Intrathecal Dosing for Cesarean Delivery in Obese and Nonobese Patients

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Intrathecal dosing for cesarean delivery in obese and nonobese patients.

To the editor: It has been proposed that the intrathecal dose of hyperbaric bupivacaine for spinal anesthesia should be reduced in morbidly obese patients undergoing cesarean delivery. This recommendation is consistent with the lower volume of cerebrospinal fluid observed in patients with high body mass index, but a lack of definitive evidence has been noted. Previously, Ginosar et al. reported...

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Intrathecal Dosing for Cesarean Delivery in Obese and Nonobese Patients

To the editor: It has been proposed that the intrathecal dose of hyperbaric bupivacaine for spinal anesthesia should be reduced in morbidly obese patients undergoing cesarean delivery. This recommendation is consistent with the lower volume of cerebrospinal fluid observed in patients with high body mass index, but a lack of definitive evidence has been noted. Previously, Ginosar et al. reported...

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Norepinephrine Dosing in Obese and Nonobese Patients With Septic Shock.

BACKGROUND Whether or not norepinephrine infusions for support of hemodynamic status in patients with septic shock should be weight based is unknown. This situation is particularly pertinent in patients who are extremely overweight or obese. OBJECTIVE To compare dosing requirements and effect of norepinephrine on blood pressure in obese and nonobese patients with septic shock. METHODS In a ...

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ED(50) and ED(95) of intrathecal bupivacaine in morbidly obese patients undergoing cesarean delivery.

BACKGROUND It has been suggested that morbidly obese parturients may require less local anesthetic for spinal anesthesia. The aim of this study was to determine the effective dose (ED(50)/ED(95)) of intrathecal bupivacaine for cesarean delivery in morbidly obese patients. METHODS Morbidly obese parturients (body mass index equal to or more than 40) undergoing elective cesarean delivery were e...

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DOSE REQUIREMENT OF INTRATHECAL BUPIVACAINE FOR CESAREAN DELIVERY IS SIMILAR IN OBESE AND NORMAL WEIGHT WOMEN Dose Requirement of Intrathecal Bupivacaine for Cesarean Delivery Is Similar in Obese and Normal Weight Women

The number of obese parturients seen in the practice of obstetric anesthesia is steadily increasing. Many of these women deliver by cesarean delivery under spinal anesthesia. The effect of weight and body mass index (BMI) on the spread of intrathecally administered local anesthetics is controversial. There are a limited number of studies that have correlated the weight or BMI with the spread of...

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ژورنال

عنوان ژورنال: Anesthesiology

سال: 2011

ISSN: 0003-3022

DOI: 10.1097/aln.0b013e31822c5f05