Spinal Anesthesia with 2-Chloroprocaine and Dexmedetomidine for Cesarean Section: A Case Report

To our knowledge, there are currently no published articles discussing the use of 2-chloroprocaine plus dexmedetomidine in women undergoing cesarean section and only one article published on spinal anesthesia with these two medications for other types of surgery. 2-Chloroprocaine is a short-acting local anesthetic that helps patients ambulate more quickly after surgery due to its 60-minute average duration of action. Dexmedetomidine, when given in combination with local anesthetics, in spinal anesthesia, prolongs the effects of the local anesthetic. It is especially advantageous in obstetric anesthesia because of its wide safety margin, minimal ability to cross the placenta, and benefits that are unique to the parturient: dense visceral analgesia, anxiolysis without amnesia, reduced shivering, and lack of respiratory depression, nausea, and pruritis. We report a case of spinal anesthesia for cesarean section with 2-chloroprocaine plus dexmedetomidine and were able to achieve excellent surgical conditions and a more rapid recovery of motor function than with bupivacaine plus dexmedetomidine.