EVALUATION OF COMBINED SPIANL-EPIDURAL ANESTHESIA IN CESAREAN SECTION

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ZIRAK N.; SOLTANI GH.; JAHAN BAKHSH SEYED SAEID; AKHLAGHI FATEMEH

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Paper Information

Journal: Iranian Journal of Obstetrics, Gynecology and Infertility Year:2007 | Volume:10 | Issue:1 Page(s): 91-96

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Title

EVALUATION OF COMBINED SPIANL-EPIDURAL ANESTHESIA IN CESAREAN SECTION

Author(s)

ZIRAK N. | SOLTANI GH. | JAHAN BAKHSH SEYED SAEID | AKHLAGHI FATEMEH | Issue Writer Certificate

Keywords

OBSTETRICS ANESTHESIAQ3

COMBINED SPINAL-EPIDURAL ANESTHESIAQ3

POST DURAL PUNCTURE HEADACHEQ3

Abstract

Introduction: The COMBINED SPINAL-EPIDURAL ANESTHESIA (CSEA) is commonly used for cesarean delivery. Its advantages include rapid onset and density spinal anesthesia, with flexibility of continuous epidural block to extend duration of anesthesia and analgesia. The main aim in our study is evaluation of this technique in cesarean section in Imam Reza Hospital. Material and Methods: This descriptive study was done in Imam Reza Hospital in 2004-2005. 56 women, at term of pregnancy, about to undergo an elective or urgent surgery under CSEA were studied. All parturients were hydrated preinduction. The technique was performed at sitting position. Design included a 18G touhy epidural needle and a 26G whitacre lancet point spinal needle. Local anesthetic was hyperbaric bupivacaine 0.5% (12mg) with fentanyl (25mg) intratech and a T4 sensory block was targeted. Total failure rate, maternal hemodynamic changes and ephedrine requirement, PDPH and nausea were evaluated. Results: Total failure rate was 16.07% including a need for general anesthesia (1.78%), cases in whom we could not obtain CSF (3.57%), the block through epidural catheter and failure rate in epidural catheter supplementation (3.57%). Maternal hemodynamic changes (83.9%), ephedrine requirement PDPH and nausea frequency were 83.9%, 50%, 0%, 42.8% respectively.Conclusion: In attention to these result, we believe that it is better to use CSEA in cesarean section surgeries only when there is a risk for long operation or when general anesthesia is high risk or as a postoperative analgesia.

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APA: Copy

ZIRAK, N., SOLTANI, GH., JAHAN BAKHSH, SEYED SAEID, & AKHLAGHI, FATEMEH. (2007). EVALUATION OF COMBINED SPIANL-EPIDURAL ANESTHESIA IN CESAREAN SECTION. IRANIAN JOURNAL OF OBSTETRICS, GYNECOLOGY AND INFERTILITY, 10(1), 91-96. SID. https://sid.ir/paper/64610/en

Vancouver: Copy

ZIRAK N., SOLTANI GH., JAHAN BAKHSH SEYED SAEID, AKHLAGHI FATEMEH. EVALUATION OF COMBINED SPIANL-EPIDURAL ANESTHESIA IN CESAREAN SECTION. IRANIAN JOURNAL OF OBSTETRICS, GYNECOLOGY AND INFERTILITY[Internet]. 2007;10(1):91-96. Available from: https://sid.ir/paper/64610/en

IEEE: Copy

N. ZIRAK, GH. SOLTANI, SEYED SAEID JAHAN BAKHSH, and FATEMEH AKHLAGHI, “EVALUATION OF COMBINED SPIANL-EPIDURAL ANESTHESIA IN CESAREAN SECTION,” IRANIAN JOURNAL OF OBSTETRICS, GYNECOLOGY AND INFERTILITY, vol. 10, no. 1, pp. 91–96, 2007, [Online]. Available: https://sid.ir/paper/64610/en

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