{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T13:17:06Z","timestamp":1783516626813,"version":"3.55.0"},"reference-count":8,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T00:00:00Z","timestamp":1776297600000},"content-version":"vor","delay-in-days":105,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["associationofanaesthetists-publications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Anaesthesia Reports"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>Spinal anaesthesia with hyperbaric bupivacaine is the standard technique for caesarean birth. However, when amide local anaesthetics are contraindicated, alternative strategies are required. We report the management of a patient undergoing emergency caesarean birth for pre\u2010eclampsia in whom a history suggestive of allergy to amide local anaesthetics precluded the use of bupivacaine. A spinal anaesthetic was performed using intrathecal chloroprocaine 1%, an ester local anaesthetic, in combination with diamorphine. An adequate sensory block to the T4 dermatome was achieved promptly. The density and duration of the block were sufficient for surgery, which proceeded uneventfully. Motor and sensory function returned after approximately 70\u2009minutes, and the patient reported a high level of satisfaction with the anaesthetic technique.<\/jats:p>","DOI":"10.1002\/anr3.70063","type":"journal-article","created":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T03:56:43Z","timestamp":1776398203000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Spinal anaesthesia using chloroprocaine 1% for caesarean birth"],"prefix":"10.1002","volume":"14","author":[{"given":"N. A.","family":"Ratanshi","sequence":"first","affiliation":[{"name":"Department of Anaesthesia, Barnet Hospital Royal Free London NHS Foundation Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Sodha","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Barnet Hospital Royal Free London NHS Foundation Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,16]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh-2021-005671"},{"key":"e_1_2_5_3_1","unstructured":"NHS England.Maternity services monthly statistics final August 2025 provisional September 2025 official statistics.2025; Available from:www.digital.nhs.uk\/data\u2010and\u2010information\/publications\/statistical\/maternity\u2010services\u2010monthly\u2010statistics\/final\u2010august\u20102025\u2010provisional\u2010september\u20102025\u2010official\u2010statistics(accessed 15\/12\/2025)."},{"key":"e_1_2_5_4_1","first-page":"642","article-title":"Spinal anesthesia for elective cesarean section: bupivacaine associated with different doses of fentanyl: randomized clinical trial","volume":"71","author":"Ferrarezi WPP","year":"2021","journal-title":"Braz J Anesthesiol"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.2165\/00002018-199207030-00003"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12016-022-08937-x"},{"key":"e_1_2_5_7_1","article-title":"Comparison of spinal chloroprocaine 1% and ropivacaine 0.75% in elective cesarean sections: a prospective randomized study","volume":"50","author":"Mavromati M","year":"2025","journal-title":"Reg Anesth Pain Med"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.4103\/JOACC.JOACC_10_23"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0091-6749(97)70064-2"}],"container-title":["Anaesthesia Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/anr3.70063","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/anr3.70063","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/anr3.70063","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T12:38:30Z","timestamp":1783514310000},"score":1,"resource":{"primary":{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/10.1002\/anr3.70063"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":8,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1002\/anr3.70063"],"URL":"https:\/\/doi.org\/10.1002\/anr3.70063","archive":["Portico"],"relation":{},"ISSN":["2637-3726","2637-3726"],"issn-type":[{"value":"2637-3726","type":"print"},{"value":"2637-3726","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2026-04-08","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-16","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70063"}}