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COMPARISON OF FOUR SUBARACHNOID SOLUTIONS IN A NEEDLE-THROUGH-NEEDLE TECHNIQUE FOR ELECTIVE CAESAREAN SECTION |
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| Authors: | RANDALLS, B. BROADWAY, J. W. BROWNE, D. A. MORGAN, B. M. |
| Affiliation: | Department of Anaesthetics, Southampton General Hospital Tremona Road, Southampton SO9 4XY Anaesthetics Department, St Thomas' Hospital Lambeth Palace Road, London SE1 7EH Anaesthetics Department, Hammersmith Hospital Du Cane Road, London W12 OHS RPMS Institute of Obstetrics and Gynaecology, Queen Charlotte's Hospital London W6 OXG |
| Abstract: | We have used both spinal and extradural anaesthesia with a 26-gauge,long spinal needle through a 16-gauge Tuohy needle for electiveCaesarean section. Four different subarachnoid solutions ofbupivacaine were compared: 0.5% heavy bupivacaine alone, orwith adrenaline, fentanyl or adrenaline and fentanyl. The incidenceof complications and time of regression of the sensory blockwere analysed. The technique is recommended because it allowsrapid onset of anaesthesia and the advantages of an extraduralcatheter. The subarachnoid solution of choice was 0.5% heavybupivacaine 12.5 mg with fentanyl 10 µg |
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