Document Detail


Comparison of four subarachnoid solutions in a needle-through-needle technique for elective caesarean section.
MedLine Citation:
PMID:  2015147     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We have used both spinal and extradural anaesthesia with a 26-gauge, long spinal needle through a 16-gauge Tuohy needle for elective Caesarean section. Four different subarachnoid solutions of bupivacaine were compared: 0.5% heavy bupivacaine alone, or with adrenaline, fentanyl or adrenaline and fentanyl. The incidence of complications and time of regression of the sensory block were analysed. The technique is recommended because it allows rapid onset of anaesthesia and the advantages of an extradural catheter. The subarachnoid solution of choice was 0.5% heavy bupivacaine 12.5 mg with fentanyl 10 micrograms.
Authors:
B Randalls; J W Broadway; D A Browne; B M Morgan
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  British journal of anaesthesia     Volume:  66     ISSN:  0007-0912     ISO Abbreviation:  Br J Anaesth     Publication Date:  1991 Mar 
Date Detail:
Created Date:  1991-05-17     Completed Date:  1991-05-17     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0372541     Medline TA:  Br J Anaesth     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  314-8     Citation Subset:  IM    
Affiliation:
Department of Anaesthetics, Southampton General Hospital.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Anesthesia, Epidural / instrumentation,  methods*
Anesthesia, Obstetrical / methods*
Anesthesia, Spinal / instrumentation,  methods*
Bupivacaine / administration & dosage
Cesarean Section*
Epinephrine / administration & dosage,  adverse effects
Female
Fentanyl / administration & dosage
Humans
Morphine / therapeutic use
Needles
Pain, Postoperative / prevention & control
Postoperative Complications / etiology
Pregnancy
Chemical
Reg. No./Substance:
2180-92-9/Bupivacaine; 437-38-7/Fentanyl; 51-43-4/Epinephrine; 57-27-2/Morphine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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