Continuous spinal anesthesia in obstetrics

Despite the theoretical advantages of continuous anesthesia in obstetric patients (good-quality blockade at low doses, good hemodynamic stability, rapid onset of effect, and no risk of toxicity), little has been published on this technique and its use in pregnancy. Moreover, few descriptive studies...

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Bibliographic Details
Published inRevista española de anestesiología y reanimación Vol. 58; no. 3; p. 161
Main Authors Alonso Yanci, E, Gilsanz Rodríguez, F, Gredilla Díaz, E, Martínez Serrano, B, Canser Cuenca, E
Format Journal Article
LanguageSpanish
Published Spain 01.03.2011
Subjects
Anesthesia, Obstetrical - adverse effects
Anesthesia, Obstetrical - methods
Anesthesia, Spinal - adverse effects
Anesthesia, Spinal - methods
Female
Humans
Pregnancy
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Summary:Despite the theoretical advantages of continuous anesthesia in obstetric patients (good-quality blockade at low doses, good hemodynamic stability, rapid onset of effect, and no risk of toxicity), little has been published on this technique and its use in pregnancy. Moreover, few descriptive studies or comparative trials have evaluated the efficacy and safety of continuous spinal anesthesia, probably because of concerns about potential adverse effects-principally neurologic complications and postdural puncture headache. We review the literature on the use of continuous spinal anesthesia in obstetric patients, analyzing the advantages and disadvantages, indications, and adverse effects of this technique.
ISSN:0034-9356
DOI:10.1016/S0034-9356(11)70024-X