BupivacainespinalanesthesiaforcesareansectionintheappropriatedoseintheobservationAuthor:LuChun-LiLiMeiXiangQinHaijian[Abstract]ObjectiveToobserveandcomparedifferentdosesofbupivacainespinalanesthesiaincesareansectionintheanestheticeffect,oftheappropriatedoseoflocalanestheticMethods60patientsinourhospitaluntilthemiddleterm,normalvitalsigns,needtolinetheloweruterinesegmentcesareansectioninpregnantwomen,wererandomlydividedintothreegroups,A,B,Cgroup,20caseseach,choosethelineL2~3subarachnoidspaceblock,eachapplicationof0.75%bupivacainedosewereasfollows:Agroupof1.5ml(11.25mg),Bgroup1.4ml(10.50mg),Cgroup1.3ml(9.75mg).observedsensorymotorblockonsettime,feelinglostuptoT4andT6ofthenumberofcases,theanestheticeffectandadverseresultsthreegroupsofpatientstheonsettimeofanesthesiawasnosignificantdifference.anesthesiaofT4overthenumberofcases,AgroupthaninB,Cgroup(P<0.05),analgesiceffectsA,1BaboveCgroup(P<0.05),hypotension,theincidenceofnauseaandvomitingingroupAthanB,Cgroup(P<0.05).threegroupswerenopostoperativeheadacheoccurredConclusion0.75%bupivacaine1.4mlforcesareansectionspinalanesthesiacanprovidesatisfactoryresults,vitalsignsnormal,lowincidenceofadversereactions.[Keywords]bupivacainespinalanesthesiacesareansectionBupivacaineisatraditionallocalanesthetic,itsrapidonset,longdurationofaction,highsafetyfactor,hasbeenwidelyusedinspinalanesthesiaandnerveblockanesthesia,especiallyobstetricapplications,thenewbornhadnosignificantinhibition,butdifferentdosesofbupivacaineforspinalanesthesiafewreports,theuseofcesareansectionspinaldoseoflocalanestheticbupivacaine,thereisabigdifference,andlocalanestheticdoseimpactofanesthesiablockplaneisanimportantfactorinthispaper,theeffectsofdifferentdosesofbupivacaineanesthesiainordertoexploretheappropriatedoseoflocalanesthetic.Nowinourhospital60casesofapplicationofdifferentdosesofbupivacaine2spinalanesthesiaforcesareansectionanesthesiacoverageasfollows.1MaterialsandMethods1.1GeneralInformationSelectJanuary2008toJanuary2009inourhospitaltobepassingthroughtheabdominalmaternaluterinesegmentcesareansection60patientsaged20to35yearsold,weighing55~75kg,excludingpatientswithcomplicationsofpregnancy,ASAassessmentofⅠ~IIlevel,typeofsurgery,including11casesofbreechpresentation,cephalopelvicdisproportionin15cases,29casesoffetaldistress,placentaprevia5caseswererandomlydividedintothreegroups,namelyA,B,Cgroup.cobwebmembraneintothelowerchamberwere0.75%bupivacainedoseGroupA:1.5ml(11.25mg),Bgroup1.4ml(10.5mg),Cgroup1.3ml(9.75mg),dosagegroupswereadded15mgofephedrine.1.2Anesthesiaburglaryafterroutinemonitoring,oxygen,intravenousRingerlactateopening,leftlateralposition,theelectionL2~3epiduralspacethroughtheepiduralneedlepunctureissuccessfulwitha25Gspinal3needlepiercedthedura(aclearsenseofabreakthrough),outofcoreneedleslowlyWithdrawingseecerebrospinalfluidbytheinjectionoflocalanestheticdosegroup(about30s),pullbackneedletotheepiduralspacecephaladintothehardmembranecatheter4cm,.fixedcatheterforepiduralanesthesiaandpostoperativeanalgesia.Thenturnthesupineposition,about20°tilttotheleft,measuringanesthesia,patientswithbloodpressurelessthan90/60mmHgacceleratedinfusionandinjectionofephedrine15mgtogiverisetonormalandstablebloodpressure,anesthesiabelowtheT7fromepiduralcatheterintotheLawSchool0.894%ropivacaine5~10ml.SeeanesthesiaofT7andfixedaftersurgery.1.3OUTCOMEMEASURESassessedusingacupunctur...