Spinal anaesthesia in obstetrics

Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie
P Morgan

Abstract

Spinal anaesthesia has been used since the 1800s but, due to a number of complications, the popularity of this technique has waxed and waned. In the 1950s, it was the most widely used method of anaesthesia and analgesia in obstetrics but it fell out of fashion with the arrival of the epidural technique which allowed a continuous method of delivering analgesia with relatively few complications. Hypotension and the high incidence of postdural puncture headaches were two reasons for the decline in the popularity of spinal anaesthesia in the young, otherwise healthy pregnant population. With the development of newer needles and bevel designs and methods whereby the incidence of hypotension can be minimized, spinal anaesthesia is making a reappearance in obstetrical anaesthesia spheres. The purpose of this article is to review the history, effects, technique, indications, contraindications and complications of this method of anesthesia as it applies to the obstetrical patient.

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Citations

Apr 1, 1997·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·A F Smith
Oct 14, 2000·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·P J MorganJ Lam-McCulloch
Jul 23, 2003·Anesthesia and Analgesia·Ingrid M Browne, David J Birnbach
Sep 20, 2000·Mayo Clinic Proceedings·M E Johnson

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