scholarly journals EFFECT OF EXTRADURAL DIAMORPHINE ON ANALGESIA AFTER CAESAREAN SECTION UNDER SUBARACHNOID BLOCK

1993 ◽  
Vol 71 (6) ◽  
pp. 810-813 ◽  
Author(s):  
C.J. ROULSON ◽  
J. BENNETT ◽  
M. SHAW ◽  
F. CARLI
Keyword(s):  
Caesarean Section ◽  
Subarachnoid Block

SPINAL ANAESTHESIA USING TAYLOR’S APPROACH SAVES THE DAY IN OBESE PARTURIENT.

2021 ◽  
pp. 228-228
Author(s):  
Vishal Vashist ◽  
Roohani Mahajan ◽  
Bhanu Gupta
Keyword(s):  
Caesarean Section ◽  
General Anesthesia ◽  
General Anaesthesia ◽  
Spinal Anaesthesia ◽  
Case History ◽  
Breech Presentation ◽  
Lower Segment ◽  
Subarachnoid Block ◽  
Lower Segment Caesarean Section ◽  
History Of

Subarachnoid block is commonly employed for caesarean deliveries, by virtue of its simplicity in terms of performance, safety for the parturients as compared to general anesthesia. The case history of a 27-yearold female parturiant patient is presented. She was posted for emergency lower segment caesarean section in view of primigravida with breech presentation in labour . She was obese with bodyweight of 102 kg. She had a thick scaly plaque over the back in midline from L1 to L5 area, which is contraindication for administration of spinal anaesthesia via standard median and paramedian approach . Taylor’s approach for administration of the same was tried and proved successful, thus saving the patient from receiving general anaesthesia .

Sufentanil added to hyperbaric bupivacaine for subarachnoid block in Caesarean section

2005 ◽  
Vol 20 (8) ◽  
pp. 631-635 ◽  
Author(s):  
A. de F. de Assunção Braga ◽  
F. S. da Silva Braga ◽  
G. M. Braga Potério ◽  
R. I. Costa Pereira ◽  
E. Reis ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Hyperbaric Bupivacaine ◽  
Subarachnoid Block

220: Observational Study of PTCCo2 and SPO2 Following Subarachnoid Block of 0.5% Bupivacaine and Diamorphine for Caesarean Section

2008 ◽  
Vol 33 (5) ◽  
pp. e125-e125
Author(s):  
S DALCHOW ◽  
G PETERS ◽  
A HARVEY ◽  
S AGARWAL ◽  
H DUPLESSIS ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Observational Study ◽  
Subarachnoid Block

scholarly journals A prospective randomized study to compare dexmedetomidine and dexamethasone as an adjunct to bupivacaine in transversus abdominis plane block for post-operative analgesia in caesarean delivery

2019 ◽  
Vol 8 (12) ◽  
pp. 4903
Author(s):  
Jitender Thakur ◽  
Bharti Gupta ◽  
Amit Gupta ◽  
Ravinder Kumar Verma ◽  
Anita Verma ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Randomized Study ◽  
Transversus Abdominis ◽  
Tap Block ◽  
Ultrasound Guided ◽  
Subarachnoid Block ◽  
Dexamethasone Group ◽  
Group B ◽  
Patients Experience ◽  
To Receive

Background: Caesarean section is most frequently performed surgery worldwide. Patients experience moderate to severe pain in the first 48 hours post-operatively. Aim of this study was to evaluate the efficacy of dexmedetomidine and dexamethasone as an adjunct to bupivacaine in ultrasound guided TAP block for postoperative analgesia in patients of caesarean section.Methods: A total 120 ASA I and II patients undergoing elective and emergency caesarean section under subarachnoid block were randomly divided into three groups B, BDM, BDX to receive bupivacaine alone or dexmedetomidine or dexamethasone as an adjunct to bupivacaine in ultrasound guided TAP block. Postoperatively, the patients were evaluated for pain level at rest and on movement with a 10 cm visual analog scale (VAS) pain score (0 = no pain and 10 = worst pain), time to demand of first analgesic request, number of analgesic requirements, nausea or vomiting, sedation and patient satisfaction at 0 hours and at 2, 4, 6, 12, 18, and 24 hours.Results: VAS score was significantly higher in group B in comparison to BDM and BDX, and higher in BDX in comparison to group BDM. Mean duration of analgesia was significantly higher in group BDM in comparison to group B and BDX. Total number of rescue analgesic demands were significantly lower in group BDM in comparison to group B and BDX. Sedation score and satisfaction score was higher in group BDM as compared to group B and BDX.Conclusions: Addition of dexmedetomidine and dexamethasone as an adjunct to bupivacaine reduces postoperative pain, prolongs analgesia, decreases demand for additional analgesics and provides better maternal satisfaction as compared to plain bupivacaine group in TAP block in patients undergoing caesarean section under subarachnoid block. Among dexmedetomidine and dexamethasone, dexmedetomidine had prolonged analgesia as compared to dexamethasone group.

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