[Combined epidural and spinal anesthesia for cesarean section].
Combined spinal epidural block has proven its efficacy in skilled hands. This technique allies advantages of spinal anaesthesia, regarding its speed of action and intensity of motor blockade and advantages of postoperative epidural analgesia. This block must be performed with great care and method to reach a success rate of almost 100%. Local anaesthetics and additives are reviewed and commented. The two main complications, hypotension and post dural puncture headache can be contained in very low limits.
Hody
J L
JL
Service d'Anesthésiologie, Clinique Sainte-Anne, Bruxelles, Belgique.
D000328:Adult; D000767:Anesthesia, Epidural / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D000773:Anesthesia, Obstetrical / Q000009:adverse effects / Q000379:methods*; D000775:Anesthesia, Spinal / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D002045:Bupivacaine; D002585:Cesarean Section; D005260:Female; D005283:Fentanyl; D006261:Headache / Q000209:etiology; D006801:Humans; D007022:Hypotension / Q000209:etiology; D010149:Postoperative Pain / Q000628:therapy; D011247:Pregnancy; D017409:Sufentanil
D017409:Sufentanil; D005283:Fentanyl; D002045:Bupivacaine
Rachi-péri séquentielle pour césarienne.