Head Elevation in Spinal-Epidural Anesthesia Provides Improved Hemodynamics and Appropriate Sensory Block Height at Caesarean Section

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Head Elevation in Spinal-Epidural Anesthesia Provides Improved Hemodynamics and Appropriate Sensory Block Height at Caesarean Section

PURPOSE We aimed to determine whether head elevation during combined spinal-epidural anesthesia (CSE) and Caesarean section provided improved hemodynamics and appropriate sensory block height. MATERIALS AND METHODS Forty-four parous women undergoing CSE for elective Caesarean section were randomly assigned to one of two groups: right lateral (group L) or right lateral and head elevated (group...

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An epidural initial dose is unnecessary in combined spinal epidural anesthesia for Caesarean section.

Combined spinal epidural anesthesia is widely used for Caesarean section. Bolus administration of an epidural initial dose introduces the risk of drug flux from the epidural space to the subarachnoid space, and the volume effect of the initial dose may cause epidural top-up and extension of subarachnoid blockade. These problems may be avoided if the initial dose is not administered. This study ...

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Sensory testing of spinal anaesthesia for caesarean section: differential block and variability.

BACKGROUND The aim of this study was to determine if sensory block following spinal anaesthesia, measured with a range of devices, corresponded to the hierarchy of nerve fibre size in the area of differential block, and to compare the distribution and variability of recorded measurements. METHODS Women with singleton pregnancies > 36 weeks of gestation undergoing elective caesarean section un...

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Large, spontaneous spinal subdural–epidural hematoma after epidural anesthesia for caesarean section: Conservative management with excellent outcome

BACKGROUND Iatrogenic or spontaneous spinal hematomas are rarely seen and present with multiple symptoms that can be difficult to localize. Most spontaneous spinal hematomas are multifactorial, and the pathophysiology is varied. Here, we present a case of a scattered, multicomponent, combined subdural and epidural spinal hematoma that was managed conservatively. CASE DESCRIPTION A 38-year-old...

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Evaluation of Motor and Sensory Blockade in Continuous Spinal Anesthesia Compared to Epidural Anesthesia in Preeclamptic Patients Undergoing Cesarean Section

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ژورنال

عنوان ژورنال: Yonsei Medical Journal

سال: 2015

ISSN: 0513-5796,1976-2437

DOI: 10.3349/ymj.2015.56.4.1122