A comparison of epidural and cerebrospinal fluid glucose in parturients at term: an observational study

Fah, A.; Sutton, Julian; Cohen, Victor; Dowling, Kate; Cyna, Allan M

doi:10.1016/j.ijoa.2012.03.002

Cited by 6 publications

(3 citation statements)

References 14 publications

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“…In these cases, it may be appropriate to consider using a CSF glucose test to ensure that the clear fluid is not residual local anesthetic in the epidural space. 20 The above explanation may account for the 15 cases in which it was documented that no block was detected following spinal placement. Nevertheless, surgery was allowed to proceed in 14 cases, and it was ultimately converted to general anesthesia or required analgesic supplementation due to pain immediately following testing with surgical forceps or skin incision.…”

Section: Discussionmentioning

confidence: 97%

Evaluation of failed and high blocks associated with spinal anesthesia for Cesarean delivery following inadequate labour epidural: a retrospective cohort study

Einhorn

Habib

2016

Can J Anesth/J Can Anesth

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Section: Discussionmentioning

confidence: 97%

Evaluation of failed and high blocks associated with spinal anesthesia for Cesarean delivery following inadequate labour epidural: a retrospective cohort study

Einhorn

Habib

2016

Can J Anesth/J Can Anesth

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“…To make this procedure more appropriate and for the confirmation of spinal anaesthetic administration, cerebrospinal fluid glucose test is used to make sure whether clear fluid in epidural space is residual local anaesthetic or not. 17 Due to the ambiguity about the accurate dosage of regional anaesthetic and because of high concerns of failed/high blocks, administration of more than single dose of spinal anaesthetic would prove to be a preferred technique. Present study highlights that spinal anaesthetic administered after inadequate labour epidural increases the chances of failure.…”

Section: Discussionmentioning

confidence: 99%

Spinal Anaesthesia Failure Risk Followed by Failed Epidural Block in Caesarean Deliveries

Unar¹,

Javaid²,

Dar³

et al. 2021

PJMHS

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Background: There is a risk associated with spinal anaesthesia failure after immediate deliverance of epidural anaesthesia. Objective: To assess the risk of spinal anaesthesia failure followed by failed epidural block in caesarean deliveries. Study Design: Retrospective study Place and Duration of Study: Department of Obstetrics & Gynaecology, Khairpur Medical College Khairpur Mir’s from 1st July 2020 to 30th June 2021. Methodology: One hundred and seventy labour cases who have been given epidural anaesthesia and were prepared for caesarean section through spinal anaesthesia were included. The demographic and clinical information of each pregnant female was documented. Proper epidural dosage was maintained during labour. Results: The mean age of the patients was 26.5±5.2 years. There was a significant increase in body mass index among epidural converted spinal aesthesia patients. The higher incidence of non-reassuring foetal heart tracing and malpresentation in failure cases were found. Conclusion: There is a 11.17% risk of spinal anaesthetics failure for attaining block height when administered within 30 min of epidural dose. Keywords: Epidural, Spinal anaesthesia, Anaesthesia, Caesarean

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“…In a study conducted by Fah et al. [13] on patients undergoing cesarean with lidocaine 5%, a significant reduction was observed between the serum level of blood sugar during the operation and that recorded before the surgery. In another study conducted by French et al.…”

Section: Discussionmentioning

confidence: 99%

Comparing the effects of general anesthesia and spinal anesthesia on the serum level of blood sugar in patients undergoing cesarean

Kouzegaran

Sarjughi

Tanha

2018

IMAS

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ObjectiveThis paper aims to study the influence of both general and spinal anesthesia on blood sugar changes in patients undergoing cesarean.MethodsThis is a single-blind clinical trial study conducted on 60 patients with classes 1 and 2 anesthesia. The patients were divided by chance into the general anesthesia and spinal anesthesia groups (each contains 30 members). The patients in the spinal group were blocked up to the T4 level and similar methods and medicines were also utilized for those in the general anesthesia group.ResultsNo significant difference was observed in the blood sugar levels of both groups before and after the operation, but the group, which had utilized the general anesthesia method, had reported with lower levels of blood sugar than the spinal anesthesia group after operation with a significant difference (P < 0.05). A difference has been observed in the levels of blood sugar at 2, 12, and 24 h after the operation in both groups, but it was not a statistically significant difference.ConclusionHowever, none of the mentioned methods had any influence on reduction of blood sugar levels during the recovery or the period after it.

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A comparison of epidural and cerebrospinal fluid glucose in parturients at term: an observational study

Cited by 6 publications

References 14 publications

Evaluation of failed and high blocks associated with spinal anesthesia for Cesarean delivery following inadequate labour epidural: a retrospective cohort study

Evaluation of failed and high blocks associated with spinal anesthesia for Cesarean delivery following inadequate labour epidural: a retrospective cohort study

Spinal Anaesthesia Failure Risk Followed by Failed Epidural Block in Caesarean Deliveries

Comparing the effects of general anesthesia and spinal anesthesia on the serum level of blood sugar in patients undergoing cesarean

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