Rapid sequence spinal anaesthesia with 11mg and 12.5mg of hyperbaric bupivacaine for Category 1 caesarean section

Introduction To minimize the time factor of spinal anaesthesia as well as to avoid the side effects of general anaesthesia, ‘rapid sequence spinal’ (RSS) anaesthesia has developed as a novel approach in cases of Category 1 caesarean sections . The aim of this study was to determine the efficacy of different doses of hyperbaric bupivacaine effective for RSS. Method Eighty parturients of Category 1 caesarean sections were allocated into two groups. Group A received 11mg and Group B received 12.5mg of 0.5% hyperbaric bupivacaine intrathecally. Time of arrival to the operation theatre, time of positioning for the subarachnoid block, time of administration of the drug, time of skin incision, time of delivery of the baby and time to attain block up to T 4 dermatome were noted. Results The median time to surgery were 8mins (IQR= 7.25-10) in group A and 8mins in group B (IQR= 8-10) and that to delivery were 12mins (IQR= 10-14.75) in group A and 11mins (IQR= 10-13) in group B, both being statistically insignificant (p value= 0.47 and 0.19). Other time limits were also comparable in both the groups. The haemodynamic parameters did not reveal any significant difference between the groups. Conclusion Category 1 caesarean section can be performed effectively adopting rapid sequence spinal anaesthesia in comparable lower doses as used during routine caesarean section. DOI: http://dx.doi.org/10.4038/slja.v22i2.6360 Normal 0 false false false EN-US X-NONE X-NONE