Combined Spinal-Epidural Anesthesia with Epidural Volume Extension causes a Higher Level of Block than Single-Shot Spinal Anesthesia

We evaluated the effects of epidural injection with levobupivacaine or serum physiologic, epidural volume extension (EVE), when using combined spinal-epidural anesthesia (CSEA) for cesarean delivery. One-hundred and thirty-eight patients with a full-term pregnancy of 37–42 weeks that were scheduled...

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Bibliographic Details
Published in:Brazilian journal of anesthesiology (Elsevier) 2013-05, Vol.63 (3), p.267-272
Main Authors: Salman, Canan, Kayacan, Nurten, Ertuğrul, Fatma, Bıgat, Zekiye, Karslı, Bilge
Format: Article
Language:English
Subjects:
Anesthesia, Spinal, Epidural
Anesthetics, Local
ANESTÉSICOS, Local, bupivacaína, levobupivacaína
Bupivacaine/ levobupivacaine
Cesarean Section
CIRURGIA, Cesárea
Injections, Epidural
Injeções epidurais
TÉCNICAS ANESTÉSICAS, Regional, peridural, subaracnóidea
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Summary:We evaluated the effects of epidural injection with levobupivacaine or serum physiologic, epidural volume extension (EVE), when using combined spinal-epidural anesthesia (CSEA) for cesarean delivery. One-hundred and thirty-eight patients with a full-term pregnancy of 37–42 weeks that were scheduled for cesarean delivery were included. Group 1 (n=48) received single-shot spinal anesthesia (SSS), group 2 (n=45) received CSEA-EVE with saline, group 3 received CSEA-EVE with levobupivacaine. The characteristics of motor and sensory block, the effects on maternal hemodynamic changes and the effects on the newborn were compared. Time to reach maximum sensory block was significantly shorter in groups 3 than in group 1 and 2 (p
ISSN:0034-7094
1806-907X
0104-0014
DOI:10.1016/S0034-7094(13)70229-0