PMID: 15248625Jul 14, 2004Paper

Low-dose combined spinal-epidural anaesthesia vs. conventional epidural anaesthesia for Caesarean section in pre-eclampsia: a retrospective analysis

European Journal of Anaesthesiology
M Van de VeldeE Vandermeersch

Abstract

Epidural anaesthesia is the preferred technique of anaesthesia for Caesarean section in pre-eclampsia. Spinal anaesthesia is considered by some as a safe and effective alternative, which is especially useful in emergency situations. Combined spinal-epidural anaesthesia, using low doses of local anaesthetics with opioids, is effective and reduces the incidence of hypotension in normal pregnancy. We performed a retrospective chart analysis to evaluate the effects of combined spinal-epidural anaesthesia on maternal haemodynamics and fetal outcome compared to conventional epidural anaesthesia. A retrospective anaesthesia chart analysis of all pre-eclamptic patients who underwent Caesarean section over a 4 yr period was performed. Patient characteristic, obstetric, haemodynamic, fetal and neonatal data were gathered and analysed according to the anaesthetic technique used. Seventy-seven pre-eclamptic parturients undergoing Caesarean section were identified (26 women were severely pre-eclamptic and 51 demonstrated mild pre-eclampsia). Epidural anaesthesia was performed in 62 patients and combined spinal-epidural anaesthesia was performed in 15. No differences in patient characteristic and obstetric data were noted. Highest mean arter...Continue Reading

Citations

Oct 20, 2007·Acta Anaesthesiologica Scandinavica·R HanssB Bein
Aug 21, 2010·The Journal of Obstetrics and Gynaecology Research·Raimondo GabrieleLuigi Basso
Mar 15, 2006·Current Opinion in Anaesthesiology·Narinder Rawal
May 5, 2007·Current Opinion in Anaesthesiology·Robert A DyerAnthony R Reed

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