International Journal of Obstetric Anesthesia
Volume 15, Issue 4 , Pages 273-278 , October 2006

Ultra-low dose combined spinal-epidural anesthesia with intrathecal bupivacaine 3.75 mg for cesarean delivery: a randomized controlled trial

  • W.H.L. Teoh

      Affiliations

    • Corresponding Author InformationCorrespondence to: Dr. Wendy H.L. Teoh MBBS, FANZCA, Department of Women’s Anesthesia, KK Women’s and Children’s Hospital, 100 Bukit Timah Road, Singapore 229899. Tel.: +65 6394 1081; fax: +65 6291 2661.
    • ,
  • E. Thomas
    • ,
  • H.M. Tan

,Accepted 1 March 2006.

References 

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  2. Vercauteren MP, Coppejans HC, Hoffmann VL, Saldien V, Adriaensen HA. Small-dose hyperbaric versus plain bupivacaine during spinal anesthesia for cesarean section. Anesth Analg. 1998;86:989–993
  3. Choi DH, Ahn HJ, Kim MH. Bupivacaine-sparing effect of fentanyl in spinal anesthesia for cesarean delivery. Reg Anesth Pain Med. 2000;25:240–245
  4. Reyes M, Pan PH. Very low-dose spinal anesthesia for cesarean section in a morbidly obese preeclamptic patient and its potential implications. Int J Obstet Anesth. 2004;13:99–102
  5. Lim Y, Loo CC, Goh E. Ultra low dose combined spinal and epidural anesthesia for cesarean section. Int J Obstet Anesth. 2004;13:198–200
  6. Hamlyn EL, Douglass CA, Plaat F, Crowhurst JA, Stocks GM. Low-dose sequential combined spinal-epidural: an anaesthetic technique for caesarean section in patients with significant cardiac disease. Int J Obstet Anesth. 2005;14:355–361
  7. Loke GP, Chan EH, Sia AT. The effect of 10 degrees head-up tilt in the right lateral position on the systemic blood pressure after subarachnoid block for Caesarean section. Anaesthesia. 2002;57:169–172
  8. Popitz-Bergez FA, Leeson S, Thalhammer JG, Strichartz GR. Intraneural lidocaine uptake compared with analgesic differences between pregnant and nonpregnant rats. Reg Anesth. 1997;22:363–371
  9. Goy RW, Sia AT. Sensorimotor anesthesia and hypotension after subarachnoid block: combined spinal-epidural versus single-shot spinal technique. Anesth Analg. 2004;98:491–496
  10. Carpenter RL, Hogan QH, Liu SS, Crane B, Moore J. Lumbosacral cerebrospinal fluid volume is the primary determinant of sensory block extent and duration during spinal anesthesia. Anesthesiology. 1998;89:24–29
  11. Leeda M, Stienstra R, Arbous MS, et al. The epidural “top-up: predictors of increase of sensory blockade. Anesthesiology. 2002;96:1310–1314
  12. Blumgart CH, Ryall D, Dennison B, Thompson-Hill LM. Mechanism of extension of spinal anaesthesia by extradural injection of local anaesthetic. Br J Anaesth. 1992;69:457–460
  13. Richardson MG, Lee AC, Wissler RN. High spinal anesthesia after epidural test dose administration in five obstetric patients. Reg Anesth. 1996;21:119–123
  14. Ginosar Y, Mirikatani E, Drover DR, Cohen SE, Riley ET. ED50 and ED95 of intrathecal hyperbaric bupivacaine coadministered with opioids for cesarean delivery. Anesthesiology. 2004;100:676–682

PII: S0959-289X(06)00046-X

doi: 10.1016/j.ijoa.2006.03.004

International Journal of Obstetric Anesthesia
Volume 15, Issue 4 , Pages 273-278 , October 2006

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