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Research article

Rapid sequence spinal anaesthesia with 11mg and 12.5mg of hyperbaric bupivacaine for Category 1 caesarean section

Authors:

Anamitra Mandal,

IN
About Anamitra
Resident, Department of Anaesthesiology, Bankura Sammilani Medical College & Hospital, Bankura
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Swapnadeep Sengupta,

IN
About Swapnadeep
Resident, Department of Anaesthesiology, Bankura Sammilani Medical College & Hospital, Bankura
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Jagabandhu Sheet,

IN
About Jagabandhu
Resident, Department of Anaesthesiology, Bankura Sammilani Medical College & Hospital, Bankura
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Bikash Bisui,

IN
About Bikash
Assistant Professor, Department of Anaesthesiology, Bankura Sammilani Medical College & Hospital, Bankura
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Sarbari Swaika ,

IN
About Sarbari

Associate Professor, Department of Anaesthesiology, Bankura Sammilani Medical College & Hospital, Bankura

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Shakya Majumder

IN
About Shakya
Registrar,Department of Critical Care Medicine, Apollo Gleneagles Hospital, Kolkata
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Abstract

Introduction

To minimize the time factor of spinal anaesthesia as well as to avoid the side effects of general anaesthesia, ‘rapid sequence spinal’ (RSS) anaesthesia has developed as a novel approach in cases of Category 1 caesarean sections. The aim of this study was to determine the efficacy of different doses of hyperbaric bupivacaine effective for RSS.

Method

Eighty parturients of Category 1 caesarean sections were allocated into two groups. Group A received 11mg and Group B received 12.5mg of 0.5% hyperbaric bupivacaine intrathecally. Time of arrival to the operation theatre, time of positioning for the subarachnoid block, time of administration of the drug, time of skin incision, time of delivery of the baby and time to attain block up to T4 dermatome were noted.

Results

The median time to surgery were 8mins (IQR= 7.25-10) in group A and 8mins in group B (IQR= 8-10) and that to delivery were 12mins (IQR= 10-14.75) in group A and 11mins (IQR= 10-13) in group B, both being statistically insignificant (p value= 0.47 and 0.19). Other time limits were also comparable in both the groups. The haemodynamic parameters did not reveal any significant difference between the groups.

Conclusion

Category 1 caesarean section can be performed effectively adopting rapid sequence spinal anaesthesia in comparable lower doses as used during routine caesarean section.


DOI: http://dx.doi.org/10.4038/slja.v22i2.6360

How to Cite: Mandal, A. et al., (2014). Rapid sequence spinal anaesthesia with 11mg and 12.5mg of hyperbaric bupivacaine for Category 1 caesarean section. Sri Lankan Journal of Anaesthesiology. 22(2), pp.50–54. DOI: http://doi.org/10.4038/slja.v22i2.6360
Published on 20 Jun 2014.
Peer Reviewed

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