Open AccessLarge dose bupivacaine 0.5% versus small dose in elective cesarean section
Author(s) -
Hassan Ali,
Amr Ismail
Publication year - 2019
Publication title -
al-banǧ. maqālāt wa abḥāṯ fī al-taẖdīr wa-al-in’āš
Language(s) - English
Resource type - Journals
ISSN - 0259-1162
DOI - 10.4103/aer.aer_131_19
Subject(s) - bupivacaine , ephedrine , medicine , supine position , anesthesia , sitting , elective cesarean section , spinal anesthesia , group b , surgery , pregnancy , pathology , biology , genetics
The spinal anesthesia in a cesarean section is still presenting a challenge to the anesthetist in the form of either severe hypotension from large bupivacaine dose or insufficient satisfactory anesthesia level conditions as a result of small bupivacaine dose. In this study, we tried to solve this challenge by increasing the dose of bupivacaine to achieve a proper spinal level accompanied by prolonged sitting up to avoid hypotension.