Alkalinization improves the quality of lidocaine-fentanyl epidural anaesthesia for Caesarean section

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Spinal anaesthesia with lidocaine 2% for caesarean section.

Spinal anaesthesia with 2, 2.5 or 3 ml of glucose-free lidocaine 2% was studied in 50 patients undergoing Caesarean section. Onset time, cephalad spread of analgesia, quality of analgesia, muscle relaxation, the cardiovascular effects and duration of analgesia and motor block were assessed. Reliable anaesthesia was provided with 2.5 and 3 ml while 2 ml of 2% lidocaine was insufficient. Onset ti...

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Anaesthesia for caesarean section.

Quality and choice in anaesthesia for caesarean section have significantly improved over the last two decades. During this time, general anaesthesia usage has decreased to the point where, in some centres, it is an occasionally used technique for severe fetal distress. This change in practice may have been responsible for the fall in anaesthetic deaths in pregnant women that has occurred over t...

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Anaesthesia for caesarean section.

Self Assessment Q1 When considering indications and categorisation of caesarean sections: a) Caesarean section caries an overall higher neonatal mortality compared with normal delivery? b) Recommended population caesarean section rates are less than 5%? c) Breech presentations should routinely be booked for a Category 4 caesarean section? d) A category 1 caesarean section should aim to be deliv...

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Peripartum cardiomyopathy undergoing caesarean section under epidural anaesthesia.

PURPOSE To report a case of peripartum dilated cardiomyopathy presenting for emergency caesarean section, this was successfully managed with Epidural Anaesthesia. CLINICAL FEATURES A parturient suffering from idiopathic peripartum cardiomyopathy (E.F. 18%) was brought for an emergency caesarean section. Epidural anaesthesia was performed and 2% Lignocaine with adrenaline total 13 ml was injec...

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A comparison of epidural ropivacaine 0.75% and bupivacaine 0.5% with fentanyl for elective caesarean section.

BACKGROUND Early studies suggested that ropivacaine had clinical advantages over bupivacaine with respect to cardiotoxicity and motor block, and that it was suitable for epidural caesarean section. This study was set up to compare epidural 0.75% ropivacaine with a popular bupivacaine/fentanyl mixture for elective caesarean section. METHODS Eighty women having elective caesarean section under ...

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ژورنال

عنوان ژورنال: Canadian Journal of Anaesthesia

سال: 1993

ISSN: 0832-610X,1496-8975

DOI: 10.1007/bf03009511