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- Title
To determine the frequency of failed spinal anaesthesia during cesarean section.
- Authors
Halimi, Neelam Noreen; Basit, Muhammad; Waqas, Hafi z. Muhammad; Khan, Muhammad Javed; Ilyas, Muhammad
- Abstract
Objective: To determine the frequency of failed spinal anesthesia during cesarean section. Material and Methods: Th is cross sectional study was conducted in Department of Anaesthesia, Khyber Teaching Hospital, Peshawar from January 2016 to December 2017. A total of 241-women were observed. 0.5% Bupivacaine with dose ranging from 1.8 to 2 ml were injected by lumbar punctures using a midline approach at L2/3, L¾ or L4/5. Th e level of spinal block was assessed with ice use by loss of cold and touch perception. Aft er determination of the height of sensory block, the surgeon observed for pain sensation using the non-tooth forceps to pinch the skin at the site of the incision. Th ose women experience pain aft er 10-min of administering spinal anaesthesia was classifi ed as failed spinal anaesthesia. Results: Th e over all mean age was 30±10.23 years. 32% patients had ASA grade-I and 68% patients had ASA grade-II. 25% patients had emergency caesarean section while 75% patients had elective caesarean section. 14(6%) patients had failed spinal anesthesia while 227(94%) patients didn't had failed spinal anesthesia. Conclusion: Our study concludes that the frequency of failed spinal anesthesia was 6% during cesarean section.
- Subjects
CESAREAN section; SPINAL anesthesia; ANESTHESIA; TEACHING hospitals; LUMBAR puncture
- Publication
Pakistan Journal of Surgery, 2020, Vol 36, Issue 1, p71
- ISSN
0258-8552
- Publication type
Article