Very low-dose spinal anesthesia for cesarean section in a morbidly obese preeclamptic patient and its potential implications

2004 ◽  
Vol 13 (2) ◽  
pp. 99-102 ◽  
Author(s):  
M Reyes ◽  
P.H Pan
Keyword(s):  
Cesarean Section ◽  
Spinal Anesthesia ◽  
Low Dose ◽  
Morbidly Obese ◽  
Preeclamptic Patient

scholarly journals Sufentanil in combination with low-dose hyperbaric bupivacaine in spinal anesthesia for cesarean section: a randomized clinical trial

2016 ◽  
Vol 66 (6) ◽  
pp. 622-627 ◽  
Author(s):  
Alexandre Dubeux Dourado ◽  
Ruy Leite de Melo Lins Filho ◽  
Raphaella Amanda Maria Leite Fernandes ◽  
Marcelo Cavalcanti de Sá Gondim ◽  
Emmanuel Victor Magalhães Nogueira
Keyword(s):  
Clinical Trial ◽  
Cesarean Section ◽  
Spinal Anesthesia ◽  
Randomized Clinical Trial ◽  
Low Dose ◽  
Hyperbaric Bupivacaine

Low-dose S-ketamine for postoperative pain in cesarean section with spinal anesthesia

2007 ◽  
Vol 24 (Supplement 39) ◽  
pp. 144
Author(s):  
E. Suppa ◽  
R. Pinto ◽  
B. A. Zanfini ◽  
A. Valente ◽  
G. Draisci
Keyword(s):  
Postoperative Pain ◽  
Cesarean Section ◽  
Spinal Anesthesia ◽  
Low Dose

162Pulmonary effects of low-dose spinal anesthesia for elective cesarean section

2006 ◽  
Vol 31 (5) ◽  
pp. 53-53
Author(s):  
N KLEBER ◽  
P LIRK ◽  
G MITTERSCHIFFTHALER ◽  
G PUTZ
Keyword(s):  
Cesarean Section ◽  
Spinal Anesthesia ◽  
Low Dose ◽  
Elective Cesarean Section ◽  
Elective Cesarean

scholarly journals Hemodynamic effects of low-dose bupivacaine spinal anesthesia for cesarean section: A randomized controlled trial

2019 ◽  
Vol 13 (3) ◽  
pp. 208
Author(s):  
Duane Funk ◽  
MartaJ Cenkowski ◽  
Doug Maguire ◽  
Stephen Kowalski ◽  
FahdA Al Gurashi
Keyword(s):  
Randomized Controlled Trial ◽  
Cesarean Section ◽  
Spinal Anesthesia ◽  
Low Dose ◽  
Controlled Trial ◽  
Hemodynamic Effects ◽  
Randomized Controlled

scholarly journals Anesthetic management of obese and morbidly obese parturients

2021 ◽  
Vol 16 (4) ◽  
pp. 313-321
Author(s):  
Sang Tae Kim
Keyword(s):  
Cesarean Section ◽  
Pregnant Women ◽  
Spinal Anesthesia ◽  
Anesthetic Management ◽  
Operation Time ◽  
Rapid Onset ◽  
The Body ◽  
Morbidly Obese ◽  
Single Shot ◽  
Cesarean Sections

The prevalence of obese parturients is increasing worldwide. This review describes safe analgesic techniques for labor and anesthetic management during cesarean sections in obese parturients. The epidural analgesic technique is the best way to provide good pain relief during the labor phase and can be easily converted to a surgical anesthetic condition. However, the insertion of the epidural catheter in obese parturients is technically more difficult compared to that in non-obese parturients. The distance from the skin to the epidural space increases in proportion to the body mass index (BMI): 4.4 cm in mothers of normal weight and 7.5 cm in mothers with BMI 50 and above. Neuraxial blocks are the ideal anesthetic methods and gold standard techniques for cesarean section in pregnant women with obesity. Single-shot spinal anesthesia is the most common type of anesthesia used for cesarean sections. The advantage of single-shot spinal anesthesia is a dense-sufficient block of rapid onset. A combined spinal-epidural (CSE) anesthetic technique is also recommended as an attractive alternative method. In obese parturients, the operation time can be longer than expected, and therefore, the CSE technique provides the advantage of rapid onset and intense block for prolonged operation with postoperative pain control. The risk of postoperative complications is very high in obese parturients. Therefore, detailed communication of the parturient's medical condition and the details of surgery and anesthesia between the anesthesiologist and obstetrician is important prior to cesarean section in obese pregnant women.

scholarly journals Low dose hyperbaric bupivacaine 5 mg combined with 50 mcg fentanyl for cesarean section in maternal heart disease

2019 ◽  
Author(s):  
Isngadi Isngadi ◽  
Rudi Hartono ◽  
Dewi Puspitorini Husodo ◽  
Eka Sunarwidhi Prasedya
Keyword(s):  
Heart Disease ◽  
Cesarean Section ◽  
Spinal Anesthesia ◽  
Apgar Score ◽  
Low Dose ◽  
Fetal Outcome ◽  
Post Injection ◽  
Physiological Changes ◽  
Hyperbaric Bupivacaine ◽  
Metabolic System

Background & Aims: Most of the women with cardiovascular diseases suffer from worsening of their clinical condition during pregnancy. It is caused by cardiovascular physiological changes during pregnancy and increased demand of oxygen-metabolic system. Spinal anesthesia is the most commonly used technique in cesarean section (CS) patients, but there are concerns about sudden hemodynamic decrease. We aimed to investigate the use of low dose hyperbaric bupivacaine 5 mg combined with 50 μg fentanyl for caesarean section in patient with heart disease.Methodology: This study is a retrospective study in 33 patients with maternal heart disease undergoing CS under low dose spinal anesthesia in Saiful Anwar Hospital Malang Indonesia from September 2017 until September 2018. The spinal regimen was administered with 5 mg bupivacaine heavy 0.5% combined with 50 μg fentanyl. We evaluated the hemodynamic preoperative, post injection of spinal anesthetics, postdelivery, and at the end of surgery. We also evaluated Bromage score, Apgar score of the baby, and satisfaction level by the obstetrician.Results: Combination of low dose spinal and opioid for the CS delivery show no significant hypotension effects. Hemodynamic stabilization was achieved. Furthermore, target blocked was reached well in all cases, no significant changes in Apgar score of the baby, and obstetrician satisfied with motor relaxation.Conclusion: Low dose spinal anesthesia using 5 mg of bupivacaine heavy 0.5% and adjuvant opioid fentanyl 50 μg can be successfully used for the performance of CS delivery satisfactory block, good fetal outcome, and impressive cardiovascular stability.Citation: Husodo DP, Isngadi I, Hartono R, Prasedya ES. Low dose hyperbaric bupivacaine 5 mg combined with 50 mcg fentanyl for cesarean section in maternal heart disease. Anaesth pain & intensive care 2019;23(3):274-278

scholarly journals Low Dose Hyperbaric Bupivacaine with Fentanyl in Spinal Anesthesia in Elective Cesarean Section

2019 ◽  
Vol 9 (2) ◽  
pp. 79-82
Author(s):  
Bharati Devi Sharma Regmi ◽  
Gopendra Prasad Deo ◽  
Subin Shrestha ◽  
Sabita Shrestha ◽  
Renuka Tamrakar Mishra
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Cesarean Section ◽  
Spinal Anesthesia ◽  
Low Dose ◽  
Nausea And Vomiting ◽  
Elective Cesarean Section ◽  
Hyperbaric Bupivacaine ◽  
Significant Difference ◽  
Elective Cesarean

Background: Spinal anesthesia with hyperbaric bupivacaine provides a dense neural block in cesarean delivery but associated with side effects like hypotension, bradycardia nausea and vomiting. Addition of low dose fentanyl with low dose of hyperbaric bupivacaine may decrease the in­cidence of these complications. The aims of study was to compare the hemodynamic parameters (blood pressure and heart rate), nausea and vomiting with low dose intrathecal hyperbaric bupivacaine with fentanyl vs a conventional dose of intrathecal hyperbaric bupivacaine in patient undergoing elective cesarean section. Methods: Seventy-four pregnant women aged 20-35 years old which un­derwent elective cesarean section at Chitwan Medical College were ran­domized into two groups. One group received spinal anesthesia with 8mg of0.5% hyperbaric bupivacaine and 25μg fentanyl and another group re­ceived 12mg 0.5% bupivacaine. Results: The mean age, baseline heart rate, systolic and diastolic blood pressure were comparable in both groups. Significant difference in hypo­tension (24.31% vs. 62.16%, p<0.05) and Nausea and vomiting (16.20% vs. 27%, p<0.05) were found in bupivacaine-fentanyl group versus a conven­tional dose of spinal bupivacaine group. Conclusions: Low dose of bupivacaine with Fentanyl provides good spinal anesthesia for cesarean section with less hypotension, nausea and vomit­ing in comparison to bupivacaine alone.

The effects of prophylactic bolus phenylephrine on hypotension during low-dose spinal anesthesia for cesarean section

2016 ◽  
Vol 25 ◽  
pp. 17-22 ◽  
Author(s):  
H.-M. Lee ◽  
S.-H. Kim ◽  
B.-Y. Hwang ◽  
B.-W. Yoo ◽  
W.-U. Koh ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Spinal Anesthesia ◽  
Low Dose
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