In the field of obstetrics, cesarean sections have now become the most prominent procedure for the delivery of newborns. Cesarean sections may be handled with a variety of different anesthetic approaches, of which most focus seems to be on that of spinal forms, due to their rapid and effective action. Dosages of spinal anesthesia formulations differ depending on multiple variables, such as depth of anesthesia, level of analgesia, and desired duration of effects. Furthermore, length of stay in the hospital is also a crucial variable to take into account when using spinal anesthesia due to its implications for patient comfort, quality of care, and return to daily life. Hyperbaric bupivacaine is a mainstay agent in regard to cesarean section anesthesia, with the most commonly used dosages being 1.8 mL and 2.0 mL. This study aims to assess the difference in duration of stay in the post-anesthesia care unit between patients receiving 1.8 mL and 2.0 mL of 0.5% hyperbaric bupivacaine. Of the 306 patients who underwent elective cesarean sections, 63 patients received 2.0 mL of 0.5% hyperbaric bupivacaine and 243 patients received 1.8 mL of 0.5% hyperbaric bupivacaine.
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http://dx.doi.org/10.7759/cureus.75626 | DOI Listing |
Pain Physician
December 2024
Department of Anesthesia, Jiaxing University Affiliated Women and Children Hospital, Jiaxing, China.
Background: Visceral pain is common in cesarean sections conducted under combined spinal-epidural anesthesia (CSE). Epidural volume extension (EVE) is a technique for enhancing the effect of intrathecal blocks by inducing epidural fluid boluses in the CSE. Whether EVE that uses different drugs can reduce visceral pain during cesarean sections is rarely studied.
View Article and Find Full Text PDFIn the field of obstetrics, cesarean sections have now become the most prominent procedure for the delivery of newborns. Cesarean sections may be handled with a variety of different anesthetic approaches, of which most focus seems to be on that of spinal forms, due to their rapid and effective action. Dosages of spinal anesthesia formulations differ depending on multiple variables, such as depth of anesthesia, level of analgesia, and desired duration of effects.
View Article and Find Full Text PDFCureus
November 2024
Department of Anaesthesiology, Uttar Pradesh University of Medical Sciences, Etawah, IND.
Background: The subarachnoid block is the predominant and relatively safe approach during lower limb orthopaedic operations. When used as an additive to intrathecal local anaesthetic, both fentanyl and dexmedetomidine can extend the duration of sensory and motor blockade and improve postoperative analgesia.
Objectives: The objective of this study is to assess and compare the efficacy of sequential administration of fentanyl and dexmedetomidine alongside 0.
Can J Anaesth
December 2024
Department of Anesthesia and Pain Management, Toronto Western Hospital, University Health Network, Toronto, ON, Canada.
Purpose: Same-day mobilization and early hospital discharge is increasingly emphasized following hip and knee arthroplasty. One challenge of spinal anesthesia in this setting is achieving adequate block height while avoiding excessively large local anesthetic doses and prolonged motor and sensory blockade. Using a hypobaric local anesthetic solution is one potential strategy, as its intrathecal distribution can be reliably manipulated by patient positioning to achieve adequate block height independent of dose.
View Article and Find Full Text PDFCureus
November 2024
Anesthesiology and Critical Care, Centro Hospitalar Universitário de Santo António, Porto, PRT.
Cystic fibrosis (CF) is a genetic disorder that primarily affects the respiratory and gastrointestinal systems, often leading to significant perioperative challenges due to compromised lung function, recurrent infections, and chronic respiratory failure. Managing anesthesia in patients with CF requires careful consideration, particularly because of the increased risk of respiratory complications with general anesthesia (GA). Neuraxial anesthesia, such as spinal anesthesia, presents an alternative that can reduce the likelihood of postoperative pulmonary issues, including respiratory depression, hypoxemia, and atelectasis.
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