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[Combined spinal and epidural anesthesia for cesarean section: a retrospective study with 0.5% hyperbaric bupivacaine].
Masui. 2004 Aug; 53(8):893-7.M

Abstract

BACKGROUND

We investigated retrospectively the relationship between the intrathecal dose of 0.5% hyperbaric bupivacaine and the use of 2% mepivacaine through an epidural catheter.

METHODS

Forty-nine patients undergoing cesarean section with combined spinal and epidural anesthesia (CSEA) were analyzed. They were divided into two groups; with (CSEA group) and without additional epidural injection group (spinal group).

RESULTS

In the CSEA group (24 patients received 1.2 +/- 0.4 ml of 0.5% hyperbaric bupivacaine), 5-10 ml of 2% mepivacaine were required to achieve the adequate surgical anesthesia. In the spinal group (25 patients received 1.6 +/- 0.3 ml of 0.5% hyperbaric bupivacaine), cesarean section was performed without additional mepivacaine before delivery. The analgesic level and the amount of fluid infusion were similar in the two groups. However, 20% of patients in the spinal group showed hypotension (systolic blood pressure below 80 mmHg), although no patients in the CSEA group developed hypotension. The amount of ephedrine used before delivery was significantly larger in the spinal group (8.9 +/- 7.7 mg) than in the CSEA group (3.9 +/- 4.3 mg).

CONCLUSIONS

Spinal anesthesia induced by 1.2 ml of 0.5% hyperbaric bupivacaine with sequential epidural block induced by 5-10 ml of 2% mepivacaine caused no hypotension during cesarean section.

Authors+Show Affiliations

Department of Anesthesiology, Miyazaki Medical College, University of Miyazaki, Miyazaki 889-1692.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

jpn

PubMed ID

15446678

Citation

Kasaba, Toshiharu, et al. "[Combined Spinal and Epidural Anesthesia for Cesarean Section: a Retrospective Study With 0.5% Hyperbaric Bupivacaine]." Masui. the Japanese Journal of Anesthesiology, vol. 53, no. 8, 2004, pp. 893-7.
Kasaba T, Tamura R, Iwasaki T, et al. [Combined spinal and epidural anesthesia for cesarean section: a retrospective study with 0.5% hyperbaric bupivacaine]. Masui. 2004;53(8):893-7.
Kasaba, T., Tamura, R., Iwasaki, T., Maruta, T., Miura, H., & Takasaki, M. (2004). [Combined spinal and epidural anesthesia for cesarean section: a retrospective study with 0.5% hyperbaric bupivacaine]. Masui. the Japanese Journal of Anesthesiology, 53(8), 893-7.
Kasaba T, et al. [Combined Spinal and Epidural Anesthesia for Cesarean Section: a Retrospective Study With 0.5% Hyperbaric Bupivacaine]. Masui. 2004;53(8):893-7. PubMed PMID: 15446678.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Combined spinal and epidural anesthesia for cesarean section: a retrospective study with 0.5% hyperbaric bupivacaine]. AU - Kasaba,Toshiharu, AU - Tamura,Ryuji, AU - Iwasaki,Tatsuma, AU - Maruta,Toyoaki, AU - Miura,Hiroki, AU - Takasaki,Mayumi, PY - 2004/9/28/pubmed PY - 2004/10/27/medline PY - 2004/9/28/entrez SP - 893 EP - 7 JF - Masui. The Japanese journal of anesthesiology JO - Masui VL - 53 IS - 8 N2 - BACKGROUND: We investigated retrospectively the relationship between the intrathecal dose of 0.5% hyperbaric bupivacaine and the use of 2% mepivacaine through an epidural catheter. METHODS: Forty-nine patients undergoing cesarean section with combined spinal and epidural anesthesia (CSEA) were analyzed. They were divided into two groups; with (CSEA group) and without additional epidural injection group (spinal group). RESULTS: In the CSEA group (24 patients received 1.2 +/- 0.4 ml of 0.5% hyperbaric bupivacaine), 5-10 ml of 2% mepivacaine were required to achieve the adequate surgical anesthesia. In the spinal group (25 patients received 1.6 +/- 0.3 ml of 0.5% hyperbaric bupivacaine), cesarean section was performed without additional mepivacaine before delivery. The analgesic level and the amount of fluid infusion were similar in the two groups. However, 20% of patients in the spinal group showed hypotension (systolic blood pressure below 80 mmHg), although no patients in the CSEA group developed hypotension. The amount of ephedrine used before delivery was significantly larger in the spinal group (8.9 +/- 7.7 mg) than in the CSEA group (3.9 +/- 4.3 mg). CONCLUSIONS: Spinal anesthesia induced by 1.2 ml of 0.5% hyperbaric bupivacaine with sequential epidural block induced by 5-10 ml of 2% mepivacaine caused no hypotension during cesarean section. SN - 0021-4892 UR - https://www.unboundmedicine.com/medline/citation/15446678/[Combined_spinal_and_epidural_anesthesia_for_cesarean_section:_a_retrospective_study_with_0_5_hyperbaric_bupivacaine]_ L2 - https://medlineplus.gov/cesareansection.html DB - PRIME DP - Unbound Medicine ER -