Comparison of the Effects of General and Epidural Anaesthesia for Caesarean Section on the Neurobehavioral Responses of Newborn Infants

1990 ◽  
Vol 9 (4) ◽  
pp. 233
Author(s):  
T. Kangas-Saarela ◽  
M. Koivisto ◽  
R. Jouppila ◽  
P. Jouppila ◽  
A. Hollmén
1998 ◽  
Vol 45 (11) ◽  
pp. 1066-1071 ◽  
Author(s):  
Edward Crosby ◽  
Alan Sandler ◽  
Brendan Finucane ◽  
Desmond Writer ◽  
Dennis Reid ◽  
...  

1990 ◽  
Vol 10 (3) ◽  
pp. 160-161
Author(s):  
A. Skjöldebrand ◽  
J. Eklund ◽  
N. -O. Lundell ◽  
L. Nylund ◽  
B. Sarby ◽  
...  

Author(s):  
Heena D. Pahuja ◽  
Megha P. Tajne ◽  
Anjali R. Bhure ◽  
Savita M. Chauhan

Background: Levobupivacaine has been purported to be as efficacious as Bupivacaine for epidural anaesthesia in recent literature.Methods: With the intent to study the same in caesarean section cases in our set up, we observed various intra- and post-operative variables in two groups (Levobupivacaine and Bupivacaine) of 60 healthy parturients. Sixty parturients for elective caesarean section were allocated randomly to receive epidural block with 10-20 ml of either 0.5% Levobupivacaine with Fentanyl 25µg or 0.5% Bupivacaine with Fentanyl 25µg to reach T6 level.Results: Mean total volume in Bupivacaine group was 15.23ml and in Levobupivacaine group was 12.76 ml. The difference was statistically significant. There was significant difference between the groups in the sensory block. The onset of analgesia was earlier in Levobupivacaine group. Mean time was 6.20 minutes in Bupivacaine group and 4.36 minutes in Levobupivacaine group. The duration of motor block was significantly short in Levobupivacaine group. Mean Time for recovery from motor block in Bupivacaine group was 2.5 hours and in Levobupivacaine group 1.5 hours. Mean time to achieve T6 height was earlier in Levobupivacaine group i.e. 16.46 minutes in Bupivacaine group and 13.26 minutes in Levobupivacaine group. Duration of postoperative analgesia was similar. There was no significant difference in neonatal outcome.Conclusions: Levobupivacaine was found to fare better than Bupivacaine in the studied intra and post-operative parameters and is hence recommended over racemic Bupivacaine for epidural block in patients undergoing elective cesarean section.


2016 ◽  
Vol 10 (2) ◽  
pp. 64-66
Author(s):  
R Pradhan ◽  
S Shrestha ◽  
T Gurung ◽  
AB Shrestha ◽  
KR Sharma

Anaesthesia for an obese parturient poses a challenge to anaesthesiologists. Here we report a case of 27 years obese primigravidae at 40 weeks of gestation with gestational hypertension who underwent elective cesarean section under combined spinal epidural anaesthesia. Her intraoperative and postoperative periods were uneventful. 


Author(s):  
Anne Craig ◽  
Anthea Hatfield

This chapter looks at pregnant mothers and the physiology of pregnancy. It describes how to look after these patients after operations they experience during their pregnancy as well as after Caesarean section. Instructions are given for the special care of newborn infants. Problems of postpartum haemorrhage, eclampsia, air and amniotic embolism, and aspiration pneumonia are discussed.


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