Article: Walking spinal anesthesia for cesarean delivery--have we walked too far?

Walking Spinal Anesthesia for Cesarean Delivery-Have We Walked Too Far?

To the Editor:

We would like to report a new spinal anesthesia technique for cesarean delivery. In many institutions, spinal anesthesia for cesarean delivery has once again become the norm. Newer versions of spinal anesthesia have been reported by others, including low-dose bupivacaine for cesarean delivery,1 the use of hyperbaric ropivacaine for cesarean delivery,2 and low-dose lidocaine for outpatient laparascopic procedures.3

It has been our practice over the last 3 years to use combined spinal and epidural (CSE) for labor (3,000 patients), with the initial intrathecal dose consisting of 4 mg of ropivacaine and 8 ...

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