Published online Jul 16, 2022. doi: 10.12998/wjcc.v10.i20.6890
Peer-review started: November 23, 2021
First decision: January 22, 2022
Revised: February 3, 2022
Accepted: May 16, 2022
Article in press: May 16, 2022
Published online: July 16, 2022
Repeat cesarean delivery (RCD) involves a longer surgery and more severe visceral traction than primary cesarean deliverys, and the rate of RCD is increasing year by year. As an improvement upon the combined spinal-epidural (CSE) technique, the dural puncture epidural (DPE) technique has been reported to provide faster and more effective labor analgesia; however, insufficient data from among parturients undergoing RCD were available. This study aimed to determine whether the DPE technique is superior to the epidural anesthesia (EA) technique in parturients undergoing repeat cesarean Delivery.
The aim of this study was to overcome the drawbacks of the slow onset and limited blockade spread of the EA technique. The DPE technique might provide a faster onset and better spread than the EA technique while providing more stable hemodynamics than the CSE technique; hence, this technique might be superior to the EA and CSE techniques.
The objective of this study was to find a better anesthesia method for repeat cesarean delivery.
This was a double-blind, prospective, randomized controlled trial.
The DPE technique provided a faster onset of surgical anesthesia, better cranial and sacral sensory spread and higher motor block degree without increasing the incidence of maternal or fetal side effects when compared with the EA technique in patients undergoing RCD.
The DPE technique provided higher-quality anesthesia than the EA technique when used in patients undergoing repeat cesarean delivery.
Future research will explore the short-term and long-term potential complications of the DPE technique.