CESAREAN WITH EPIDURAL AND SPINAL ANESTHESIA

Cesarean surgery can be done in two ways by anesthetizing the patient with general anesthesia or by numbing the lower back. Anesthesia, which is called numbness below the waist, can take two forms as spinal anesthesia or epidural anesthesia. In spinal and epidural anesthesia, the consciousness of the patient becomes clear, I feel down and legs. Both spinal and epidural and sometimes both (combined spinal-epidural) can be applied in cesarean section. In normal delivery, only epidural anesthesia is applied. Spinal anesthesia is not applied at normal delivery. All of these methods are applied by anesthesiologists. During the application, the patient is in a sitting or side-lying position, and after cleaning the waist area, anesthesia is applied by entering the drug with a thin needle and giving the drug in a short time such as 1-2 minutes. A few minutes after anesthesia is applied, tingling and numbness of the legs begin. Unlike general anesthesia in these methods, no medication is given to the baby. Therefore, the baby is not affected even if the surgery is long. Less medication is given in epidural anesthesia applied at normal delivery. In this way, the mother can move her legs during childbirth, but she cannot move her legs during cesarean section.
What is the difference between spinal and epidural anesthesia?
In spinal and epidural anesthesia, medication is given by needle from the waist to the spinal cord. In spinal anesthesia alone, the drug is introduced into the fluid by crossing the dura membrane around the spinal cord. In epidural anesthesia, the drug is given outside the membrane. It does not progress to the liquid behind the membrane. In spinal anesthesia, the effect starts immediately, in epidural anesthesia, the effect starts after 15-20 minutes. The effect of spinal anesthesia lasts a short time, the drug is given at once, and the duration of action cannot be extended by giving the drug again. In epidural anesthesia, the duration of action may take longer and anesthesia can be extended by giving medication again. In epidural anesthesia, a catheter (thin tube) attached to the patient's waist remains and drug can be given again through this catheter after surgery. Thus, the patient does not feel pain. In spinal anesthesia, the lumbar region where the anesthesia is applied is closed immediately and no catheter is placed. In spinal anesthesia, the risk of headache after surgery is higher than epidural anesthesia.
Spinal and epidural anesthesia cannot be applied if there is an infection in the lumbar region or if the patient has a bleeding-clotting disorder.
Sometimes both epidural and spinal anesthesia are applied together during cesarean section. This is called combined epidural spinal anesthesia. Your anesthesiologist will decide which anesthesia practice will be more suitable for you.



Facebook Comments

Subscribe to: Post Comments (Atom)

Popular Posts