Background: Many intrathecal adjuvants are being used with local anesthetics to prolong the intraoperative anesthesia and postoperative analgesia. Clonidine buprenorphine known potentiate effects of anesthestics. Aims Objectives: This study was designed compare duration analgesia as well sensory motor block onset, hemodynamic changes, perioperative complications between clonidine when an adjuva...

BACKGROUND Although spinal bupivacaine may have too long duration to be useful in the ambulatory setting, recent animal data suggest that lidocaine added to spinal bupivacaine may reduce the duration of bupivacaine spinal anesthesia. We explored whether lidocaine added to spinal bupivacaine could shorten the duration of bupivacaine spinal anesthesia in humans similarly to what has been reported...

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 diffic...

BACKGROUND AND OBJECTIVES Better control of the level, intensity, and duration of spinal analgesia represents the greatest advantages of continuous spinal anesthesia. With the advent of intermediate catheters (over-the-needle catheter) and its low incidence of headaches and neurological symptoms, the technique has been gaining credibility. The objective of this paper is to report the possible s...

Background: Spinal anaesthesia with bupivacaine for lower limb and lower abdominal surgeries is limited by the fixed duration of action and cannot be prolonged except with usage of spinal catheters which increase the chance of infection and occurrence of haemodynamic instability when used in high doses. To minimize the instability in haemodynamics, several neuraxial adjuvants have been used. Me...

*Corresponding author: [email protected] Introduction To minimize the time factor of spinal anaesthesia as well as to avoid the side effects of general anaesthesia, ‘rapid sequence spinal’ (RSS) anaesthesia has developed as a novel approach in cases of Category 1 caesarean sections. The aim of this study was to determine the efficacy of different doses of hyperbaric bupivacaine effective fo...

BACKGROUND Addition of intrathecal magnesium sulfate to local anesthetics has been reported to potentiate spinal anesthesia and prolong analgesia in parturients. The current study was to determine whether intrathecal magnesium sulfate would reduce the dose of hyperbaric bupivacaine in spinal anesthesia with bupivacaine and sufentanil for cesarean delivery. METHODS Sixty healthy parturients un...