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Neuraxial anaesthesia

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10 papers 0 to 25 followers
https://www.readbyqxmd.com/read/28741272/an-up-down-determination-of-the-required-seated-duration-after-intrathecal-injection-of-bupivacaine-and-fentanyl-for-the-prevention-of-hypotension-during-cesarean-delivery
#1
Albert Moore, Eva El-Mouallem, Aly El-Bahrawy, Ian Kaufman, Mahmoud Moustafa, Simone Derzi, Roupen Hatzakorzian, William Lipishan
PURPOSE: A prolonged seated time after intrathecal injection of hyperbaric bupivacaine and morphine is related to the incidence of hypotension during Cesarean delivery, but results in a high incidence of pain during peritoneal closure. We conducted this study to determine the effect of the addition of intrathecal fentanyl on the relationship between seated time and hypotension and intraoperative analgesia requirements. METHODS: Women undergoing Cesarean delivery were randomized to receive an intrathecal injection of either 11...
October 2017: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/25168433/-comparison-of-metaraminol-phenylephrine-and-ephedrine-in-prophylaxis-and-treatment-of-hypotension-in-cesarean-section-under-spinal-anesthesia
#2
Fábio Farias de Aragão, Pedro Wanderley de Aragão, Carlos Alberto de Souza Martins, Natalino Salgado Filho, Elizabeth de Souza Barcelos Barroqueiro
Maternal hypotension is a common complication after spinal anesthesia for cesarean section, with deleterious effects on the fetus and mother. Among the strategies aimed at minimizing the effects of hypotension, vasopressor administration is the most efficient. The aim of this study was to compare the efficacy of phenylephrine, metaraminol, and ephedrine in the prevention and treatment of hypotension after spinal anesthesia for cesarean section. Ninety pregnant women, not in labor, undergoing cesarean section were randomized into three groups to receive a bolus followed by continuous infusion of vasopressor as follows: phenylephrine group (50μg+50μg/min); metaraminol group (0...
September 2014: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/28079587/review-of-the-alternatives-to-epidural-blood-patch-for-treatment-of-postdural-puncture-headache-in-the-parturient
#3
REVIEW
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
https://www.readbyqxmd.com/read/24389883/modified-45-degree-head-up-tilt-increases-success-rate-of-lumbar-puncture-in-patients-undergoing-spinal-anesthesia
#4
RANDOMIZED CONTROLLED TRIAL
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
https://www.readbyqxmd.com/read/26032446/severe-pain-during-local-infiltration-for-spinal-anaesthesia-predicts-post-caesarean-pain
#5
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
https://www.readbyqxmd.com/read/27195644/back-pain-and-neuraxial-anesthesia
#6
REVIEW
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
https://www.readbyqxmd.com/read/27183373/does-preprocedural-ultrasound-increase-the-first-pass-success-rate-of-epidural-catheterization-before-cesarean-delivery-a-randomized-controlled-trial
#7
RANDOMIZED CONTROLLED TRIAL
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
https://www.readbyqxmd.com/read/27669557/preprocedure-ultrasonography-before-initiating-a-neuraxial-anesthetic-procedure
#8
Cristian Arzola
No abstract text is available yet for this article.
March 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/27574464/managing-anesthesia-for-cesarean-section-in-obese-patients-current-perspectives
#9
REVIEW
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
https://www.readbyqxmd.com/read/24347351/prophylactic-glycopyrrolate-reduces-hypotensive-responses-in-elderly-patients-during-spinal-anesthesia-a-randomized-controlled-trial
#10
RANDOMIZED CONTROLLED TRIAL
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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