Spinal anesthesia for lower segment Cesarean section in patients with stable eclampsia
Related Experiment Video
Updated: Jun 2, 2026

Spinal Sonography for Ultrasound-Guided Lumbar Neuraxial Anesthesia
Published on: January 31, 2025
Ranju Singh1, Nishant Kumar, Aruna Jain
1Department of Anaesthesiology and Critical Care, Lady Hardinge Medical College and Shrimati Sucheta Kriplani Hospital, New Delhi 110001, India.
Study Objective:
To report the use of spinal anesthesia in stable eclamptic patients.
Design:
Prospective case series.
Setting:
Emergency operating room of a metropolitan hospital.
Patients:
12 "stable" eclamptic parturients.
Interventions:
Subarachnoid block was instituted with hyperbaric 0.5% bupivacaine 1.7 mL with fentanyl 25 μg.
Measurements:
Intraoperative maternal hypotension, episodes of convulsion, the need to convert to general anesthesia, and Apgar scores at 1 and 5 minutes were recorded.
Main Results:
Only one of the 12 parturients had an episode of hypotension (treated by intravenous ephedrine), while no patient had a convulsion over the 48 hours after delivery. The sensory level achieved was T₅-T₆ and none of the cases was converted to general anesthesia. Median Apgar scores at 1 and 5 minutes were 8 and 9, respectively.
Conclusion:
Spinal anesthesia avoided the known risks of general anesthesia and was not associated with any major complications.
Related Concept Videos
Local Anesthetics: Clinical Application as Spinal Anesthesia
Local Anesthetics: Clinical Application as Epidural Anesthesia
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
One of the advantages of...
Stages of General Anesthesia
General Anesthesia: Overview
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
Local Anesthetics: Differential Sensitivity of Nerve Fibers
