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British Journal of Anaesthesia, 1991, Vol. 66, No. 3 314-318
© 1991 The Board of Management and Trustees of the British Journal of Anaesthesia

research-article

COMPARISON OF FOUR SUBARACHNOID SOLUTIONS IN A NEEDLE-THROUGH-NEEDLE TECHNIQUE FOR ELECTIVE CAESAREAN SECTION

B. RANDALLS, B.SC., M.B., CH.B., F.C.ANAES., J. W. BROADWAY, B.SC., M.B., B.S., F.C.ANAES., D. A. BROWNE, B.M., B.CH., B.A.O., F.F.A.R.C.S.I. and B. M. MORGAN, M.B., B.S., F.C.ANAES.

Department of Anaesthetics, Southampton General Hospital Tremona Road, Southampton SO9 4XY
Anaesthetics Department, St Thomas' Hospital Lambeth Palace Road, London SE1 7EH
Anaesthetics Department, Hammersmith Hospital Du Cane Road, London W12 OHS
RPMS Institute of Obstetrics and Gynaecology, Queen Charlotte's Hospital London W6 OXG

Correspondence to B. R.

We have used both spinal and extradural anaesthesia with a 26-gauge, long spinal needle through a 16-gauge Tuohy needle for elective Caesarean section. Four different subarachnoid solutions of bupivacaine were compared: 0.5% heavy bupivacaine alone, or with adrenaline, fentanyl or adrenaline and fentanyl. The incidence of complications and time of regression of the sensory block were analysed. The technique is recommended because it allows rapid onset of anaesthesia and the advantages of an extradural catheter. The subarachnoid solution of choice was 0.5% heavy bupivacaine 12.5 mg with fentanyl 10 µg


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