Low-dose bupivacaine-fentanyl spinal anesthesia for cesarean delivery.
- 1 May 2000
- journal article
- clinical trial
- Published by BMJ in Regional Anesthesia & Pain Medicine
- Vol. 25 (3) , 235-239
- https://doi.org/10.1097/00115550-200005000-00005
Abstract
The hypotension following spinal anesthesia remains commonplace in cesarean delivery. Intrathecal opioids are synergistic with local anesthetics and intensify sensory block without increasing sympathetic block. The combination makes it possible to achieve spinal anesthesia with otherwise inadequate doses of local anesthetic. We hypothesized that this phenomenon could be used to provide spinal anesthesia for cesarean delivery while incurring less frequent hypotension.Keywords
This publication has 15 references indexed in Scilit:
- Intrathecal Fentanyl With Small-Dose Dilute BupivacaineAnesthesia & Analgesia, 1997
- Anesthesia-related Deaths during Obstetric Delivery in the United States, 1979–1990Anesthesiology, 1997
- Acupressure Versus Intravenous Metoclopramide to Prevent Nausea and Vomiting During Spinal Anesthesia for Cesarean SectionAnesthesia & Analgesia, 1997
- Specific Enhancement by Fentanyl of the Effects of Intrathecal Bupivacaine on Nociceptive Afferent But Not on Sympathetic Efferent Pathways in DogsAnesthesiology, 1993
- Interaction of Intrathecal Morphine with Bupivacaine and Lidocaine in the RatAnesthesiology, 1992
- Clinical Effects of Intrathecally Administered Fentanyl in Patients Undergoing Cesarean SectionAnesthesia & Analgesia, 1992
- Role of Spinal Opioid Receptors in the Antinociceptive Interactions Between Intrathecal Morphine and BupivacaineAnesthesia & Analgesia, 1992
- Antinociceptive Synergy Between Intrathecal Morphine and Lidocaine during Visceral and Somatic Nociception in the RatAnesthesiology, 1992
- Phenylephrine in the prevention of hypotension following spinal anesthesia for cesarean deliveryJournal of Clinical Anesthesia, 1991
- Perioperative Analgesia with Subarachnoid Fentanyl–Bupivacaine for Cesarean DeliveryAnesthesiology, 1989