Authors: Jain A, Pandey S, Suhail F, et al.
Cureus 17(8): e89190, August 2025. | doi:10.7759/cureus.89190
This randomized controlled trial compared thoracic and lumbar spinal anesthesia in 160 preeclamptic patients undergoing cesarean sections. The thoracic group exhibited significantly better hemodynamic stability, with a lower incidence of hypotension (11.68% vs. 26.31%) and reduced vasopressor (ephedrine) requirements. While surgical anesthesia success was similar between groups, thoracic spinal anesthesia resulted in shorter sensory and motor block durations, fewer adverse effects (shivering and nausea), and higher patient satisfaction. Neonatal outcomes, including Apgar scores, were comparable in both groups.
The study concludes that thoracic spinal anesthesia offers improved hemodynamic control and patient comfort with equivalent surgical efficacy and neonatal safety, suggesting it as a feasible alternative in preeclamptic cesarean deliveries when performed by skilled practitioners.
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Authors: Jain A, Pandey S, Suhail F, et al. 2025.
Cureus 17(8): e89190. doi:10.7759/cureus.89190
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