Regional anesthesia in obstetrics – complications and how to overcome it

Authors

  • R. O. Tkachenko P. L. Shupyk National Medical Academy of Postgraduate Education, Kyiv
  • E. V. Grizhymalskyi P. L. Shupyk National Medical Academy of Postgraduate Education, Kyiv

Keywords:

complications, regional analgesia, obstetrics

Abstract

This article is devoted to problems of complications during spinal and epidural anesthesia in case of cesarean section, and epidural analgesia during labor: arterial hypotension, bradycardia, total spinal block, cardiac arrest, systemic toxicity caused by local anesthetics, postdural puncture headache. The analysis of the incidence of different types of complications is reported depending on the dose of anesthetic and regionarnoj anesthesia techniques. The recommendations for treatment and prevention of these complications are provided.

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References

Epidemiology of Anesthesia – related Mortality in the United States, 1999–2005 // Anesthesiology. – 2009 (Apr). – Vol. 110, N 4.

Cambell N. J. Anesthesia tutorial of the week. – 2010. May.

Bezov D., Lipton R.B., Ashina S. Post-dural puncture headache: part I diagnosis, epidemiology, etiology, and pathophysiology // Headache. – 2010 (Jul). – 50(7) : 1144–52.

Jan Muhammad Shaikh, Amna Memon, Muhammad Ali Memon, Majida Khan. Postdural puncture headache after spinal anesthesia for caesarean section: a comparison of 25G Quincke, 27G Quincke and 27G Whitacre spinal needles // J Ayub. Med. Coll. Abbottabad. – 2008. – 20(3).

Протокол МОЗ України «Кесарів розтин» № 977 від 27.12.2011 р.

Published

2016-12-01

How to Cite

1.
Tkachenko RO, Grizhymalskyi EV. Regional anesthesia in obstetrics – complications and how to overcome it. PMJUA [Internet]. 2016 Dec. 1 [cited 2022 Jun. 30];1(4):51-5. Available from: https://painmedicine.org.ua/index.php/pnmdcn/article/view/36

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Original article

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