الفهرس | Only 14 pages are availabe for public view |
Abstract Regional and general anaesthesia are commonly used for CS and both have their advantages and disadvantages. The risks of GA include the aspiration of stomach contents, awareness of the surgical procedure (due to inadequate anaesthesia), failed intubations, and respiratory problems for both mother and baby. When supplemented with halogenated volatile agents, general anaesthesia has also been associated with a greater risk of maternal blood loss compared with regional anaesthesia. The advantages of RA include the reduction of the incidence of general anaesthetic complications and that of early bonding between the mother and the newborn, since the mother is awake during the procedure. Spinal anaesthesia has a faster onset of action and requires less of the drug, but causes more hypotensive episodes than epidural anaesthesia. Bupivacaine is an amide type LA widely used in surgery and obstetrics. Levobupivacaine, the S-enantiomer of bupivacaine is one of the latest LA agent introduced into clinical practice that had significantly less cardiac and neural toxic effects than bupivacaine. The aim of this study was to compare the anaesthetic properties of SA using levobupivacaine and fentanyl with that of hyperbaric bupivacaine and fentanyl for CS. |