Continuous Spinal Anesthesia for Obstetric Anesthesia and Analgesia
The widespread use of continuous spinal anesthesia (CSA) in obstetrics has been slow because of the high risk for post-dural puncture headache (PDPH) associated with epidural needles and catheters. New advances in equipment and technique have not significantly overcome this disadvantage. However, CS...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2017-08-01
|
| Series: | Frontiers in Medicine |
| Subjects: | |
| Online Access: | http://journal.frontiersin.org/article/10.3389/fmed.2017.00133/full |
| _version_ | 1828372793037684736 |
|---|---|
| author | Ivan Veličković Borislava Pujic Charles W. Baysinger Curtis L. Baysinger |
| author_facet | Ivan Veličković Borislava Pujic Charles W. Baysinger Curtis L. Baysinger |
| author_sort | Ivan Veličković |
| collection | DOAJ |
| description | The widespread use of continuous spinal anesthesia (CSA) in obstetrics has been slow because of the high risk for post-dural puncture headache (PDPH) associated with epidural needles and catheters. New advances in equipment and technique have not significantly overcome this disadvantage. However, CSA offers an alternative to epidural anesthesia in morbidly obese women, women with severe cardiac disease, and patients with prior spinal surgery. It should be strongly considered in parturients who receive an accidental dural puncture with a large bore needle, on the basis of recent work suggesting significant reduction in PDPH when intrathecal catheters are used. Small doses of drug can be administered and extension of labor analgesia for emergency cesarean delivery may occur more rapidly compared to continuous epidural techniques. |
| first_indexed | 2024-04-14T07:10:29Z |
| format | Article |
| id | doaj.art-6fa6faa3d9f048dda54b681f9d76cb3a |
| institution | Directory Open Access Journal |
| issn | 2296-858X |
| language | English |
| last_indexed | 2024-04-14T07:10:29Z |
| publishDate | 2017-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj.art-6fa6faa3d9f048dda54b681f9d76cb3a2022-12-22T02:06:28ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2017-08-01410.3389/fmed.2017.00133251351Continuous Spinal Anesthesia for Obstetric Anesthesia and AnalgesiaIvan Veličković0Borislava Pujic1Charles W. Baysinger2Curtis L. Baysinger3Department of Anesthesiology, SUNY Downstate Medical Center, Brooklyn, NY, United StatesKlinika za Ginekologiju I Akuserstvo, Klinickog Centra Vojvodine, Novi Sad, SerbiaDepartment of Anesthesiology, University of Kentucky Medical Center, Lexington, KY, United StatesDivision of Obstetric Anesthesia, Department of Anesthesiology, Vanderbilt University School of Medicine, Nashville, TN, United StatesThe widespread use of continuous spinal anesthesia (CSA) in obstetrics has been slow because of the high risk for post-dural puncture headache (PDPH) associated with epidural needles and catheters. New advances in equipment and technique have not significantly overcome this disadvantage. However, CSA offers an alternative to epidural anesthesia in morbidly obese women, women with severe cardiac disease, and patients with prior spinal surgery. It should be strongly considered in parturients who receive an accidental dural puncture with a large bore needle, on the basis of recent work suggesting significant reduction in PDPH when intrathecal catheters are used. Small doses of drug can be administered and extension of labor analgesia for emergency cesarean delivery may occur more rapidly compared to continuous epidural techniques.http://journal.frontiersin.org/article/10.3389/fmed.2017.00133/fullobstetric anesthesialabor analgesiaintrathecal cathetersneuraxial blockadepost-dural puncture headachespinal catheters |
| spellingShingle | Ivan Veličković Borislava Pujic Charles W. Baysinger Curtis L. Baysinger Continuous Spinal Anesthesia for Obstetric Anesthesia and Analgesia Frontiers in Medicine obstetric anesthesia labor analgesia intrathecal catheters neuraxial blockade post-dural puncture headache spinal catheters |
| title | Continuous Spinal Anesthesia for Obstetric Anesthesia and Analgesia |
| title_full | Continuous Spinal Anesthesia for Obstetric Anesthesia and Analgesia |
| title_fullStr | Continuous Spinal Anesthesia for Obstetric Anesthesia and Analgesia |
| title_full_unstemmed | Continuous Spinal Anesthesia for Obstetric Anesthesia and Analgesia |
| title_short | Continuous Spinal Anesthesia for Obstetric Anesthesia and Analgesia |
| title_sort | continuous spinal anesthesia for obstetric anesthesia and analgesia |
| topic | obstetric anesthesia labor analgesia intrathecal catheters neuraxial blockade post-dural puncture headache spinal catheters |
| url | http://journal.frontiersin.org/article/10.3389/fmed.2017.00133/full |
| work_keys_str_mv | AT ivanvelickovic continuousspinalanesthesiaforobstetricanesthesiaandanalgesia AT borislavapujic continuousspinalanesthesiaforobstetricanesthesiaandanalgesia AT charleswbaysinger continuousspinalanesthesiaforobstetricanesthesiaandanalgesia AT curtislbaysinger continuousspinalanesthesiaforobstetricanesthesiaandanalgesia |