MINIDOSE BUPIVACAINE – FENTANYL SPINAL ANESTHESIA FOR CESAREAN SECTION IN PREECLAMPTIC PARTURIENTS

Spinal anesthesia with minidose bupivacaine-fentanyl for cesarean section in preeclamptic parturients.

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 gro...

Spinal Anesthesia in Preeclamptic Parturients

In this prospective cohort study, we compared the incidence and severity of spinal anesthesia (SA) associated hypotension in preeclamptics (n=25) versus healthy parturients (n=25) undergoing cesarean delivery. After proper preloading, SA was administered with 0.75% hyperbaric bupivacaine. Blood pressure (BP) was recorded before performing SA (baseline BP), and then after SA, every 2 minutes for...

Comparing the Hemodynamic Effects of Spinal Anesthesia in Preeclamptic and Healthy Parturients During Cesarean Section

BACKGROUND Despite controversies about the safest anesthetic technique for cesarean delivery in severely preeclamptic women, there is evidence that supports the use of spinal anesthesia in this group of patients. OBJECTIVES This prospective randomized clinical trial was designed to determine the hemodynamic effects of low-dose spinal bupivacaine and the incidence of spinal anesthesia-associat...

Synergistic effect of intrathecal fentanyl and bupivacaine in spinal anesthesia for cesarean section

BACKGROUND: Potentiating the effect of intrathecal local anesthetics by addition of intrathecal opiods for intra-abdominal surgeries is known. In this study by addition of fentanyl we tried to minimize the dose of bupivacaine, thereby reducing the side effects caused by higher doses of intrathecal bupivacaine in cesarean section. METHODS: Study was performed on 120 cesarean section parturients ...

Intrathecal fentanyl for prevention of shivering in spinal anesthesia in cesarean section

 Background: Shivering is one of the common problems in spinal anesthesia. The objective of the present study was to evaluate the effect of intrathecal fentanyl (25 μg) on incidence and severity of intraoperative and postoperative shivering. Methods: A double-blind randomized controlled study was conducted in eighty healthy women (ASA Physical status I) scheduled for elective cesarean section u...