Curr Opin Anaesthesiol. 2008 Jun;21(3):259-62.

Low-dose spinal anaesthesia for Caesarean section to prevent spinal-induced hypotension.

Source

Department of Anesthesiology, ZNA Middelheim Hospital, Antwerp, Belgium.

Abstract

PURPOSE OF REVIEW:

The present review evaluates the evidence available in the literature to see whether low-dose spinal anaesthesia for Caesarean section is effective in preventing maternal hypotension while at the same time guaranteeing effective anaesthetic conditions.

MAIN FINDINGS:

From prospective trials, it is clear that lowering the spinal dose improves maternal haemodynamic stability. Doses of intrathecal bupivacaine between 5 and 7 mg are sufficient to provide effective anaesthesia. Complete motor block is, however, seldom achieved and adequate anaesthesia is limited in time.

SUMMARY:

Low-dose spinal anaesthesia as part of a combined spinal-epidural technique is a valuable method in improving maternal and fetal outcome during anaesthesia for operative delivery.

PMID:: 18458538; [PubMed - indexed for MEDLINE]

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