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Neuraxial anaesthesia

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By Scott Bentley Rural GP Anaesthetist. I work in Aeromedical Retrieval and Primary Health Care for the Royal Flying Doctor Service (RFDS) of Australia (Queensland Section)
Daniel Katz, Yaakov Beilin
Labor neuraxial anesthesia is commonly used in the parturient, and postdural puncture headache is the most common complication of the technique. Although epidural blood patch is the best treatment, there are some patients in whom this treatment is refused or contraindicated. The goal of this article is to review the efficacy of the most studied alternate modalities to treat postdural puncture headache. This will include a discussion of the various oral or intravenous therapies and the non-blood-containing epidural injections...
April 2017: Anesthesia and Analgesia
Sevtap Hekimoglu Sahin, Alkin Colak, Cavidan Arar, Ilker Yıldırım, Necdet Sut, Alparslan Turan
PURPOSE: Lumbar puncture (LP) is one of the most common procedures performed in medicine. The aim of this prospective study is to determine the success rate of LP in lateral decubitus with 45-degree head-up tilt position, and compare it with traditional positions like sitting and lateral decubitus. METHODS: Three hundred and thirty patients between 25 and 85 years of age who had undergone abdominal, urologic, and lower limb extremities surgeries were enrolled and 300 patients were divided into three different groups...
August 2014: Journal of Anesthesia
S Orbach-Zinger, A Aviram, S Fireman, T Kadechenko, Z Klein, N Mazarib, A Artiuch, A Reuveni, A Ioscovich, L A Eidelman, R Landau
BACKGROUND: Quantitative sensory testing (QST) measures response to painful stimuli and has been used to predict post-caesarean pain. Pain reported upon intravenous cannulation was shown to predict epidural analgesic use and pain intensity during labour. We hypothesized that pain intensity reported by women upon local anaesthesia injection (ILA) for spinal anaesthesia may predict acute pain after caesarean delivery (CD). METHODS: In a prospective observational trial, 229 women undergoing elective CD under spinal anaesthesia were enrolled...
October 2015: European Journal of Pain: EJP
Honorio T Benzon, Yogen G Asher, Craig T Hartrick
The incidence of back pain after neuraxial anesthesia in the adult population is not different from that after general anesthesia. The pain is usually mild, localized in the low back, rarely radiates to the lower extremities, and has a duration of only a few days. The risk factors for development of back pain include the lithotomy position, multiple attempts at block placement, duration of surgery longer than 2.5 hours, body mass index ≥32 kg/m, and a history of back pain. However, there is no permanent worsening of preexisting back pain after neuraxial anesthesia...
June 2016: Anesthesia and Analgesia
Mohamed Mohamed Tawfik, Magdy Mamdouh Atallah, Walaa Safaa Elkharboutly, Nasser Sameh Allakkany, Mostafa Abdelkhalek
BACKGROUND: Preprocedural ultrasound may improve the efficacy and safety of epidural catheterization, especially in difficult cases. Most studies of ultrasound-assisted epidural catheterization in the obstetric population are dated and nonblinded with inconsistent designs. This double-blind, randomized controlled study aimed to compare the ultrasound-assisted with the conventional palpation techniques for epidural catheterization in parturients undergoing cesarean delivery. We hypothesized that the use of preprocedural ultrasound would increase the success rate of epidural catheterization at the first needle pass...
March 2017: Anesthesia and Analgesia
Cristian Arzola
No abstract text is available yet for this article.
March 2017: Anesthesia and Analgesia
Agnes M Lamon, Ashraf S Habib
Obesity is a worldwide epidemic. It is associated with increased comorbidities and increased maternal, fetal, and neonatal complications. The risk of cesarean delivery is also increased in obese parturients. Anesthetic management of the obese parturient is challenging and requires adequate planning. Therefore, those patients should be referred to antenatal anesthetic consultation. Anesthesia-related complications and maternal mortality are increased in this patient population. The risk of difficult intubation is increased in obese patients...
2016: Local and Regional Anesthesia
Jinyoung Hwang, Seongwon Min, Chongsoo Kim, Namsu Gil, Eunkyoung Kim, Jin Huh
BACKGROUND: Hypotension during spinal anesthesia is a serious complication in elderly patients. We evaluated the effect of glycopyrrolate on hypotensive responses in elderly patients undergoing spinal anesthesia. METHODS: Sixty-six patients older than 60 yr of age scheduled for elective surgery with spinal anesthesia were included in the study. They received either glycopyrrolate 0.2 mg (group G) or normal saline (group C) intramuscularly 15 min before spinal anesthesia...
January 2014: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
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