Spinal Anesthesia for Lower Segment Cesarean Section in Patients With Stable Eclampsia

2012 ◽  
Vol 32 (2) ◽  
pp. 137-138
Author(s):  
R. Singh ◽  
N. Kumar ◽  
A. Jain ◽  
M. Chakraborty
Keyword(s):  
Cesarean Section ◽  
Spinal Anesthesia ◽  
Lower Segment ◽  
Lower Segment Cesarean Section

scholarly journals PREVENTION OF SHIVERING DURING LOWER SEGMENT CESAREAN SECTION;

2013 ◽  
Vol 20 (03) ◽  
pp. 409-415
Author(s):  
ASHFAQ AHMED ◽  
MOHAMMAD ASLAM
Keyword(s):  
Cesarean Section ◽  
Spinal Anesthesia ◽  
Carbon Dioxide Production ◽  
Double Blind Study ◽  
Lower Segment ◽  
Chi Square ◽  
Double Blind ◽  
Lower Segment Cesarean Section ◽  
Group I ◽  
Group Ii

Objectives: To compare the efficacy of low-dose prophylactic use of ketamine with ketamine plus midazolam for theprevention of shivering caused by spinal anesthesia, during lower segment cesarean section. Main Outcome Measures: Heamodynamicmonitoring, avoidance of lactic acidosis/ increased carbon dioxide production and patient satisfaction. Design: Prospective RandomizedControlled trial. Place: Department of Anesthesia and ICU PNS Shifa Karachi. Duration of study: March 2010 to June 2010. Patients andMethods: 100 ASA-I & II consecutive patients who reported for LSCS in PNS Shifa Hospital were studied. In this double-blind study,patients were randomly allocated to receive ketamine alone (Group I, n= 50), and ketamine plus midazolam (Group II, n = 50). Afterstandardized Spinal anesthesia, a shivering was recorded at 5 min intervals for 15 minutes. Results: Shivering was observed in 9/50(18%) patients of group I (Ketamine only) as compared to only 2/50 (4%) patients in Group II (ketamine + midazolam) (p=0.025) whichis statically significant. The two groups were comparable regarding distribution of age (p=0.37), BMI (p=0.27) and duration of surgery.Results were analyzed by using chi square test. Conclusions: The efficacy of i.v. ketamine plus midazolam is better as compared to lowdosei.v. ketamine alone in preventing shivering in lower segment Cesarean Section patients, during spinal anesthesia.

scholarly journals Thoracic spinal anesthesia for cesarean section in severe pre-eclampsia: exploring a new dimension

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Rajeev Chauhan ◽  
Pranshuta Sabharwal ◽  
Rashi Sarna ◽  
Shyamcharan Meena
Keyword(s):  
Cesarean Section ◽  
Spinal Anesthesia ◽  
Anesthetic Management ◽  
Sensory Block ◽  
Lumbar Region ◽  
Lower Segment ◽  
Hemodynamic Stability ◽  
Emergency Situations ◽  
Lower Segment Cesarean Section ◽  
Thoracic Spinal

Abstract Background Severe pre-eclampsia poses a dilemma for the anesthesiologist especially in emergency situations where cesarean deliveries are done for the un-investigated or partially investigated parturient. Hemodynamic stability is the major goal of anesthetic management of these patients. Thoracic spinal anesthesia has been successfully given for various surgeries like breast cancer and abdominal cancer but not for cesarean section. Case presentation We report a case of a 35-year-old at 33+5-week period of gestation with severe pre-eclampsia and bullous lesions managed successfully with segmental thoracic spinal anesthesia. General anesthesia in this patient could have been risky as the patient was not fasting; airway bullous lesions could not be ruled out and Mallampati grade was III on airway examination. Presence of lesions in lumbar region precluded the lumbar spinal technique. The technique was associated with an adequate level of the sensory block during lower segment cesarean section, a high degree of hemodynamic stability, and a high patient satisfaction Conclusion Segmental thoracic spinal anesthesia can be used successfully and effectively for lower segment cesarean section by experienced anesthetists. Further studies are warranted to compare its effect, especially on hemodynamics with known techniques.

scholarly journals A Case of Post-partum Chronic Subdural Hematoma.

2021 ◽  
Author(s):  
Suyasha Rajbhandari ◽  
Pritam Gurung ◽  
Gopi Nepal ◽  
Samir Acharya ◽  
Basant Pant
Keyword(s):  
Cesarean Section ◽  
Spinal Anesthesia ◽  
Subdural Hematoma ◽  
Dural Puncture ◽  
Post Partum ◽  
Chronic Subdural Hematoma ◽  
Lower Segment ◽  
Post Dural Puncture Headache ◽  
Lower Segment Cesarean Section ◽  
Variable Presentation

Intracranial subdural hematoma following spinal anesthesia is an infrequent occurrence and has variable presentation. Due to rarity, it may often be misdiagnosed as post-dural puncture headache. In this report, we describe a case of a 25-year-old woman who presented with a headache following lower segment cesarean section after spinal anesthesia.

Cardiovascular Collapse Under Spinal Anesthesia

2009 ◽  
Vol 1 (3) ◽  
pp. 67-69
Author(s):  
Randhir Puri ◽  
K Anand Shankar ◽  
Y Singh
Keyword(s):  
Case Report ◽  
Cesarean Section ◽  
Amniotic Fluid ◽  
Spinal Anesthesia ◽  
Fetal Distress ◽  
Cardiovascular Collapse ◽  
Lower Segment ◽  
Presumptive Diagnosis ◽  
Lower Segment Cesarean Section ◽  
High Spinal Anesthesia

ABSTRACT A 20 years old ASA I full term primigravida in labor, underwent an emergency lower segment cesarean section under spinal anesthesia, the indication being fetal distress. Immediately following delivery of fetus, she complained of severe breathlessness and suffered a cardiovascular collapse. A presumptive diagnosis of high spinal anesthesia was made and she was managed accordingly. Thirty minutes later she developed angioedema which increased in severity over the next two hours and a diagnosis of anaphylactic reaction was made. The patient responded to intravenous adrenaline and recovered over next 24 hours. The aim of this case report is to discuss cardiovascular collapse and its etiological factors, such as anaphylaxis, amniotic fluid embolism and high spinal anesthesia during cesarean section.

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