Epidural Ketamine Improves Epidural Lidocaine Anesthesia During Cesarean Section

Peng, Alfred T.C.; Shulman, Steven; Blancato, Louis S.; Cutrone, F; Nyunt, Kyaw

doi:10.1097/00000542-198709001-00624

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“…Several other supplementary agents have been evaluated, including clonidine (an alpha-2adrenergic stimulator) [44], somatostatin (a tetradecapeptide) [13] and ketamine [58]. Results have been inconsistent and, in common with opioids, these agents seem to be more effective against some types of pain than others.…”

Section: Other Agentsmentioning

confidence: 99%

Extradural, Spinal or Combined Block for Obstetric Surgical Anaesthesia

Carrie

1990

British Journal of Anaesthesia

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One of the outstanding features of obstetric surgical procedures carried out under regional anaesthesia is that the patients are seldom given premedication, peroperative sedation or light general anaesthesia which might mask any deficiencies in the local anaesthetic block. Before delivery this is in the interests of the fetus, which may be affected by any drugs given to the mother. For procedures carried out after delivery, sedation or anaesthesia interferes with the mother's enjoyment of her new baby, and may even jeopardize her safety if her respiratory protective reflexes are depressed. This is in contrast with other branches of anaesthesia in which regional techniques are popular-especially orthopaedics, where supplementary sedation or anaesthesia is commonplace. It is in obstetric anaesthesia, therefore, that the differences between extradural and spinal block may be most apparent, and in choosing between them it is necessary that the anaesthetist understands the relative merits of the two techniques. In accordance with popular usage, "anaesthesia" is used in this article, rather than "analgesia", although much of the time only freedom from pain is implied. In addition, " subarachnoid" and " intrathecal" are used synonymously with "spinal". FACTORS AFFECTING THE CHOICE BETWEEN EXTRADURAL AND SPINAL ANAESTHESIA General factors affecting the choice between extradural and spinal anaesthesia always include the expertise of the anaesthetist and the availability of suitable drugs and equipment. Historically, spinal anaesthesia antedated extradural KEY WORDS Anaesthesia, obstetric. Anaesthetic techniques: extradural. spinal.

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Section: Other Agentsmentioning

confidence: 99%

Extradural, Spinal or Combined Block for Obstetric Surgical Anaesthesia

Carrie

1990

British Journal of Anaesthesia

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Epidural Ketamine Improves Epidural Lidocaine Anesthesia During Cesarean Section

Cited by 1 publication

References 0 publications

Extradural, Spinal or Combined Block for Obstetric Surgical Anaesthesia

Extradural, Spinal or Combined Block for Obstetric Surgical Anaesthesia

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