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Article: The Effect of Right Versus Left Lateral Decubitus Positions on Induction of Spinal Anesthesia for Cesarean Delivery

TitleThe Effect of Right Versus Left Lateral Decubitus Positions on Induction of Spinal Anesthesia for Cesarean Delivery
Authors
Issue Date2003
PublisherLippincott, Williams & Wilkins. The Journal's web site is located at http://www.anesthesia-analgesia.org
Citation
Anesthesia And Analgesia, 2003, v. 97 n. 6, p. 1795-1799 How to Cite?
AbstractInduction of spinal anesthesia for cesarean delivery in the left lateral (LL) decubitus position combined with intraoperative left uterine displacement may result in pooling of local anesthetic onto one side of the body. We studied the effect of the right lateral (RL) and LL decubitus positions during placement of spinal anesthesia on the intrathecal spread of 0.5% hyperbaric bupivacaine plus fentanyl in 60 term parturients. Though all parturients acquired a loss of cold sensation at T4 15 min after intrathecal injection, more parturients in the LL group than in the RL group did so at 5 min (P < 0.05). The maximum levels of sensory blockades, amounts of fluid, vasopressor, and supplementary analgesia used, and the incidence of postoperative complications were similar. We conclude that the two positions can be used equally well when hyperbaric bupivacaine and fentanyl are used in cesarean delivery under spinal anesthesia.
Persistent Identifierhttp://hdl.handle.net/10722/145530
ISSN
2015 Impact Factor: 3.827
2015 SCImago Journal Rankings: 1.523
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLaw, ACSen_HK
dc.contributor.authorLam, KKen_HK
dc.contributor.authorIrwin, MGen_HK
dc.date.accessioned2012-02-28T01:53:15Z-
dc.date.available2012-02-28T01:53:15Z-
dc.date.issued2003en_HK
dc.identifier.citationAnesthesia And Analgesia, 2003, v. 97 n. 6, p. 1795-1799en_HK
dc.identifier.issn0003-2999en_HK
dc.identifier.urihttp://hdl.handle.net/10722/145530-
dc.description.abstractInduction of spinal anesthesia for cesarean delivery in the left lateral (LL) decubitus position combined with intraoperative left uterine displacement may result in pooling of local anesthetic onto one side of the body. We studied the effect of the right lateral (RL) and LL decubitus positions during placement of spinal anesthesia on the intrathecal spread of 0.5% hyperbaric bupivacaine plus fentanyl in 60 term parturients. Though all parturients acquired a loss of cold sensation at T4 15 min after intrathecal injection, more parturients in the LL group than in the RL group did so at 5 min (P < 0.05). The maximum levels of sensory blockades, amounts of fluid, vasopressor, and supplementary analgesia used, and the incidence of postoperative complications were similar. We conclude that the two positions can be used equally well when hyperbaric bupivacaine and fentanyl are used in cesarean delivery under spinal anesthesia.en_HK
dc.languageengen_US
dc.publisherLippincott, Williams & Wilkins. The Journal's web site is located at http://www.anesthesia-analgesia.orgen_HK
dc.relation.ispartofAnesthesia and Analgesiaen_HK
dc.subject.meshAdjuvants, Anesthesia-
dc.subject.meshAnesthesia, Obstetrical-
dc.subject.meshAnesthesia, Spinal-
dc.subject.meshCesarean Section-
dc.subject.meshPosture - physiology-
dc.titleThe Effect of Right Versus Left Lateral Decubitus Positions on Induction of Spinal Anesthesia for Cesarean Deliveryen_HK
dc.typeArticleen_HK
dc.identifier.emailIrwin, MG:mgirwin@hku.hken_HK
dc.identifier.authorityIrwin, MG=rp00390en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1213/01.ANE.0000086733.92150.47-
dc.identifier.pmid14633562-
dc.identifier.scopuseid_2-s2.0-0344851891en_HK
dc.identifier.hkuros89740en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0344851891&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume97en_HK
dc.identifier.issue6en_HK
dc.identifier.spage1795en_HK
dc.identifier.epage1799en_HK
dc.identifier.isiWOS:000186816900046-
dc.publisher.placeUnited Statesen_HK

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