JOURNAL HOME CME HOME THIS MONTH PAST ISSUES ETOC COLLECTIONS AUTHORS REVIEWERS EDITORIAL BOARD FEEDBACK RSS HELP
		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a colleague Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Santos, A. Articles by Edström, H. Search for Related Content PubMed PubMed Citation Articles by Santos, A. Articles by Edström, H.

Hyperbaric Bupivacaine for Spinal Anesthesia in Cesarean Section

Departments of Anesthesiology, Obstetrics and Gynecology, College of Physicians and Surgeons, of Columbia University, New York, New York, and the Department of Clinical Research, Astra Lakemedel, Sodertalje, Sweden.

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 sub-arachnoid 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.

Key Words: ANESTHETICS, LOCAL—bupivacaine • ANESTHETIC TECHNIQUES—local • ANESTHETICS—obstetrics

This article has been cited by other articles:

				M. Bahar, M. Chanimov, M. L. Cohen, M. Friedland, Y. Grinshpon, R. Brenner, I. Shul, R. Datsky, and D. J. Sherman Lateral recumbent head-down posture for epidural catheter insertion reduces intravascular injection Can J Anesth, January 1, 2001; 48(1): 48 - 53. [Abstract] [Full Text] [PDF]

Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999