Can low dose spinal anesthesia combined with ultrasound guided bilateral ilioinguinal-iliohypogastric nerve blocks avoid use of additional epidural catheter in high risk obstetric cases? Our experience from two cases

Pradipta Bhakta, P. K. Sharma, R. R. Date, A. K. Mohammad

Research output: Contribution to journalArticle

Abstract

Critical obstetric cases associated with cardiac pathology may pose real challenge for anaesthesiologist during Caesarean section. Meticulous perioperative care and suitable selection of anaesthesia technique are the key to successful outcome. Single shot spinal anaesthesia is not used any more because of serious haemodynamic consequence. Progressive and controlled epidural local anaesthetic injection is mostly used in such cases. But recently combined spinal epidural anaesthesia and continuous spinal anaesthesia are suggested due to better precise control of haemodynamics and quicker onset. However, institution of such complex technique may require time which may not be feasible in emergency situations. Use of bilateral ilioinguinal-iliohypogastric nerve block along with low dose spinal anaesthesia may obviate the need of additional epidural catheter in such complicated cases. We hereby present our experience from two cases.

Original languageEnglish
Pages (from-to)163-167
Number of pages5
JournalActa Anaesthesiologica Belgica
Volume64
Issue number4
Publication statusPublished - 2013

Fingerprint

Nerve Block
Spinal Anesthesia
Obstetrics
Catheters
Hemodynamics
Perioperative Care
Epidural Anesthesia
Local Anesthetics
Cesarean Section
Emergencies
Anesthesia
Pathology
Injections

Keywords

  • Caesarean section
  • High risk obstetric cases
  • Low dose spinal anaesthesia
  • Ultrasound guided ilioinguinal-iliohypogastric nerve block

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

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abstract = "Critical obstetric cases associated with cardiac pathology may pose real challenge for anaesthesiologist during Caesarean section. Meticulous perioperative care and suitable selection of anaesthesia technique are the key to successful outcome. Single shot spinal anaesthesia is not used any more because of serious haemodynamic consequence. Progressive and controlled epidural local anaesthetic injection is mostly used in such cases. But recently combined spinal epidural anaesthesia and continuous spinal anaesthesia are suggested due to better precise control of haemodynamics and quicker onset. However, institution of such complex technique may require time which may not be feasible in emergency situations. Use of bilateral ilioinguinal-iliohypogastric nerve block along with low dose spinal anaesthesia may obviate the need of additional epidural catheter in such complicated cases. We hereby present our experience from two cases.",
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AU - Mohammad, A. K.

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