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Abstract
The purpose of this study was to compare between L-pidural anesthesia, versus low dose combined spinal epidural anesthesia for cesarean section in severe pre-ectarnptic women.
This study was carried out on 46 female patients aged beiwecn 20-40 years. Patients were scheduled for cesarean section under either epidural or low dose combined spinal epidural anesthesia
Patients were randomly assigned into two- equal groups, twenty-three patients each.
Group I: Epidural anesthesia was performed using a total volume of 15-25 ml of local anesthetic, injected slowly in 5 ml incremenls with bupivacaine 0.5%.
Group II: Low dose combined spinal-epidural anesthesia was performed using 25
microgram fentanyl and 7.5 mg hyperbaric bupivacaine in 2 mi distilled water, 0.1 ml of this mixture per 1 U cm patients height was given intraJhccally with a goal of obtaining a T4 sensory block. The epidural was inserted at a higher space before giving the spinal anesthesia. Aehvation of the epidural was done