Management of Failed Spinal Anesthesia for Lower Segment Cesarean Section

Parikh, Ketan

doi:10.5005/jp/books/12048_10

Cited by 1 publication

(2 citation statements)

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“…The ease with which the dura was punctured in the first attempt should guide the clinician to decide whether to consider the patient for repeat spinal. [ 19 ] After waiting for 20 minutes to avoid pseudofailure, a different interspace must be tried to avoid the anatomic distortions. If no effect is seen after 20 minutes following the injection, it seems reasonable to repeat the block with full dose.…”

Section: Options For Management Of Failurementioning

confidence: 99%

“…[ 24 ] Starvation status, difficult airway, ease of performance of regional block, and comorbid condition of the parturient are secondary factors to be considered while choosing the correct option to approach the failure. [ 19 ] A simple algorithm as described in Figure 1 may be followed to choose the best possible option under the circumstances.…”

Section: Choosing Appropriate Options For Failed Blockmentioning

confidence: 99%

See 1 more Smart Citation

Approach to failed spinal anaesthesia for caesarean section

Parikh

Seetharamaiah²

2018

Indian J Anaesth

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Failure of spinal anaesthesia for caesarean section may have deleterious consequences for the mother as well as the newborn baby. In this article, we discuss the mechanisms of failure of spinal anaesthesia as well as the approach to a failed block. We performed a literature search in Google Scholar, PubMed, and Cochrane databases for original and review articles concerning failed spinal anaesthesia and caesarean section. Strategies for a failed spinal anaesthetic include manoeuvers to salvage the block, repeating the block, epidural anaesthesia or a combined spinal–epidural (CSE) technique, or resorting to general anaesthesia. Factors influencing the choice of these alternative options are discussed. A “failed spinal algorithm” can guide the anaesthesiologist and help reduce morbidity and mortality.

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Section: Options For Management Of Failurementioning

confidence: 99%

Section: Choosing Appropriate Options For Failed Blockmentioning

confidence: 99%