Cesarean Section Clinical Trial
Official title:
The Effect of Warm Local Anesthetic Solution for Sensory Block on Epidural Anesthesia of Cesarean Delivery : a Randomized Controlled Study
The investigators are going to compare the onset and duration of nerve blockage with the use of pre-warmed (38°C) and room temperature (20°C) local anesthetic solutions (ropivacaine and fentanyl) on epidural anesthesia for cesarean section, and compare the incidence of complications such as hypotension, nausea and vomiting.
Spinal anesthesia has a shorter time to onset than epidural anesthesia, and the amount of
local anesthetic administered is lower than that of epidural anesthesia, resulting in less
systemic toxicity and superior block effect.
However, there are disadvantage that it is difficult to control the block height and the
incidence of hypotension is high.
On the other hand, epidural anesthesia has the advantages of less sudden hypotension due to
slow autonomic blockade, but it has a disadvantage that sensory nerve and motor nerve block
time is delayed compared to spinal anesthesia.
The degree of nerve block for cesarean section surgery requires a high level of anesthesia
above the T6 level, so the frequency of hypotension is high due to rapid sympathetic block
after spinal anesthesia.
In this respect, hemodynamically stable epidural anesthesia is preferred when performing
anesthesia for cesarean section.
The investigators are going to compare the onset and duration of nerve blockage with the use
of pre-warmed (38°C) and room temperature (20°C) local anesthetic solutions (ropivacaine and
fentanyl) on epidural anesthesia for cesarean section, and compare the incidence of
complications such as hypotension, nausea and vomiting.
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