Randalls B, Broadway J W, Browne D A, Morgan B M
Department of Anaesthetics, Southampton General Hospital.
Br J Anaesth. 1991 Mar;66(3):314-8. doi: 10.1093/bja/66.3.314.
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 micrograms.
我们在择期剖宫产手术中，通过一根16号Tuohy针，使用26号长脊麻针进行了脊髓麻醉和硬膜外麻醉。比较了布比卡因的四种不同蛛网膜下腔溶液：单独的0.5%重比重布比卡因，或与肾上腺素、芬太尼合用，或与肾上腺素和芬太尼合用。分析了并发症的发生率和感觉阻滞消退时间。推荐该技术，因为它能使麻醉迅速起效，并具有硬膜外导管的优势。首选的蛛网膜下腔溶液是含10微克芬太尼的0.5%重比重布比卡因12.5毫克。
