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Spinal anaesthesia in obstetrics
- Source :
- Canadian Journal of Anaesthesia. 42:1145-1163
- Publication Year :
- 1995
- Publisher :
- Springer Science and Business Media LLC, 1995.
-
Abstract
- Spinal anaesthesia has been used since the 1800s but, due to a number of complications, the popularity of this technique has waxed and waned. In the 1950s, it was the most widely used method of anaesthesia and analgesia in obstetrics but it fell out of fashion with the arrival of the epidural technique which allowed a continuous method of delivering analgesia with relatively few complications. Hypotension and the high incidence of postdural puncture headaches were two reasons for the decline in the popularity of spinal anaesthesia in the young, otherwise healthy pregnant population. With the development of newer needles and bevel designs and methods whereby the incidence of hypotension can be minimized, spinal anaesthesia is making a reappearance in obstetrical anaesthesia spheres. The purpose of this article is to review the history, effects, technique, indications, contraindications and complications of this method of anesthesia as it applies to the obstetrical patient.
- Subjects :
- Anesthesia, Epidural
medicine.medical_specialty
Population
Anesthesia, Spinal
Pregnancy
Obstetrical anaesthesia
Anesthesiology
medicine
Anesthesia, Obstetrical
Humans
education
education.field_of_study
business.industry
Obstetrics
Contraindications
Headache
Spinal anesthesia
Nausea
General Medicine
medicine.disease
Surgery
Anesthesiology and Pain Medicine
Back Pain
Needles
Regional anesthesia
Anesthesia
Postdural Puncture Headaches
Female
Dura Mater
High incidence
Hypotension
business
Subjects
Details
- ISSN :
- 14968975 and 0832610X
- Volume :
- 42
- Database :
- OpenAIRE
- Journal :
- Canadian Journal of Anaesthesia
- Accession number :
- edsair.doi.dedup.....1be37184a00477ac12990635f1fc3bea