Which Local Anesthetic at what Dose is Recommended for Parturients Undergoing Cesarean Delivery Under Spinal Anesthesia?
نویسنده
چکیده
Spinal anesthesia is the most popular regional anesthesia technique for cesarean delivery as it is easily performed and provides rapid onset of block followed by dense surgical anesthesia. Although bupivacaine seems to be widely and routinely used long acting amide type local anesthetic drug for spinal anesthesia, ropivacaine and levobupivacaine may occasionally be chosen. However, it is difficult to make decision of the best local anesthetic for intrathecal use with optimal dose selection. Therefore, either hyperbaric or isobaric long-acting local anesthetic (bupivacaine, ropivacaine and levobupivacaine) option associated with pharmacological or clinical dose recommendations are reviewed.
منابع مشابه
MINIDOSE BUPIVACAINE – FENTANYL SPINAL ANESTHESIA FOR CESAREAN SECTION IN PREECLAMPTIC PARTURIENTS
ABSTRACT Background: Spinal anesthesia for cesarean section is associated with a high incidence of hypotension. The synergism between intrathecal opioids and local anesthetics may make it possible to achieve reliable spinal anesthesia with minimal hypotension using a minidose of local anesthetic. Methods: Forty-four preeclamptic parturients undergoing cesarean section were randomized in two gr...
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BACKGROUND Intrathecal anesthesia is commonly used for cesarean section. Bupivacaine and ropivacaine have all been used as intrathecal drugs. The minimum effective local anesthetic dose (MLAD) of intrathecal ropivacaine for non-obstetric patients has been reported. However, few data are available on the MLAD of hyperbaric ropivacaine for obstetric patients and the relative potency to bupivacain...
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