Continuous Spinal Anesthesia for Obstetric Anesthesia and Analgesia

Frontiers in Medicine

Ivan Veličković¹ 

关键词: obstetric anesthesia;    labor analgesia;    intrathecal catheters;    neuraxial blockade;    post-dural puncture headache;    spinal catheters;   

DOI  :  10.3389/fmed.2017.00133

学科分类：医学（综合）

来源: Frontiers

【 摘 要 】

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.

【 授权许可】

CC BY