Amaç
Spinal anesthesia for cesarean section is associated with high incidence of nausea and vomiting . The synergism between intrathecal opioids and local anesthetics may make it possible to achieve reliable spinal anesthesia with minimal side effects.
Yöntem
40 patients aged 17-35 which underwent cesarean section randomized into two groups. Half of them in group A received spinal anesthesia with Bupivacaine 6 miligram + Fentanyl 10 microgram and group b received only 12 miligram Bupivacaine. Hypotension was defined as a systolic pressure of less than 90 mmHg or 25% decrease in mean arterial pressure from baseline.
Bulgular
All patients except one in group a had satisfactory anesthesia. The mean ratio of lowest systolic pressure to baseline systolic pressure was 0.75 for group A and 0.65 for group B. Nausea and vomiting was observed in 10% of group A and 20% of group B(P<0.05).
Sonuç
Minidose Bupivacaine-Fentanyl provides good spinal anesthesia for cesarean section with less hypotension, nausea and vomiting.
Anahtar Kelimeler
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