Combination of Small Doses of Subarachnoid Bupivacaine/Fentanyl and Epidural Bupivacaine in Combined Spinal-Epidural Anesthesia for Cesarean Section.
10.4097/kjae.2001.41.6.693
- Author:
Duck Hwan CHOI
1
;
Hyo Sun CHOI
;
Hyun Joo AHN
Author Information
1. Department of Anesthesiology, Samsung Medical Center Sungkyunkwan University School of Medicine, Seoul, Korea. dhchoi@smc.samsung.co.kr
- Publication Type:Original Article
- Keywords:
Analgesics: fentanyl;
Anesthetics, local: bupivacaine;
Anesthetic technique: combined spinal-epidural;
Surgery: cesarean section
- MeSH:
Analgesia;
Anesthesia*;
Anesthesia, Conduction;
Anesthesia, Spinal;
Bupivacaine*;
Cesarean Section*;
Dizziness;
Female;
Fentanyl;
Humans;
Incidence;
Injections, Epidural;
Injections, Spinal;
Nausea;
Pregnancy;
Pruritus;
Shivering;
Vomiting
- From:Korean Journal of Anesthesiology
2001;41(6):693-698
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: An intrathecal injection of a small-dose local anesthetic and an opioid using combined spinal-epidural anesthesia (CSEA) technique is a new trend in regional anesthesia for cesarean section. Prophylactic epidural injection may be useful to complete the new regimen. METHODS: Spinal anesthesia via the CSEA technique was performed with 6 mg 0.5% hyperbaric bupivacaine plus 20ng fentanyl in 75 parturients undergoing cesarean section. group S (study, n = 38) received an epidural injection of 10 ml of 0.25% bupivacaine 5 min after intrathecal injection, and was compared with group C (control, n = 37) in sensory levels and Bromage scores, incidences of side effects such as hypotentsion, pain and discomfort, nausea and vomiting, dizziness, pruritus and shivering. Recovery times from sensory and motor block and the duration of postoperative analgesia were assessed between the groups. RESULTS: Sensory block levels were higher (but remained
