[Spinal anesthesia for cesarean section]

In the community hospital of Konstanz, spinal block is the standard method of anaesthesia for caesarean section. The report below gives a review about the advantages of the method compared to other central blocks and describes the procedure in detail. The block is performed in the lateral decubitus position by paramedian approach, using 0.5% hyperbaric bupivacaine in doses of 10-12.5 mg. For postoperative analgesia, morphine 1 microgram/kg BW is added. The spinal puncture is carried out with 27-gg-pencilpoint needle which is inserted through an introducer. If necessary, cafedrine is employed for support of blood pressure.