Successful spinal anaesthesia for caesarean section in a patient with Marfan syndrome complicated by dural ectasia

2018 ◽  
Vol 35 ◽  
pp. 88-92 ◽  
Author(s):  
N. Skjellerup
Keyword(s):  
Caesarean Section ◽  
Marfan Syndrome ◽  
Spinal Anaesthesia ◽  
Dural Ectasia

scholarly journals Prevention of Hypotension following Spinal Anaesthesia in Caesarean Section - then and now

2012 ◽  
Vol 8 (4) ◽  
pp. 415-419
Author(s):  
J K Mitra
Keyword(s):  
Risk Factors ◽  
Clinical Practice ◽  
High Risk ◽  
Caesarean Section ◽  
Spinal Anaesthesia ◽  
Limited Data ◽  
First Line ◽  
High Risk Patients ◽  
Risk Patients ◽  
Poor Efficacy

Hypotension during spinal anaesthesia for caesarean section remains a common scenario in our clinical practice. Certain risk factors play a role in altering the incidence of hypotension. Aortocaval compression counteraction does not help to prevent hypotension. Intravenous crystalloid prehydration has poor efficacy; thus, the focus has changed toward co-hydration and use of colloids. Phenylephrine is established as a first- line vasopressor, although there are limited data from high-risk patients. Ephedrine crosses the placenta more than phenylephrine and cause possible alterations in the foetal physiology.http://dx.doi.org/10.3126/kumj.v8i4.6242 Kathmandu Univ Med J 2010;8(4):415-19   

CÆSAREAN SECTION UNDER SPINAL ANÆSTHESIA.

The Lancet ◽  
1930 ◽  
Vol 215 (5567) ◽  
pp. 1012-1014 ◽  
Author(s):  
John William Burns
Keyword(s):  
Caesarean Section ◽  
Spinal Anaesthesia

scholarly journals Spinal anaesthesia for Caesarean section

1996 ◽  
Vol 77 (2) ◽  
pp. 301
Author(s):  
R N Foster ◽  
C M Rogers
Keyword(s):  
Caesarean Section ◽  
Spinal Anaesthesia

scholarly journals Volume preloading, spinal anaesthesia and Caesarean section

1996 ◽  
Vol 76 (2) ◽  
pp. 335-336 ◽  
Author(s):  
A Mallick ◽  
A Samaan ◽  
P Braithwaite
Keyword(s):  
Caesarean Section ◽  
Spinal Anaesthesia

Impact of bupivacaine on the neonate delivered by caesarean section under spinal anaesthesia

2008 ◽  
Vol 84 ◽  
pp. S82
Author(s):  
Roberto Antonucci ◽  
Daniele Ibba ◽  
Pierluigi Caboni ◽  
Giorgia Sarais ◽  
Augusta Arceri ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Spinal Anaesthesia

scholarly journals Intravenous dexmedetomidine during spinal anaesthesia for caesarean section: A meta-analysis of randomized trials

2017 ◽  
Vol 45 (3) ◽  
pp. 924-932 ◽  
Author(s):  
Zeqing Bao ◽  
Chengmao Zhou ◽  
Xianxue Wang ◽  
Yu Zhu
Keyword(s):  
Caesarean Section ◽  
Spinal Anaesthesia ◽  
Randomized Trials ◽  
Meta Analysis ◽  
Relevant Literature ◽  
Nausea And Vomiting ◽  
Cochrane Library ◽  
Control Group ◽  
Efficacy And Safety ◽  
The Cochrane Library

Objective To evaluate the efficacy and safety of spinal anaesthesia using dexmedetomidine for caesarean section. Methods PubMed, The Cochrane Library, and CNKI were searched for relevant literature. Results The incidence of nausea and vomiting in the dexmedetomidine group was significantly lower than that in the control group (OR = 0.21, 95% CI: 0.12–0.35, P < 0.00001). No difference was found in the incidence of pruritus between the two groups (OR = 1.21, 95% CI: 0.36–4.09, P = 0.76).The dexmedetomidine group had a higher incidence of bradycardia than did the control group (OR = 2.20, 95% CI: 1.02–4.77, P = 0.05). The incidence of shivering in the dexmedetomidine group was significantly lower than that in the control group (OR = 0.20, 95% CI: 0.13–0.32, P < 0.00001). The incidence of hypotension was not different between the two groups (OR = 0.88, 95% CI: 0.49–1.56, P = 0.65). Conclusion Dexmedetomidine can decrease the incidence of nausea, vomiting, bradycardia, and shivering with spinal anaesthesia during caesarean section.

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