Incidence of hypotension induced by spinal anesthesia with xylocaine for cesarean section and postpartum tubal ligation.
The incidence of hypotension induced by spinal anesthesia in 154 ASA class I or II patients having Cesarean section and postpartum bilateral tubal ligation was studied. Xylocaine (2%) 60-65 mg was used for spinal anesthesia. There was 41.0% of patients in Cesarean section group developed hypotension induced by spinal anesthesia, and 13.5% in tubal ligation group. We found no correlation between the time after delivery and the occurrence of hypotension induced by spinal anesthesia. In addition, 20.3% of the patients in tubal ligation group required intravenous narcotics because of inadequate sensory blockade during skin incision, but only 9.0% in Cesarean section needed the same supplement which was due to visceral pain during intra-abdominal manipulation. We conclude that spinal anesthesia with 2% xylocaine is safe and effective in both Cesarean section and postpartum tubal ligation although a significant difference of spinal hypotension existed.
Fung
B K
BK
Department of Anesthesiology, Puli Christian Hospital, Taiwan, R.O.C.
Gislefoss
A J
AJ
Ho
E S
ES
D000328:Adult; D000773:Anesthesia, Obstetrical / Q000009:adverse effects*; D000775:Anesthesia, Spinal / Q000009:adverse effects*; D002585:Cesarean Section; D005260:Female; D006801:Humans; D007022:Hypotension / Q000139:chemically induced*; D015994:Incidence; D008012:Lidocaine / Q000009:adverse effects*; D049590:Postpartum Period; D011247:Pregnancy; D013246:Sterilization, Tubal
D008012:Lidocaine