COMPARATIVE STUDY BETWEEN PRILOCAINE 2% AND BUPIVACAINE 0.5% IN SPINAL ANAESTHESIA FOR CAESAREAN SECTION.

Document Type : Preliminary preprint short reports of original research

Authors

1 Department of Anesthesia and Surgical Intensive Care, Faculty of Medicine - Alexandria University

2 Department of Anaesthesia and Surgical Intensive Care, Faculty of Medicine, University of Alexandria

Abstract

Caesarean section is one of the most performed surgery in some parts of USA with the rate increasing from 20.6 percent in 1997 to 31.5 percent in 2009. Current C-section rate in Europe ranges from 19 percent to 33 percent in South America from 30 percent to 50 percent and in Africa and other regions, C-section rates are rising with wide disparities being observed.
Two recent studies indicate that in Africa, the national C-section rate of two percent was reported in Burkina Faso compared to the rate of 52 percent in Egypt, indicating a similar pattern of extreme variation in C-section rates.
Indications for caesarean delivery:
Indications for caesarean delivery may be broadly classified into 3 groups:
a. Maternal indications
b. Fetal indications
c. Combined Maternal-fetal indications
AIM OF THE WORK:
The aim of this study was to compare between Hyperbaric prilocaine vs. hyperbaric bupivacaine for spinal anaesthesia in women undergoing elective caesarean.
Primary aim: Efficacy of the block as regard duration, time of onset, potency and the level of the block between 2% hyperbaric Prilocaine and hyperbaric 0.5% Bupivacaine in Spinal anesthesia for caesarean section.
Secondary aim: Intra-operative and post-operative complications of Spinal Anaesthesia.

Keywords