Korean J Anesthesiol.  1995 Jul;29(1):101-105. 10.4097/kjae.1995.29.1.101.

Spinal Anesthesia and Postoperative Epidural Analgesia for Cesarean Section

• Lim HJ
• Lee HW
• Kim NS
• Chang SH

• KMID: 1934279
• DOI: http://doi.org/10.4097/kjae.1995.29.1.101

Abstract

To evaluate the technique to provide rapid onset of anesthesia and postoperative pain control for cesarean section, we have used spinal anesthesia and epidural analgesia with a 26-gauge, long spinal needle through a 18-gauge Tuohy needle(Espocan) for elective cesarean section in twenty cases, 0.5% heavy bupivacaine 8-12mg was injected through spinal needle for anesthesia during operation, and then spinal needle was removed and epidural catheter was inserted into the epidural space for postoperative pain control. Ten milliliters of bupivacaine 0.125% with 0.45 mg buprenorphine was injected into epidural space through epidural catheter at the time of pain recognition in postoperative period. The results were as follows; 1) There were 5 cases(25%) of hypotension after spinal anesthesia. 2) There were 4 cases(20%) of complaint of pain during operation. 3) The time from injection of 0.5% heavy bupivacaine to onset of anethesia to T4 level is 3.8+/-1.5 minutes and the time from induction of spinal anesthesia to deliverly of infant is 10.1+/-2.9 minutes. 4) Two cases of postoperative headache were noted, but they were mild and relieved spontaneously. 5) Other analgesics were needed in two cases at postoperative periods. The technique is recommended for the anesthesia of cesarean section because it allows rapid onset of anesthesia with spinal anesthesia and gives advantages of postoperative pain control with epidural catheter.

Keyword

Combined techique; Spinal; Epidural; Cesarean section

MeSH Terms

Analgesia, Epidural*
Analgesics
Anesthesia
Anesthesia, Spinal*
Bupivacaine
Buprenorphine
Catheters
Cesarean Section*
Epidural Space
Female
Headache
Humans
Hypotension
Infant
Needles
Pain, Postoperative
Postoperative Period
Pregnancy
Analgesics
Bupivacaine
Buprenorphine