Top
30
Doctor insights on: Spinal Vs Epidural Anesthesia C Section

Share
1

1
Please write strongest pain medication, complete drug plan for post C-section pain. I chose C-section with general anesthesia. I don't want spinal or epidural?

Please write strongest pain medication, complete drug plan for post C-section pain. I chose C-section with general anesthesia. I don't want spinal or epidural?

Analgesia: It would not be practical to provide you with rx plan for postop analgaesia without knowing your medical history. You have tied your anesthesiologist's hands by declining spinal/epidural. Both techniques can have opiate adjuvants which diminishes motor blockade whilst maintains sensory blockade. Elective general anesthesia for delivery is dangerous and as an anesthesiologist i wouldn't do that. ...Read more

Dr. Neigatha Graney
2 doctors shared insights

Epidural (Definition)

The epidural space is an anatomical space just outside the fluid filled sac that contains the spinal cord and brain. Anesthesiologists and pain physicians are skilled at placing needles or catheters (tubes) into this space in the spinal canal to administer medications. These medicines can treat the pain of surgery or labor. These medicines can also be used to treat chronic ...Read more


2

2
Is it better to get a spinal or epidural anesthesia in labor?

Epidural: An epidural can last longer and can be titrated to a specific patient's need. A spinal is a single shot that may not last for the whole labor. With an epidural you will still be able to push, but with a spinal you will not be able to. ...Read more

3

3
Sole feet after my surgery,is there any relation between sole pain and c-section using spinal anesthesia?

Sole feet after my surgery,is there any relation between sole pain and c-section using spinal anesthesia?

Maybe: Your feet could be sore because they were in one position during the surgery, and you didn't feel it because of the epidural. Should be better in a few days. If you're still in the hospital, ask the nurse if you can speak With the anesthesia staff. Hope this helps! ...Read more

4

4
Is general anesthesia for c-section more dangerous than just as epidural?

Is general anesthesia for c-section more dangerous than just as epidural?

Relatively, yes: Once a patient is put to sleep with general anesthesia, the OB surgeon has a finite(short) period of time to remove the baby prior to it being affected by the anesthesia drugs and being delivered in a flaccid state. Epidural anesthesia is "safer" as the patient is awake even though this modality carries some risks as well. ...Read more

5

5
For extreme nervous patients undergoing a c section, is general anesthesia better or taking a light sedative? Can sedative be given before spinal?

For extreme nervous patients undergoing a c section, is general anesthesia better or taking a light sedative? Can sedative be given before spinal?

C-section : Safety is a priority and regional anesthesia is safer for c-sections. Patient can be sedated with versed if it is nessasary. General anesthesia is rarely done, mostly for emergencies , for failed regionals or debilitated patients, who can not cooperate. Effects of sedatives can be reversed in newborn in rare situations where it becomes nessasary. ...Read more

7

7
C section 2 mnths ago.spinal anesthesia and voltarene injections in left thigh.since then numbness in skin and pain when press the area.inflamation ?

C section 2 mnths ago.spinal anesthesia and voltarene injections in left thigh.since then numbness in skin and pain when press the area.inflamation ?

Minor trauma: This is probably mild injury to the superficial nerve in the thigh from either the injections or possibly from the C-section itself. Inflammation suggests an infection which is unlikely. This should improve eventually but could take several months. ...Read more

8

8
Is a spinal block for a C-section more painful then a epidural?

Is a spinal block for a C-section more painful then a epidural?

In good hands: In the hands of a good anesthesiologist, they are very similar and one will not be any worse than the other. If you know you are having a c-section ahead of time, ask to talk to the anesthesiologist about your options and risk/benefit of different options before the scheduled surgery. ...Read more

9

9
Having a c section can't have an epidural or any thing that punctures the spin like a spinal block what is the next best pain med I can have?

Having a c section can't have an epidural or any thing that punctures the spin like a spinal block what is the next best pain med I can have?

Talk to your OB MD: Your present treating OB MD should mandatorily be consulted, and he/she can discuss all the options available to your specific medical condition as it exists. ...Read more

10

10
What to expect for epidural for spinal for c section?

What to expect for epidural for spinal for c section?

Good question: spinal a needle injects medicine into spinal canal to numb you and is then removed. Epidural a catheter is placed in a space between the spinal canal and an outer layer (not into the canal). Medicine is injected into it to numb you. It can be left in place after your surgery to help with pain control.
Both carry some risk/benefits so be sure to discuss with your OB and Anesthesia Specialist ...Read more

12

12
Whati to expect during c-section?Its my 2nd, im 37weeks pregnant &im nervous this time.My 1st was epidurial anesthesia, felt breathless that time, wtd?

Whati to expect during c-section?Its my 2nd, im 37weeks pregnant &im nervous this time.My 1st was epidurial anesthesia, felt breathless that time, wtd?

Caesarian: If this is a planned c/s, request a spinal. If you don't have allergy to morphine, request morphine in your spinal. Yes, expect dome breathless moments, especially with exterior inaction of the uterus. If your anaesthesiologist prop you up on 2 pillows, you will have less chance of feeling bresthless. ...Read more

13

13
Which anaesthesia general or spinal is better for C-section in a pt with heart disease?

Which anaesthesia general or spinal is better for C-section in a pt with heart disease?

Depends: Usually, spinal anesthetic is better for C-section because a full term woman has airway risks when trying to place a breathing tube for general anesthesia. Both spinal and general can drop blood pressure and put stress on the heart. If the heart disease involves a large hole (like vsd), you would need a thorough cardiac medical eval. Good luck. Hopefully all turns up well. ...Read more

15

15
What is the difference between regional anesthesia, epidural anesthesia and nervous blocks?

What is the difference between regional anesthesia, epidural anesthesia and nervous blocks?

Regional anesthesia: Regional: a general term for nerve blocks of the extremities head and torso. An epidural is a type of regional anesthesia that is used for numbing the lower body from the umbilicus down. A nerve block is a specific nerve(or nerves being numbed. An interscalene nerve block is used to numb one arm for example. But an ISB is a type of regional anesthesia. ...Read more

16

16
Will having lipomas in lower back affect an epidural or spinal block given before having a csection?

Will having  lipomas in lower back affect an epidural or spinal block given before having a csection?

Not unless multiple: A couple of lipomas of small size should not be an issue. Multiple and/or large tumors blocking access to your midline can prevent the anesthesiologist from accessing your spinal canal. ...Read more

17

17
Where is the injection site for epidural anesthesia?

Any part of spine: An epidural can be given anywhere along the full length of the spine. In the neck and upper spine, it is often used for pain management. An epidural can be placed in the mid-back for pain relief after chest or abdominal surgery. Epidurals are often placed in the lower back for labor pain, c-sections, or orthopedic surgery on the legs. So it depends on the need. ...Read more

18

18
Epidural anesthesia for hysterectomy, can you tell me more?

Yes: You can have a hysterectomy with epidural anesthesia if you have a vaginal hysterectomy or possibly an open hysterectomy. You cannot have laparoscopic surgery without general anesthesia. ...Read more

19

19
What are the risks associated with epidural anesthesia misplacement/ dural puncture?

The risks of epidura: Placed incorrectly include headache, high spinal, intravascular injection, and non-functional epidural. Your anesthesiologist will test the catheter and watch it set up. Most of these concerns will be eliminated at that time. ...Read more

20

20
What to expect for epidural anesthesia needle is pushed too far and the epidural anesthesia is injected into the area containing the CSF fluid and nerves?

What to expect for epidural anesthesia needle is pushed too far and the epidural anesthesia is injected into the area containing the CSF fluid and nerves?

That is a very: dangerous situation called a total spinal, your blood pressure will drop and you won't be able to breathe. But there will be emergency equipment immediately available and you should be 'saved' and just have to wait until it wears off. You will get a spinal headache afterwards ...Read more

21

21
Epidural anesthesia needle is pushed too far and the epidural anesthesia is injected into the area containing the CSF fluid and nerves, can you tell me more?

Epidural anesthesia needle is pushed too far and the epidural anesthesia is injected into the area containing the CSF fluid and nerves, can you tell me more?

Epidural too far: That can be dangerous because it becomes a spinal anesthetic which requires much less medication. Low blood pressure and inability to ventilate can occur. A spinal headache commonly occurs, and nerve damage depending on the proximity of the spinal cord. ...Read more

22

22
When is continuous lumbar epidural anesthesia used in labor?

Active Labor: A continuous lumbar epidural anesthetic is the anesthetic of choice on most patients undergoing labor in the us. The epidural is started once the mother is in active labor, and is then continued until the baby and placenta are delivered. ...Read more

23

23
Does epidural anesthesia hurt > help?

Epidurals can help!: Definitely helps more than it hurts! epidurals can be wonderful to help with labor pain and provide safe anesthesia for c-sections. Epidural steroids can help a lot with back pain. Epidurals can also be great for orthopedic procedures on the hips or knees. The anesthesiologist will numb up the area well, so it should hurt very little to have an epidural put in. Definitely worth it! ...Read more

25

25
Whats the difference between spinal anesthesia andban epidural?

Whats the difference between spinal anesthesia andban epidural?

Location...: Spinal anesthesia- local anesthesia is administered a a single shot in the subarachnoid space into the spinal fluid. It has rapid onset, provides profound surgical anesthesia and causes loss of muscle control below the blok level. Epidural- local anes is administered in the epidural space outside of the membrane which contains the spinal fluid through a catheter slower, but titrateable. ...Read more

27

27
If you got an inadvertent dural puncture with epidural anesthesia, what happens?

Depends.....: It ranges from nothing to headache, infection causing meningitis, encephalitis...............
Most of the time nothing or headache treatable with tylenol (acetaminophen)....
Remember it is now lumbar puncture instead of epidural injection as far as medication is not injected ! ...Read more

28

28
Waht are the complications of an inadvertent dural puncture with epidural anesthesia?

Waht are the complications of an inadvertent dural puncture with epidural anesthesia?

Level?: Most frequent complication is spinal headache which can be treated with epidural blood patch. If the epidural placement is above lumbar level, although very low risk, spinal cord can be penetrated, which can cause neuro deficit. If epidural catheter placed and migrates to spinal space severe hypotension or complete spinal can occur and it can require control of the airway until spinal wears off. ...Read more

29

29
How often can epidural anesthesia be used?

Very often: Epidural anesthesia can be used often depending on the type of procedure that is planned. It is safe and effective. ...Read more

30

30
How often can epidural anesthesia be used for?

Numerous: You can have numerous epidural anesthestics

no tolerance to the effects. ...Read more

Dr. Karen Sibert
2,203 doctors shared insights

Anesthesia (Definition)

Anesthesia is a field of study that involves methods of removing sensation, pain, and consciousness from a person in order to perform surgeries, do other uncomfortable procedures, or relieve his pain/suffering. A doctor specializing in ...Read more