Correlation between weight of the baby and the level of sensory blockade in spinal anaesthesia for caesarean section: An observational study

Aims: This study aims to review the haemodynamic effects of the repeat spinal anaesthesia and to identify the different doses of Bupivacaine heavy used for the repeat spinal anaesthesia for the failed spinal in caesarean section.Methods: This study was conducted by reviewing medical anaesthesia records of the cases of the repeat spinal anesthesia regarding any adverse haemodynamic effects. The second dose of bupivacaine heavy, maximum sensory blockade and intraoperative events like bradycardia, hypotension, high spinal, nausea vomiting, conversion to general anaesthesia and inadequate block were also reviewed.Results: Out of 8040 caesarean section under subarachnoid block, 51(0.63%) cases were conducted under repeat spinal anaesthesia from April 2014 to December2016. All the cases had complete spinal failure with no sensory and motor effects even after 10 minutes of the intrathecal injection. The second dose of bupivacaine heavy used was variable but reduced than the first dose. The most common adverse effect was hypotension (27.5%). 50% of cases were uneventful. One case was converted to general anaesthesia even after repeat spinal anaesthesia and 9.8% cases had high spinal above T4.Conclusions: Repeat administration of Bupivacaine heavy in reduced dose and volume can be used in complete failure of administration of first spinal anaesthesia. However, it always requires careful assessment and the judicious monitoring.

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Comparison of the level of sensory blockade achieved when spinal anaesthesia is performed for caesarean section before and after urinary bladder catheterisation: a randomised controlled study

Sri Lanka Journal of Medicine ◽

10.4038/sljm.v29i2.221 ◽

2020 ◽

Vol 29 (2) ◽

pp. 25

Author(s):

Saman Nanayakkara ◽

S. D. I. Nanayakkara ◽

M. V. G. Pinto

Keyword(s):

Caesarean Section ◽

Urinary Bladder ◽

Spinal Anaesthesia ◽

Controlled Study ◽

Sensory Blockade ◽

Randomised Controlled Study ◽

Before And After ◽

Randomised Controlled

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Risk factors for shivering during caesarean section under spinal anaesthesia. A prospective observational study

Acta Anaesthesiologica Scandinavica ◽

10.1111/aas.13462 ◽

2019 ◽

Vol 64 (1) ◽

pp. 112-116 ◽

Cited By ~ 3

Author(s):

Bartłomiej Wódarski ◽

Radosław Chutkowski ◽

Jolanta Banasiewicz ◽

Katarzyna Moorthi ◽

Stanisław Wójtowicz ◽

...

Keyword(s):

Risk Factors ◽

Caesarean Section ◽

Observational Study ◽

Spinal Anaesthesia ◽

Prospective Observational Study

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Effect of Temperature Variation of Intrathecal Bupivacaine on Shivering in Parturients Undergoing Spinal Anaesthesia

Journal of Evolution of Medical and Dental Sciences ◽

10.14260/jemds/2021/94 ◽

2021 ◽

Vol 10 (7) ◽

pp. 425-429

Author(s):

Karen Herniques ◽

Amrusha Mukesh Raipure ◽

Dipakkumar Hiralal Ruparel ◽

Naresh Tirpude

Keyword(s):

Caesarean Section ◽

Temperature Variation ◽

Spinal Anaesthesia ◽

Onset Time ◽

Effect Of Temperature ◽

P Value ◽

Double Blind Study ◽

Sensory Blockade ◽

Group I ◽

Group Ii

BACKGROUND Shivering is commonly encountered complication following spinal anaesthesia leading to discomfort and interference with monitoring during caesarean section. There is no definite aetiology for this and hence no definite treatment is available. Hence, we wanted to study effect of temperature variation of spinal inject on post spinal shivering during caesarean section. METHODS This prospective randomized double-blind study was conducted on 80 parturients posted for elective caesarean section allocated to two groups of 40 each receiving 2.0 mL of 0.5 % hyperbaric bupivacaine with temperature of 220 C (group I) or 370 C (group II) intrathecally at L3 - L4 interspace. Onset of shivering, its severity and incidence were noted. Data was analysed using various tests and P-value < 0.05 was considered as significant and P-value < 0.01 was considered highly significant. RESULTS Demographic characters, surgical parameters as well as onset time of sensory blockade, maximum sensory blockade, time to achieve maximum sensory and motor blockade were comparable in the two groups. Shivering was present in 57.5 % of patients in group I and 32.5 % in group II and this difference was statistically significant. Overall, shivering percentage was 45 % although difference in mean onset time was not significant in the two groups. Grades of shivering were comparable in both groups. CONCLUSIONS Warm solutions used intrathecally can reduce incidence of shivering following spinal anaesthesia in caesarean section although it doesn’t influence intensity of shivering. KEY WORDS Neuraxial Anaesthesia, Temperature Variation, Post Spinal Shivering

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An Observational Study of Proportion and Risk Factors of Hypotension in Parturients Undergoing Spinal Anaesthesia for Caesarean Section

Journal of Medical Science And clinical Research ◽

10.18535/jmscr/v6i7.198 ◽

2018 ◽

Vol 6 (7) ◽

Author(s):

Dr Sheela . P ◽

Keyword(s):

Risk Factors ◽

Caesarean Section ◽

Observational Study ◽

Spinal Anaesthesia

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Comparison of two doses of chloroprocaine (20 mg v/s. 30 mg) for spinal anaesthesia in perianal surgery: A prospective observational study (Running title: Chloroprocaine for spinal anaesthesia)

Serbian Journal of Anesthesia and Intensive Therapy ◽

10.5937/sjait2106097k ◽

2021 ◽

Vol 43 (5-6) ◽

pp. 97-101

Author(s):

Senthil Kumar ◽

A.K. Prasath ◽

P. Jothianand ◽

K.K. Srinivasan

Keyword(s):

Observational Study ◽

Spinal Anaesthesia ◽

Prospective Observational Study ◽

Anaesthetic Agent ◽

Optimal Dose ◽

Study Groups ◽

Outcome Variable ◽

Motor Blockade ◽

Sensory Blockade ◽

Mean Values

Introduction: The favourable pharmacokinetic properties of 2-chloroprocaine has regained popularity recently as spinal anaesthetic agent because of rapid onset and quick recovery time. The aim of this study was to determine the optimal dose of chloroprocaine for perianal surgeries. Methods: This prospective observational study recruited 30 subjects in each group (group A 20 mg of 1% chloroprocaine and group B 30 mg of 1% chloroprocaine) who underwent elective ambulatory perianal surgeries. Time of unassisted ambulation was considered as primary outcome variable expressed in min. For normally distributed quantitative parameters the mean values were compared between the study groups using independent sample t-test. Categorical outcomes were compared between study groups using Chi square test. Results: Time of unassisted ambulation was 100.50 ± 4.02 min for 20 mg group and 123.17 ± 5.33 min for 30 mg group (p < 0.001). Duration of sensory blockade for 20 mg group was 46.50 ± 5.11 min and for 30 mg group was 76.00 ± 8.14 min (p < 0.001). Duration of motor blockade for 20 mg group was 75.17 ± 7.01 min and for 30 mg group was 99.83 ± 4.25 min (p < 0.001).Conclusion: Chloroprocaine can be used successfully in perianal surgeries. Among the two doses, duration of motor blockade is increased in 30 mg compared to 20 mg, also adequate intraoperative anaesthesia was obtained with 20 mg. Isobaric chloroprocaine 1%, 20 mg is sufficient to achieve adequate intraoperative anaesthesia and leads to earlier discharge.

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