SPEED OF ONSET OF SENSORY BLOCK FOR ELECTIVE EXTRADURAL CESAREAN-SECTION - CHOICE OF AGENT AND TEMPERATURE OF INJECTATE

被引:22
作者
CLARK, V [1 ]
MCGRADY, E [1 ]
SUGDEN, C [1 ]
DICKSON, J [1 ]
MCLEOD, G [1 ]
机构
[1] BELLSHILL MATERN HOSP,DEPT ANAESTHET,BELLSHILL,LANARK,SCOTLAND
关键词
ANESTHESIA; OBSTETRIC; ANESTHETICS; LOCAL; LIGNOCAINE; BUPIVACAINE; ANESTHETIC TECHNIQUES; EXTRADURAL;
D O I
10.1093/bja/72.2.221
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
We have studied the effects of choice of local anaesthetic and temperature of extradural injectate on speed of onset of sensory block for elective extradural Caesarean section in a double-blind trial in 120 women allocated randomly to one of four groups to receive either plain 0.5% bupivacaine or 2% lignocaine with 1:200000 adrenaline at either room temperature or 38 degrees C. The onset time of lignocaine with adrenaline was shorter than that of bupivacaine regardless of temperature (P < 0.01). Warmed lignocaine produced the most rapid block overall (P < 0.025). The incidence of hypotension, ephedrine requirement, shivering, quality of analgesia and additional analgesic requirements were similar for all groups.
引用
收藏
页码:221 / 223
页数:3
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