Anesthesia & Clinical Research
Open Access

Abstract

Which Local Anesthetic at what Dose is Recommended for Parturients Undergoing Cesarean Delivery Under Spinal Anesthesia?

Berrin Gunaydin, Ece Dumanlar Tan

Spinal anesthesia is the most popular regional anesthesia technique for cesarean delivery as it is easily performed and provides rapid onset of block followed by dense surgical anesthesia. Although bupivacaine seems to be widely and routinely used long acting amide type local anesthetic drug for spinal anesthesia, ropivacaine and levobupivacaine may occasionally be chosen. However, it is difficult to make decision of the best local anesthetic for intrathecal use with optimal dose selection. Therefore, either hyperbaric or isobaric long-acting local anesthetic (bupivacaine, ropivacaine and levobupivacaine) option associated with pharmacological or clinical dose recommendations are reviewed.