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Prospective Study of Priming Versus Non-Priming of Wik-Wire Extension Set during Continuous Spinal Anaesthesia for Repeat Caesarean Section: A Pilot Study

Received: 4 January 2014     Published: 30 January 2014
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Abstract

Background: Continuous spinal anaesthesia during Caesarean delivery has been found to offer considerable advantages over "single-shot" spinal. Aim: This study aimed to find the difference between priming and non-priming of the Wik-Wire extension set with local anaesthetic on the induction-incision interval. Methods: Thirty ASA I and II parturients aged between 21 and 38 years scheduled for elective repeat Caesarean section were randomly allocated into one of two groups of 15 patients each. Patients in Group A had the Wik-Wire extension set primed with 1 ml of isobaric bupivacaine and threaded through flexible cannula. On connection with the hub of the cannula, back flow of cerebrospinal fluid (CSF) was confirmed by a drop hanging at the hub of the set. Group 2 patients had the un-primed Wik-Wire extension set connected to the flexible cannula. On connection with the hub of the cannula, back flow of CSF was evidenced by lowering the extension set to fill the tubing until the proximal cap of extension set was fully primed with passive flow of CSF. Isobaric 0.5% bupivacaine 10 mg was then administered intrathecally as the parturients returned supine while ensuring 15o left uterine displacement. Induction to delivery interval (I-D), defined as time from institution of induction of regional anaesthesia to delivery was studied. Results: All patients had satisfactory anaesthesia. The mean induction to incision (I-I) interval in group A 3.8 ± 1.5 mins while this was 7.2 ± 2.2 mins in group B, p=0.001. One patient in group B required a single dose of 5 mg ephedrine; while none required vasopressor support in group B. Conclusions: The study concludes that a primed Wik-Wire extension set can significantly reduce the induction of continuous spinal anaesthesia to delivery interval provides a fast and effective anaesthesia for caesarean section.

Published in Journal of Anesthesiology (Volume 1, Issue 3)
DOI 10.11648/j.ja.20130103.14
Page(s) 36-40
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2014. Published by Science Publishing Group

Keywords

Repeat Caesarean Section, Continuous Spinal Anaesthesia, Isobaric Bupivacaine

References
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[2] Hinebaugh MC, Lang WR. Continuous spinal anesthesia for labor and delivery. A preliminary report. Ann Surgery 1944; 120: 129–142.
[3] Arkoosh VA, Palmer CM, Yun EM et al. A randomized, double-masked, multicenter comparison of the safety of continuous intrathecal labor analgesia using a 28-gauge catheter versus continuous epidural labor analgesia. Anesthesiology 2008; 108: 286–298
[4] Alonso E, Gilsanz F, Gredilla E, Martınez B, Canser E, Alsina E. Observational study of continuous spinal anesthesia with the catheter-over-needle technique for cesarean delivery. Int J Obstet Anesth 2009; 18: 137-141
[5] Turker G, Gurbet A, Aksu HA. Continuous spinal analgesia in parturients with severe heart disease. Int J Obstet Anesth 2007; 16: 298–299
[6] Velickovic IA, Leicht CH. Continuous spinal anesthesia for cesarean section in a parturient with severe recurrent peripartum cardiomyopathy. Int J Obstet Anesth 2004; 13: 40–43.
[7] Goyal M, Taxak S, Kshetrapal KK, Goel MK. Continuous spinal anesthesia in a high risk elderly patient using epidural set. J Anaesth Clin Pharm 2011; 27: 139-141
[8] Tuffnell DJ, Wilkinson K, Beresford N. Interval between decision and delivery by caesarean section – are current standards achievable? BMJ 2001; 322:1330–1333.
[9] Confidential Enquiry into Still births and Deaths in Infancy: 7th Annual Report. London: Maternal and Child Health Research Consortium, 2000
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[18] Obasuyi BI, Fyneface-Ogan S, Mato CN. A comparison of the haemodynamic effects of lateral and sitting positions during induction of spinal anaesthesia for caesarean section. Int J Obstet Anesth 2013; 22: 124-128.
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Cite This Article
  • APA Style

    Sotonye Fyneface-Ogan, Otokwala Job Gogo. (2014). Prospective Study of Priming Versus Non-Priming of Wik-Wire Extension Set during Continuous Spinal Anaesthesia for Repeat Caesarean Section: A Pilot Study. International Journal of Anesthesia and Clinical Medicine, 1(3), 36-40. https://doi.org/10.11648/j.ja.20130103.14

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    ACS Style

    Sotonye Fyneface-Ogan; Otokwala Job Gogo. Prospective Study of Priming Versus Non-Priming of Wik-Wire Extension Set during Continuous Spinal Anaesthesia for Repeat Caesarean Section: A Pilot Study. Int. J. Anesth. Clin. Med. 2014, 1(3), 36-40. doi: 10.11648/j.ja.20130103.14

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    AMA Style

    Sotonye Fyneface-Ogan, Otokwala Job Gogo. Prospective Study of Priming Versus Non-Priming of Wik-Wire Extension Set during Continuous Spinal Anaesthesia for Repeat Caesarean Section: A Pilot Study. Int J Anesth Clin Med. 2014;1(3):36-40. doi: 10.11648/j.ja.20130103.14

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  • @article{10.11648/j.ja.20130103.14,
      author = {Sotonye Fyneface-Ogan and Otokwala Job Gogo},
      title = {Prospective Study of Priming Versus Non-Priming of Wik-Wire Extension Set during Continuous Spinal Anaesthesia for Repeat Caesarean Section: A Pilot Study},
      journal = {International Journal of Anesthesia and Clinical Medicine},
      volume = {1},
      number = {3},
      pages = {36-40},
      doi = {10.11648/j.ja.20130103.14},
      url = {https://doi.org/10.11648/j.ja.20130103.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ja.20130103.14},
      abstract = {Background: Continuous spinal anaesthesia during Caesarean delivery has been found to offer considerable advantages over "single-shot" spinal. Aim: This study aimed to find the difference between priming and non-priming of the Wik-Wire extension set with local anaesthetic on the induction-incision interval. Methods: Thirty ASA I and II parturients aged between 21 and 38 years scheduled for elective repeat Caesarean section were randomly allocated into one of two groups of 15 patients each. Patients in Group A had the Wik-Wire extension set primed with 1 ml of isobaric bupivacaine and threaded through flexible cannula. On connection with the hub of the cannula, back flow of cerebrospinal fluid (CSF) was confirmed by a drop hanging at the hub of the set. Group 2 patients had the un-primed Wik-Wire extension set connected to the flexible cannula. On connection with the hub of the cannula, back flow of CSF was evidenced by lowering the extension set to fill the tubing until the proximal cap of extension set was fully primed with passive flow of CSF. Isobaric 0.5% bupivacaine 10 mg was then administered intrathecally as the parturients returned supine while ensuring 15o left uterine displacement. Induction to delivery interval (I-D), defined as time from institution of induction of regional anaesthesia to delivery was studied. Results: All patients had satisfactory anaesthesia. The mean induction to incision (I-I) interval in group A 3.8 ± 1.5 mins while this was 7.2 ± 2.2 mins in group B, p=0.001. One patient in group B required a single dose of 5 mg ephedrine; while none required vasopressor support in group B. Conclusions: The study concludes that a primed Wik-Wire extension set can significantly reduce the induction of continuous spinal anaesthesia to delivery interval provides a fast and effective anaesthesia for caesarean section.},
     year = {2014}
    }
    

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  • TY  - JOUR
    T1  - Prospective Study of Priming Versus Non-Priming of Wik-Wire Extension Set during Continuous Spinal Anaesthesia for Repeat Caesarean Section: A Pilot Study
    AU  - Sotonye Fyneface-Ogan
    AU  - Otokwala Job Gogo
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    DO  - 10.11648/j.ja.20130103.14
    T2  - International Journal of Anesthesia and Clinical Medicine
    JF  - International Journal of Anesthesia and Clinical Medicine
    JO  - International Journal of Anesthesia and Clinical Medicine
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    AB  - Background: Continuous spinal anaesthesia during Caesarean delivery has been found to offer considerable advantages over "single-shot" spinal. Aim: This study aimed to find the difference between priming and non-priming of the Wik-Wire extension set with local anaesthetic on the induction-incision interval. Methods: Thirty ASA I and II parturients aged between 21 and 38 years scheduled for elective repeat Caesarean section were randomly allocated into one of two groups of 15 patients each. Patients in Group A had the Wik-Wire extension set primed with 1 ml of isobaric bupivacaine and threaded through flexible cannula. On connection with the hub of the cannula, back flow of cerebrospinal fluid (CSF) was confirmed by a drop hanging at the hub of the set. Group 2 patients had the un-primed Wik-Wire extension set connected to the flexible cannula. On connection with the hub of the cannula, back flow of CSF was evidenced by lowering the extension set to fill the tubing until the proximal cap of extension set was fully primed with passive flow of CSF. Isobaric 0.5% bupivacaine 10 mg was then administered intrathecally as the parturients returned supine while ensuring 15o left uterine displacement. Induction to delivery interval (I-D), defined as time from institution of induction of regional anaesthesia to delivery was studied. Results: All patients had satisfactory anaesthesia. The mean induction to incision (I-I) interval in group A 3.8 ± 1.5 mins while this was 7.2 ± 2.2 mins in group B, p=0.001. One patient in group B required a single dose of 5 mg ephedrine; while none required vasopressor support in group B. Conclusions: The study concludes that a primed Wik-Wire extension set can significantly reduce the induction of continuous spinal anaesthesia to delivery interval provides a fast and effective anaesthesia for caesarean section.
    VL  - 1
    IS  - 3
    ER  - 

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Author Information
  • Department of Anaesthesia, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria

  • Department of Anaesthesia, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria

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