In our previous study, low-dose diluted bupivacaine 5 mg provided sufficient anesthetic level when opioid was added with local anesthetic.However, opioid-induced side effects, such as pruritus, nausea, or vomiting, could be an obstacle in common use.
Combined Spinal Epidural Anesthesia (CSEA) was performed at L3-4 and L2-3 separately and was technically uneventful.
The aim of this study is to evaluate whether DXM-low-dose bupivacaine spinal anesthesia can provide the effective spinal anesthesia and postoperative analgesia with minimal side effect compare to the local anesthetic only group.
This study was conducted in a randomized, double-blind, controlled fashion.
Despite of these adjustments after 4 hours, her experience was not improved.
It was decided to use lipid emulsion as a challenging therapy.