Focus on Cardiac Output than Blood Pressure during Spinal Anesthesia for Cesarean Delivery in Women with Severe Preeclampsia?

Langesæter¹

2008

Anesthesiology

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Spinal Versus Epidural Anesthesia for Cesarean Delivery in Severe Preeclampsia: A Prospective Randomized, Multicenter Study

Cited by 12 publications

References 0 publications

Emergency Caesarean section: best practice*

Emergency Caesarean section: best practice*

Evaluation the Effects of Intravenous vs. Spinal Dexmedetomidine during Anesthesia for Cesarean Sections with Severe Pre-Eclampsia

Is It More Informative to Focus on Cardiac Output than Blood Pressure during Spinal Anesthesia for Cesarean Delivery in Women with Severe Preeclampsia?

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