Low-dose spinal anesthesia for cesarean section to prevent spinal-induced hypotension. Issue 3 (June 2019)

• Record Type: Journal Article
• Authors: Van de Velde, Marc
• Is Part Of: Current opinion in anaesthesiology. Volume 32:Issue 3(2019:Jun.)
• Publication Date: 2019-06
• Subjects: cesarean section -- hypotension -- intraoperative pain -- low-dose combined spinal epidural -- spinal anesthesia; Anesthesiology -- Periodicals; Anesthesiology -- Indexes; Anesthesiology -- Periodicals; Review Literature -- Indexes; Review Literature -- Periodicals; Anesthesiology; Periodicals; 617.9605
• DOI: 10.1097/ACO.0000000000000712
• Languages: English
• ISSNs: 0952-7907

Abstract

Abstract : Purpose of review: Low-dose combined spinal epidural (CSE) anesthesia is a common technique to anesthetize women for cesarean section. It is used to reduce the incidence of hypotension while providing excellent anesthetic conditions. Recent findings: Low spinal doses produce effective anesthesia but of limited duration. Therefore, an epidural catheter (and thus CSE) is required to guarantee pain-free surgery. Recent work confirmed that lower spinal doses can reduce significantly hypotension. Summary: Low-dose CSE is a valuable strategy to anesthetize pregnant women for cesarean section but requires attention and training.