International Journal of Obstetric Anesthesia
Volume 17, Issue 3 , Pages 217-222 , July 2008

Spinal anesthesia with sequential administration of plain and hyperbaric bupivacaine provides satisfactory analgesia with hemodynamic stability in cesarean section

,Accepted 1 November 2007.

References 

  1. Shibli KU, Russell IF. A survey of anaesthetic techniques used for caesarean section in the UK in 1997. Int J Obstet Anesth. 2000;9:160–167
  2. Craft J B Jr, Roizen M F, Dao S D, Edwards M, Gilman R. A comparison of T4 and T7 dermatomal levels of analgesia for caesarean section using the lumbar epidural technique. Can Anaesth Soc J 1982; 29: 264–9.
  3. Russell IF. Levels of anaesthesia and intraoperative pain at caesarean section under regional block. Int J Obst Anesth. 1995;4:71–77
  4. Sarvela PJ, Halonen PM, Korttila KT. Comparison of 9mg of intrathecal plain and hyperbaric bupivacaine both with fentanyl for cesarean delivery. Anesth Analg. 1999;89:1257–1262
  5. Sheskey MC, Rocco AG, Bizzarri-Schmid M, Francis DM, Edstrom H, Covino BG. A dose-response study of bupivacaine for spinal anesthesia. Anesth Analg. 1983;62:931–935
  6. Ben-David B, Miller G, Gavriel R, Gurevitch A: Low-dose bupivacaine fentanyl spinal anesthesia for cesarean delivery. Reg Anesth Pain Med 2000; 25: 235–9.
  7. Kang F C, Tsai Y C, Chang P J, Chen T Y: Subarachnoid fentanyl with diluted small-dose bupivacaine for cesarean section delivery. Acta Anaesthesiol Sin 1998; 36: 207–14.
  8. Fan S Z, Susetio L, Wang Y P, Cheng Y J, Liu C C: Low dose of intrathecal hyperbaric bupivacaine combined with epidural lidocaine for cesarean section: A balance block technique. Anesth Analg 1994; 78: 474–7.
  9. Bridenbaugh PO, Greene NM. Spinal (subarachnoid) neural blockade. In:  Cousins MK,  Bridenbaugh PO editor. Neural Blockade in Clinical Anesthesia and Management of Pain. Philadelphia: JB Lippincott; 1988;p. 213–251
  10. Wildsmith JA, McClure JH, Brown DT, Scott DB. Effects of posture on the spread of isobaric and hyperbaric amethocaine. Br J Anaesth. 1981;53:273–278
  11. Rawal N, Schollin J, Wesström G. Epidural versus combined spinal epidural block for cesarean section. Acta Anaesthesiol Scand. 1988;32:61–66
  12. Kestin IG. Spinal anaesthesia in obstetrics. Br J Anaesth. 1991;66:596–607
  13. Hirabayashi Y, Shimizu R, Fukuda H, et al. Effects of the pregnant uterus on the extradural venous plexus in the supine and lateral positions, as determined by magnetic resonance imaging. Br J Anaesth 1997; 78: 317–9.
  14. Russell IF. Spinal anesthesia for cesarean delivery with dilute solutions of plain bupivacaine: the relationship between infused volume and-spread. Reg Anesth. 1991;16:130–136
  15. Russell IF. Spinal anaesthesia for caesarean section. Br J Anaesth. 1983;55:309–313
  16. Russell IF. Effect of posture during the induction of subarachnoid analgesia for cesarean section. Br J Anaesth. 1987;59:342–346
  17. Hirabayashi Y, Shimizu R, Fukuda H, Saitoh K, Furuse M. Anatomical configuration of the spinal column in the supine position. II. Comparison of pregnant and non-pregnant women. Br J Anaesth. 1995;75:6–8
  18. Russell IF, Holmqvist EL. Subarachnoid analgesia for Caesarean section: a double-blind comparison of plain and hyperbaric bupivacaine 0.5%. Br J Anaesth. 1989;59:347–353
  19. Richardson MG- Richardson M G, Collins H V, Wissler RN. Intrathecal hypobaric versus hyperbaric bupivacaine with morphine for cesarean section. Anesth Analg 1998; 87: 336-40.
  20. Hallworth SP, Fernando R, Columb MO, Stocks GM. The effect of posture and baricity on the spread of ıntrathecal bupivacaine for elective cesarean delivery. Anesth Analg. 2005;100:1159–1165
  21. 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
  22. Kalso E, Tuominen M, Rosenberg PH. Effect of posture and some CSF. Characteristics on spinal anaesthesia with isobaric 0.5% bupivacaine. Br J Anaesth. 1982;54:1179–1184
  23. Chamberlain DP, Chamberlain BD. Changes in skin temperature of the trunk and their relationship to sympathetic blockade during spinal anesthesia. Anesthesiology. 1986;65:139–143
  24. Russell I F. A comparison of cold, pinprick and touch for assessing the level of spinal block at caesarean section. Int J Obst Anesth, 2004; 13: 146–52.
  25. Greene N M: The area of differential spinal block during spinal anesthesia with hyperbaric tetracaine. Anesthesıology 1958; 19: 45–50.
  26. Brull S J, Greene N M: Zones of differential sensory block during extradural anaesthesia. Br J Anaesth 1991; 166: 651–5.
  27. Hopf H-B, Weissbach B, Peters J: High segmental thoracic epidural anesthesia diminishes sympathetic outflow to the legs despite restriction of sensory block to the upper thorax. Anesthesıology 1990; 73: 882–9.
  28. Bengstsson M, Loefstroem J B, Malmqvist L A: Skin conductance responses during spinal anesthesia. Acta Anaesthesiol Scand 1985; 29: 67–71.
  29. Malmqvist L A, Bengtsson M, Bjoernsson G, Jordfeldt L, Loefstroem J B: Sympathetic activity and hemodynamic variables during spinal analgesia in man. Acta Anaesthesiol Scand 1987; 31: 467–73.
  30. Stevens RA, Beardsley D, White JL, Kao TC, Gantt R, Holman S. Does spinal anesthesia result in a more complete sympathetic block than that from epidural anesthesia?. Anesthesiology. 1995;82:877–883
  31. Kiran S, Singal NK. A comparative study of three different doses of 0.5% hyperbaric bupivacaine for spinal anaesthesia in elective caesarean section. Int J Obstet Anesth. 2002;11:185–189

PII: S0959-289X(07)00187-2

doi: 10.1016/j.ijoa.2007.11.007

International Journal of Obstetric Anesthesia
Volume 17, Issue 3 , Pages 217-222 , July 2008