A cylindrical column of tissue that lies within the vertebral canal. It is composed of WHITE MATTER and GRAY MATTER.
Procedure in which patients are induced into an unconscious state through use of various medications so that they do not feel pain during surgery.
A state characterized by loss of feeling or sensation. This depression of nerve function is usually the result of pharmacologic action and is induced to allow performance of surgery or other painful procedures.
Procedure in which an anesthetic is injected directly into the spinal cord.
A blocking of nerve conduction to a specific area by an injection of an anesthetic agent.
Penetrating and non-penetrating injuries to the spinal cord resulting from traumatic external forces (e.g., WOUNDS, GUNSHOT; WHIPLASH INJURIES; etc.).
Procedure in which an anesthetic is injected into the epidural space.
Anesthesia caused by the breathing of anesthetic gases or vapors or by insufflating anesthetic gases or vapors into the respiratory tract.
Injection of an anesthetic into the nerves to inhibit nerve transmission in a specific part of the body.
Process of administering an anesthetic through injection directly into the bloodstream.
A variety of anesthetic methods such as EPIDURAL ANESTHESIA used to control the pain of childbirth.
The period of emergence from general anesthesia, where different elements of consciousness return at different rates.
A range of methods used to reduce pain and anxiety during dental procedures.
Introduction of therapeutic agents into the spinal region using a needle and syringe.
Gases or volatile liquids that vary in the rate at which they induce anesthesia; potency; the degree of circulation, respiratory, or neuromuscular depression they produce; and analgesic effects. Inhalation anesthetics have advantages over intravenous agents in that the depth of anesthesia can be changed rapidly by altering the inhaled concentration. Because of their rapid elimination, any postoperative respiratory depression is of relatively short duration. (From AMA Drug Evaluations Annual, 1994, p173)
Ultrashort-acting anesthetics that are used for induction. Loss of consciousness is rapid and induction is pleasant, but there is no muscle relaxation and reflexes frequently are not reduced adequately. Repeated administration results in accumulation and prolongs the recovery time. Since these agents have little if any analgesic activity, they are seldom used alone except in brief minor procedures. (From AMA Drug Evaluations Annual, 1994, p174)
Agents that are administered in association with anesthetics to increase effectiveness, improve delivery, or decrease required dosage.
An intravenous anesthetic agent which has the advantage of a very rapid onset after infusion or bolus injection plus a very short recovery period of a couple of minutes. (From Smith and Reynard, Textbook of Pharmacology, 1992, 1st ed, p206). Propofol has been used as ANTICONVULSANTS and ANTIEMETICS.
Drugs that block nerve conduction when applied locally to nerve tissue in appropriate concentrations. They act on any part of the nervous system and on every type of nerve fiber. In contact with a nerve trunk, these anesthetics can cause both sensory and motor paralysis in the innervated area. Their action is completely reversible. (From Gilman AG, et. al., Goodman and Gilman's The Pharmacological Basis of Therapeutics, 8th ed) Nearly all local anesthetics act by reducing the tendency of voltage-dependent sodium channels to activate.
The 31 paired peripheral nerves formed by the union of the dorsal and ventral spinal roots from each spinal cord segment. The spinal nerve plexuses and the spinal roots are also included.
Pathologic conditions which feature SPINAL CORD damage or dysfunction, including disorders involving the meninges and perimeningeal spaces surrounding the spinal cord. Traumatic injuries, vascular diseases, infections, and inflammatory/autoimmune processes may affect the spinal cord.
A stable, non-explosive inhalation anesthetic, relatively free from significant side effects.
A group of compounds that contain the general formula R-OCH3.
A specialty concerned with the study of anesthetics and anesthesia.
The use of two or more chemicals simultaneously or sequentially to induce anesthesia. The drugs need not be in the same dosage form.
Paired bundles of NERVE FIBERS entering and leaving the SPINAL CORD at each segment. The dorsal and ventral nerve roots join to form the mixed segmental spinal nerves. The dorsal roots are generally afferent, formed by the central projections of the spinal (dorsal root) ganglia sensory cells, and the ventral roots are efferent, comprising the axons of spinal motor and PREGANGLIONIC AUTONOMIC FIBERS.
The constant checking on the state or condition of a patient during the course of a surgical operation (e.g., checking of vital signs).
Benign and malignant neoplasms which occur within the substance of the spinal cord (intramedullary neoplasms) or in the space between the dura and spinal cord (intradural extramedullary neoplasms). The majority of intramedullary spinal tumors are primary CNS neoplasms including ASTROCYTOMA; EPENDYMOMA; and LIPOMA. Intramedullary neoplasms are often associated with SYRINGOMYELIA. The most frequent histologic types of intradural-extramedullary tumors are MENINGIOMA and NEUROFIBROMA.
The cavity within the SPINAL COLUMN through which the SPINAL CORD passes.
Nitrogen oxide (N2O). A colorless, odorless gas that is used as an anesthetic and analgesic. High concentrations cause a narcotic effect and may replace oxygen, causing death by asphyxia. It is also used as a food aerosol in the preparation of whipping cream.
Acute and chronic conditions characterized by external mechanical compression of the SPINAL CORD due to extramedullary neoplasm; EPIDURAL ABSCESS; SPINAL FRACTURES; bony deformities of the vertebral bodies; and other conditions. Clinical manifestations vary with the anatomic site of the lesion and may include localized pain, weakness, sensory loss, incontinence, and impotence.
Agents that are capable of inducing a total or partial loss of sensation, especially tactile sensation and pain. They may act to induce general ANESTHESIA, in which an unconscious state is achieved, or may act locally to induce numbness or lack of sensation at a targeted site.
A local anesthetic and cardiac depressant used as an antiarrhythmia agent. Its actions are more intense and its effects more prolonged than those of PROCAINE but its duration of action is shorter than that of BUPIVACAINE or PRILOCAINE.
A nonflammable, halogenated, hydrocarbon anesthetic that provides relatively rapid induction with little or no excitement. Analgesia may not be adequate. NITROUS OXIDE is often given concomitantly. Because halothane may not produce sufficient muscle relaxation, supplemental neuromuscular blocking agents may be required. (From AMA Drug Evaluations Annual, 1994, p178)
Narrowing of the spinal canal.
A widely used local anesthetic agent.
Operative immobilization or ankylosis of two or more vertebrae by fusion of the vertebral bodies with a short bone graft or often with diskectomy or laminectomy. (From Blauvelt & Nelson, A Manual of Orthopaedic Terminology, 5th ed, p236; Dorland, 28th ed)
A potent narcotic analgesic, abuse of which leads to habituation or addiction. It is primarily a mu-opioid agonist. Fentanyl is also used as an adjunct to general anesthetics, and as an anesthetic for induction and maintenance. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1078)
Inhalation anesthesia where the gases exhaled by the patient are rebreathed as some carbon dioxide is simultaneously removed and anesthetic gas and oxygen are added so that no anesthetic escapes into the room. Closed-circuit anesthesia is used especially with explosive anesthetics to prevent fires where electrical sparking from instruments is possible.
Interruption of NEURAL CONDUCTION in peripheral nerves or nerve trunks by the injection of a local anesthetic agent (e.g., LIDOCAINE; PHENOL; BOTULINUM TOXINS) to manage or treat pain.
Agents that induce various degrees of analgesia; depression of consciousness, circulation, and respiration; relaxation of skeletal muscle; reduction of reflex activity; and amnesia. There are two types of general anesthetics, inhalation and intravenous. With either type, the arterial concentration of drug required to induce anesthesia varies with the condition of the patient, the desired depth of anesthesia, and the concomitant use of other drugs. (From AMA Drug Evaluations Annual, 1994, p.173)
A cyclohexanone derivative used for induction of anesthesia. Its mechanism of action is not well understood, but ketamine can block NMDA receptors (RECEPTORS, N-METHYL-D-ASPARTATE) and may interact with sigma receptors.
Surgery performed on an outpatient basis. It may be hospital-based or performed in an office or surgicenter.
Drugs administered before an anesthetic to decrease a patient's anxiety and control the effects of that anesthetic.
Injuries involving the vertebral column.
A barbiturate that is administered intravenously for the induction of general anesthesia or for the production of complete anesthesia of short duration.
Epidural anesthesia administered via the sacral canal.
A group of disorders marked by progressive degeneration of motor neurons in the spinal cord resulting in weakness and muscular atrophy, usually without evidence of injury to the corticospinal tracts. Diseases in this category include Werdnig-Hoffmann disease and later onset SPINAL MUSCULAR ATROPHIES OF CHILDHOOD, most of which are hereditary. (Adams et al., Principles of Neurology, 6th ed, p1089)
Reduced blood flow to the spinal cord which is supplied by the anterior spinal artery and the paired posterior spinal arteries. This condition may be associated with ARTERIOSCLEROSIS, trauma, emboli, diseases of the aorta, and other disorders. Prolonged ischemia may lead to INFARCTION of spinal cord tissue.
A short-acting barbiturate that is effective as a sedative and hypnotic (but not as an anti-anxiety) agent and is usually given orally. It is prescribed more frequently for sleep induction than for sedation but, like similar agents, may lose its effectiveness by the second week of continued administration. (From AMA Drug Evaluations Annual, 1994, p236)
Intravenous anesthetics that induce a state of sedation, immobility, amnesia, and marked analgesia. Subjects may experience a strong feeling of dissociation from the environment. The condition produced is similar to NEUROLEPTANALGESIA, but is brought about by the administration of a single drug. (From Gilman et al., Goodman and Gilman's The Pharmacological Basis of Therapeutics, 8th ed)
Sensory ganglia located on the dorsal spinal roots within the vertebral column. The spinal ganglion cells are pseudounipolar. The single primary branch bifurcates sending a peripheral process to carry sensory information from the periphery and a central branch which relays that information to the spinal cord or brain.
An extremely stable inhalation anesthetic that allows rapid adjustments of anesthesia depth with little change in pulse or respiratory rate.
An adrenergic alpha-2 agonist used as a sedative, analgesic and centrally acting muscle relaxant in VETERINARY MEDICINE.
Complications that affect patients during surgery. They may or may not be associated with the disease for which the surgery is done, or within the same surgical procedure.
A procedure involving placement of a tube into the trachea through the mouth or nose in order to provide a patient with oxygen and anesthesia.
Pain during the period after surgery.
A drug-induced depression of consciousness during which patients respond purposefully to verbal commands, either alone or accompanied by light tactile stimulation. No interventions are required to maintain a patent airway. (From: American Society of Anesthesiologists Practice Guidelines)
Hospital department responsible for the administration of functions and activities pertaining to the delivery of anesthetics.
Scales, questionnaires, tests, and other methods used to assess pain severity and duration in patients or experimental animals to aid in diagnosis, therapy, and physiological studies.
A group of twelve VERTEBRAE connected to the ribs that support the upper trunk region.
The spinal or vertebral column.
Neurons which activate MUSCLE CELLS.
Extraction of the FETUS by means of abdominal HYSTEROTOMY.
Severe or complete loss of motor function in the lower extremities and lower portions of the trunk. This condition is most often associated with SPINAL CORD DISEASES, although BRAIN DISEASES; PERIPHERAL NERVOUS SYSTEM DISEASES; NEUROMUSCULAR DISEASES; and MUSCULAR DISEASES may also cause bilateral leg weakness.
The period during a surgical operation.
A surgical procedure that entails removing all (laminectomy) or part (laminotomy) of selected vertebral lamina to relieve pressure on the SPINAL CORD and/or SPINAL NERVE ROOTS. Vertebral lamina is the thin flattened posterior wall of vertebral arch that forms the vertebral foramen through which pass the spinal cord and nerve roots.
A strain of albino rat used widely for experimental purposes because of its calmness and ease of handling. It was developed by the Sprague-Dawley Animal Company.
Elements of limited time intervals, contributing to particular results or situations.
Osteitis or caries of the vertebrae, usually occurring as a complication of tuberculosis of the lungs.
Region of the back including the LUMBAR VERTEBRAE, SACRUM, and nearby structures.
A local anesthetic that is similar pharmacologically to LIDOCAINE. Currently, it is used most often for infiltration anesthesia in dentistry.
An unpleasant sensation induced by noxious stimuli which are detected by NERVE ENDINGS of NOCICEPTIVE NEURONS.
Medical methods of either relieving pain caused by a particular condition or removing the sensation of pain during a surgery or other medical procedure.
A rare epidural hematoma in the spinal epidural space, usually due to a vascular malformation (CENTRAL NERVOUS SYSTEM VASCULAR MALFORMATIONS) or TRAUMA. Spontaneous spinal epidural hematoma is a neurologic emergency due to a rapidly evolving compressive MYELOPATHY.
An intravenous anesthetic with a short duration of action that may be used for induction of anesthesia.
Compounds with activity like OPIATE ALKALOIDS, acting at OPIOID RECEPTORS. Properties include induction of ANALGESIA or NARCOSIS.
Deformities of the SPINE characterized by abnormal bending or flexure in the vertebral column. They may be bending forward (KYPHOSIS), backward (LORDOSIS), or sideway (SCOLIOSIS).
VERTEBRAE in the region of the lower BACK below the THORACIC VERTEBRAE and above the SACRAL VERTEBRAE.
Neurons in the SPINAL CORD DORSAL HORN whose cell bodies and processes are confined entirely to the CENTRAL NERVOUS SYSTEM. They receive collateral or direct terminations of dorsal root fibers. They send their axons either directly to ANTERIOR HORN CELLS or to the WHITE MATTER ascending and descending longitudinal fibers.
The first seven VERTEBRAE of the SPINAL COLUMN, which correspond to the VERTEBRAE of the NECK.
Recording of electric currents developed in the brain by means of electrodes applied to the scalp, to the surface of the brain, or placed within the substance of the brain.
Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.
A local anesthetic that is chemically related to BUPIVACAINE but pharmacologically related to LIDOCAINE. It is indicated for infiltration, nerve block, and epidural anesthesia. Mepivacaine is effective topically only in large doses and therefore should not be used by this route. (From AMA Drug Evaluations, 1994, p168)
A short-acting opioid anesthetic and analgesic derivative of FENTANYL. It produces an early peak analgesic effect and fast recovery of consciousness. Alfentanil is effective as an anesthetic during surgery, for supplementation of analgesia during surgical procedures, and as an analgesic for critically ill patients.
Drugs used to induce drowsiness or sleep or to reduce psychological excitement or anxiety.
Sense of awareness of self and of the environment.
Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.
Surgery restricted to the management of minor problems and injuries; surgical procedures of relatively slight extent and not in itself hazardous to life. (Dorland, 28th ed & Stedman, 25th ed)
A group of recessively inherited diseases that feature progressive muscular atrophy and hypotonia. They are classified as type I (Werdnig-Hoffman disease), type II (intermediate form), and type III (Kugelberg-Welander disease). Type I is fatal in infancy, type II has a late infantile onset and is associated with survival into the second or third decade. Type III has its onset in childhood, and is slowly progressive. (J Med Genet 1996 Apr:33(4):281-3)
A short-acting hypnotic-sedative drug with anxiolytic and amnestic properties. It is used in dentistry, cardiac surgery, endoscopic procedures, as preanesthetic medication, and as an adjunct to local anesthesia. The short duration and cardiorespiratory stability makes it useful in poor-risk, elderly, and cardiac patients. It is water-soluble at pH less than 4 and lipid-soluble at physiological pH.
Emesis and queasiness occurring after anesthesia.
The movement and the forces involved in the movement of the blood through the CARDIOVASCULAR SYSTEM.
A noble gas with the atomic symbol Xe, atomic number 54, and atomic weight 131.30. It is found in the earth's atmosphere and has been used as an anesthetic.
An opioid analgesic that is used as an adjunct in anesthesia, in balanced anesthesia, and as a primary anesthetic agent.
A method of studying a drug or procedure in which both the subjects and investigators are kept unaware of who is actually getting which specific treatment.
An involuntary movement or exercise of function in a part, excited in response to a stimulus applied to the periphery and transmitted to the brain or spinal cord.
Broken bones in the vertebral column.
Methods of PAIN relief that may be used with or in place of ANALGESICS.
Drugs that interrupt transmission at the skeletal neuromuscular junction without causing depolarization of the motor end plate. They prevent acetylcholine from triggering muscle contraction and are used as muscle relaxants during electroshock treatments, in convulsive states, and as anesthesia adjuvants.
Tapping fluid from the subarachnoid space in the lumbar region, usually between the third and fourth lumbar vertebrae.
The number of times the HEART VENTRICLES contract per unit of time, usually per minute.
Space between the dura mater and the walls of the vertebral canal.
Operations carried out for the correction of deformities and defects, repair of injuries, and diagnosis and cure of certain diseases. (Taber, 18th ed.)
A derivative of CHLORAL HYDRATE that was used as a sedative but has been replaced by safer and more effective drugs. Its most common use is as a general anesthetic in animal experiments.
Repair of the damaged neuron function after SPINAL CORD INJURY or SPINAL CORD DISEASES.
The principal alkaloid in opium and the prototype opiate analgesic and narcotic. Morphine has widespread effects in the central nervous system and on smooth muscle.
A mobile, very volatile, highly flammable liquid used as an inhalation anesthetic and as a solvent for waxes, fats, oils, perfumes, alkaloids, and gums. It is mildly irritating to skin and mucous membranes.
Use of electric potential or currents to elicit biological responses.
The relationship between the dose of an administered drug and the response of the organism to the drug.
An agonist of RECEPTORS, ADRENERGIC ALPHA-2 that is used in veterinary medicine for its analgesic and sedative properties. It is the racemate of DEXMEDETOMIDINE.
An increased sensation of pain or discomfort produced by mimimally noxious stimuli due to damage to soft tissue containing NOCICEPTORS or injury to a peripheral nerve.
A family of hexahydropyridines.
Compounds capable of relieving pain without the loss of CONSCIOUSNESS.
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
The domestic cat, Felis catus, of the carnivore family FELIDAE, comprising over 30 different breeds. The domestic cat is descended primarily from the wild cat of Africa and extreme southwestern Asia. Though probably present in towns in Palestine as long ago as 7000 years, actual domestication occurred in Egypt about 4000 years ago. (From Walker's Mammals of the World, 6th ed, p801)
A phenethylamine found in EPHEDRA SINICA. PSEUDOEPHEDRINE is an isomer. It is an alpha- and beta-adrenergic agonist that may also enhance release of norepinephrine. It has been used for asthma, heart failure, rhinitis, and urinary incontinence, and for its central nervous system stimulatory effects in the treatment of narcolepsy and depression. It has become less extensively used with the advent of more selective agonists.
Severe or complete loss of motor function in all four limbs which may result from BRAIN DISEASES; SPINAL CORD DISEASES; PERIPHERAL NERVOUS SYSTEM DISEASES; NEUROMUSCULAR DISEASES; or rarely MUSCULAR DISEASES. The locked-in syndrome is characterized by quadriplegia in combination with cranial muscle paralysis. Consciousness is spared and the only retained voluntary motor activity may be limited eye movements. This condition is usually caused by a lesion in the upper BRAIN STEM which injures the descending cortico-spinal and cortico-bulbar tracts.
Recording of the changes in electric potential of muscle by means of surface or needle electrodes.
A thiophene-containing local anesthetic pharmacologically similar to MEPIVACAINE.
Devices used to assess the level of consciousness especially during anesthesia. They measure brain activity level based on the EEG.
Abnormally low BLOOD PRESSURE that can result in inadequate blood flow to the brain and other vital organs. Common symptom is DIZZINESS but greater negative impacts on the body occur when there is prolonged depravation of oxygen and nutrients.
A type of oropharyngeal airway that provides an alternative to endotracheal intubation and standard mask anesthesia in certain patients. It is introduced into the hypopharynx to form a seal around the larynx thus permitting spontaneous or positive pressure ventilation without penetration of the larynx or esophagus. It is used in place of a facemask in routine anesthesia. The advantages over standard mask anesthesia are better airway control, minimal anesthetic gas leakage, a secure airway during patient transport to the recovery area, and minimal postoperative problems.
Drugs that interrupt transmission of nerve impulses at the skeletal neuromuscular junction. They can be of two types, competitive, stabilizing blockers (NEUROMUSCULAR NONDEPOLARIZING AGENTS) or noncompetitive, depolarizing agents (NEUROMUSCULAR DEPOLARIZING AGENTS). Both prevent acetylcholine from triggering the muscle contraction and they are used as anesthesia adjuvants, as relaxants during electroshock, in convulsive states, etc.
Nucleus of the spinal tract of the trigeminal nerve. It is divided cytoarchitectonically into three parts: oralis, caudalis (TRIGEMINAL CAUDAL NUCLEUS), and interpolaris.
Movement or the ability to move from one place or another. It can refer to humans, vertebrate or invertebrate animals, and microorganisms.
Adjustment and manipulation of the vertebral column.
A partial or complete return to the normal or proper physiologic activity of an organ or part following disease or trauma.
The intentional interruption of transmission at the NEUROMUSCULAR JUNCTION by external agents, usually neuromuscular blocking agents. It is distinguished from NERVE BLOCK in which nerve conduction (NEURAL CONDUCTION) is interrupted rather than neuromuscular transmission. Neuromuscular blockade is commonly used to produce MUSCLE RELAXATION as an adjunct to anesthesia during surgery and other medical procedures. It is also often used as an experimental manipulation in basic research. It is not strictly speaking anesthesia but is grouped here with anesthetic techniques. The failure of neuromuscular transmission as a result of pathological processes is not included here.
Occurence of a patient becoming conscious during a procedure performed under GENERAL ANESTHESIA and subsequently having recall of these events. (From Anesthesiology 2006, 104(4): 847-64.)
Naturally occurring or experimentally induced animal diseases with pathological processes sufficiently similar to those of human diseases. They are used as study models for human diseases.
Patient care procedures performed during the operation that are ancillary to the actual surgery. It includes monitoring, fluid therapy, medication, transfusion, anesthesia, radiography, and laboratory tests.
The large network of nerve fibers which distributes the innervation of the upper extremity. The brachial plexus extends from the neck into the axilla. In humans, the nerves of the plexus usually originate from the lower cervical and the first thoracic spinal cord segments (C5-C8 and T1), but variations are not uncommon.
A quaternary skeletal muscle relaxant usually used in the form of its bromide, chloride, or iodide. It is a depolarizing relaxant, acting in about 30 seconds and with a duration of effect averaging three to five minutes. Succinylcholine is used in surgical, anesthetic, and other procedures in which a brief period of muscle relaxation is called for.
Examination, therapy or surgery of the interior of the larynx performed with a specially designed endoscope.
Procedures used to treat and correct deformities, diseases, and injuries to the MUSCULOSKELETAL SYSTEM, its articulations, and associated structures.
A general term most often used to describe severe or complete loss of muscle strength due to motor system disease from the level of the cerebral cortex to the muscle fiber. This term may also occasionally refer to a loss of sensory function. (From Adams et al., Principles of Neurology, 6th ed, p45)
Books designed to give factual information or instructions.
The basic cellular units of nervous tissue. Each neuron consists of a body, an axon, and dendrites. Their purpose is to receive, conduct, and transmit impulses in the NERVOUS SYSTEM.
Procedure in which arterial blood pressure is intentionally reduced in order to control blood loss during surgery. This procedure is performed either pharmacologically or by pre-surgical removal of blood.
The act of breathing with the LUNGS, consisting of INHALATION, or the taking into the lungs of the ambient air, and of EXHALATION, or the expelling of the modified air which contains more CARBON DIOXIDE than the air taken in (Blakiston's Gould Medical Dictionary, 4th ed.). This does not include tissue respiration (= OXYGEN CONSUMPTION) or cell respiration (= CELL RESPIRATION).
Drug-induced depression of consciousness during which patients cannot be easily aroused but respond purposely following repeated painful stimulation. The ability to independently maintain ventilatory function may be impaired. (From: American Society of Anesthesiologists Practice Guidelines)
MOTOR NEURONS in the anterior (ventral) horn of the SPINAL CORD which project to SKELETAL MUSCLES.
Intense or aching pain that occurs along the course or distribution of a peripheral or cranial nerve.
Nerve fibers that are capable of rapidly conducting impulses away from the neuron cell body.
Androstanes and androstane derivatives which are substituted in any position with one or more hydroxyl groups.
Involuntary contraction or twitching of the muscles. It is a physiologic method of heat production in man and other mammals.
X-ray visualization of the spinal cord following injection of contrast medium into the spinal arachnoid space.
The space between the arachnoid membrane and PIA MATER, filled with CEREBROSPINAL FLUID. It contains large blood vessels that supply the BRAIN and SPINAL CORD.
Peripheral AFFERENT NEURONS which are sensitive to injuries or pain, usually caused by extreme thermal exposures, mechanical forces, or other noxious stimuli. Their cell bodies reside in the DORSAL ROOT GANGLIA. Their peripheral terminals (NERVE ENDINGS) innervate target tissues and transduce noxious stimuli via axons to the CENTRAL NERVOUS SYSTEM.
Act of eliciting a response from a person or organism through physical contact.
Imidazole derivative anesthetic and hypnotic with little effect on blood gases, ventilation, or the cardiovascular system. It has been proposed as an induction anesthetic.
Nerve structures through which impulses are conducted from a peripheral part toward a nerve center.
Non-invasive method of demonstrating internal anatomy based on the principle that atomic nuclei in a strong magnetic field absorb pulses of radiofrequency energy and emit them as radiowaves which can be reconstructed into computerized images. The concept includes proton spin tomographic techniques.
The process in which specialized SENSORY RECEPTOR CELLS transduce peripheral stimuli (physical or chemical) into NERVE IMPULSES which are then transmitted to the various sensory centers in the CENTRAL NERVOUS SYSTEM.
A colorless, odorless gas that can be formed by the body and is necessary for the respiration cycle of plants and animals.
The period following a surgical operation.
The electric response evoked in the CEREBRAL CORTEX by stimulation along AFFERENT PATHWAYS from PERIPHERAL NERVES to CEREBRUM.
Antineoplastic agent that is also used as a veterinary anesthetic. It has also been used as an intermediate in organic synthesis. Urethane is suspected to be a carcinogen.
Facilities equipped for performing surgery.
An appreciable lateral deviation in the normally straight vertical line of the spine. (Dorland, 27th ed)
Any operation on the spinal cord. (Stedman, 26th ed)
The domestic dog, Canis familiaris, comprising about 400 breeds, of the carnivore family CANIDAE. They are worldwide in distribution and live in association with people. (Walker's Mammals of the World, 5th ed, p1065)
Surgery performed on the eye or any of its parts.
An abdominal hernia with an external bulge in the GROIN region. It can be classified by the location of herniation. Indirect inguinal hernias occur through the internal inguinal ring. Direct inguinal hernias occur through defects in the ABDOMINAL WALL (transversalis fascia) in Hesselbach's triangle. The former type is commonly seen in children and young adults; the latter in adults.
A butyrophenone with general properties similar to those of HALOPERIDOL. It is used in conjunction with an opioid analgesic such as FENTANYL to maintain the patient in a calm state of neuroleptanalgesia with indifference to surroundings but still able to cooperate with the surgeon. It is also used as a premedicant, as an antiemetic, and for the control of agitation in acute psychoses. (From Martindale, The Extra Pharmacopoeia, 29th ed, p593)
Measurement of oxygen and carbon dioxide in the blood.
A surgical operation for the relief of pressure in a body compartment or on a body part. (From Dorland, 28th ed)
A potent local anesthetic of the ester type used for surface and spinal anesthesia.
Sharp instruments used for puncturing or suturing.
Either of two extremities of four-footed non-primate land animals. It usually consists of a FEMUR; TIBIA; and FIBULA; tarsals; METATARSALS; and TOES. (From Storer et al., General Zoology, 6th ed, p73)
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
The active sympathomimetic hormone from the ADRENAL MEDULLA. It stimulates both the alpha- and beta- adrenergic systems, causes systemic VASOCONSTRICTION and gastrointestinal relaxation, stimulates the HEART, and dilates BRONCHI and cerebral vessels. It is used in ASTHMA and CARDIAC FAILURE and to delay absorption of local ANESTHETICS.
Renewal or physiological repair of damaged nerve tissue.
The measure of the level of heat of a human or animal.
Organic compounds containing the -CO-NH2 radical. Amides are derived from acids by replacement of -OH by -NH2 or from ammonia by the replacement of H by an acyl group. (From Grant & Hackh's Chemical Dictionary, 5th ed)
An element with atomic symbol O, atomic number 8, and atomic weight [15.99903; 15.99977]. It is the most abundant element on earth and essential for respiration.
A nerve which originates in the lumbar and sacral spinal cord (L4 to S3) and supplies motor and sensory innervation to the lower extremity. The sciatic nerve, which is the main continuation of the sacral plexus, is the largest nerve in the body. It has two major branches, the TIBIAL NERVE and the PERONEAL NERVE.
A imidazole derivative that is an agonist of ADRENERGIC ALPHA-2 RECEPTORS. It is closely-related to MEDETOMIDINE, which is the racemic form of this compound.
A network of nerve fibers originating in the upper four CERVICAL SPINAL CORD segments. The cervical plexus distributes cutaneous nerves to parts of the neck, shoulders, and back of the head. It also distributes motor fibers to muscles of the cervical SPINAL COLUMN, infrahyoid muscles, and the DIAPHRAGM.
The part of CENTRAL NERVOUS SYSTEM that is contained within the skull (CRANIUM). Arising from the NEURAL TUBE, the embryonic brain is comprised of three major parts including PROSENCEPHALON (the forebrain); MESENCEPHALON (the midbrain); and RHOMBENCEPHALON (the hindbrain). The developed brain consists of CEREBRUM; CEREBELLUM; and other structures in the BRAIN STEM.
Lower than normal body temperature, especially in warm-blooded animals.
Surgery which could be postponed or not done at all without danger to the patient. Elective surgery includes procedures to correct non-life-threatening medical problems as well as to alleviate conditions causing psychological stress or other potential risk to patients, e.g., cosmetic or contraceptive surgery.
The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.
The relief of pain without loss of consciousness through the introduction of an analgesic agent into the epidural space of the vertebral canal. It is differentiated from ANESTHESIA, EPIDURAL which refers to the state of insensitivity to sensation.
Inflammation of the spinal cord. Relatively common etiologies include infections; AUTOIMMUNE DISEASES; SPINAL CORD; and ischemia (see also SPINAL CORD VASCULAR DISEASES). Clinical features generally include weakness, sensory loss, localized pain, incontinence, and other signs of autonomic dysfunction.
Application of electric current to the spine for treatment of a variety of conditions involving innervation from the spinal cord.
A disorder in which the adductor muscles of the VOCAL CORDS exhibit increased activity leading to laryngeal spasm. Laryngismus causes closure of the VOCAL FOLDS and airflow obstruction during inspiration.
A phenothiazine that is used in the treatment of PSYCHOSES.
A branch of the trigeminal (5th cranial) nerve. The mandibular nerve carries motor fibers to the muscles of mastication and sensory fibers to the teeth and gingivae, the face in the region of the mandible, and parts of the dura.
An imidazoline sympatholytic agent that stimulates ALPHA-2 ADRENERGIC RECEPTORS and central IMIDAZOLINE RECEPTORS. It is commonly used in the management of HYPERTENSION.
A heterogeneous group of drugs used to produce muscle relaxation, excepting the neuromuscular blocking agents. They have their primary clinical and therapeutic uses in the treatment of muscle spasm and immobility associated with strains, sprains, and injuries of the back and, to a lesser degree, injuries to the neck. They have been used also for the treatment of a variety of clinical conditions that have in common only the presence of skeletal muscle hyperactivity, for example, the muscle spasms that can occur in MULTIPLE SCLEROSIS. (From Smith and Reynard, Textbook of Pharmacology, 1991, p358)
The outermost of the three MENINGES, a fibrous membrane of connective tissue that covers the brain and the spinal cord.
Professional nurses who have completed postgraduate training in the administration of anesthetics and who function under the responsibility of the operating surgeon.
Introduction of substances into the body using a needle and syringe.
Monoquaternary homolog of PANCURONIUM. A non-depolarizing neuromuscular blocking agent with shorter duration of action than pancuronium. Its lack of significant cardiovascular effects and lack of dependence on good kidney function for elimination as well as its short duration of action and easy reversibility provide advantages over, or alternatives to, other established neuromuscular blocking agents.

Dose-response effects of spinal neostigmine added to bupivacaine spinal anesthesia in volunteers. (1/609)

BACKGROUND: Intrathecal adjuncts often are used to enhance small-dose spinal bupivacaine for ambulatory anesthesia. Neostigmine is a novel spinal analgesic that could be a useful adjunct, but no data exist to assess the effects of neostigmine on small-dose bupivacaine spinal anesthesia. METHODS: Eighteen volunteers received two bupivacaine spinal anesthetics (7.5 mg) in a randomized, double-blinded, crossover design. Dextrose, 5% (1 ml), was added to one spinal infusion and 6.25, 12.5, or 50 microg neostigmine in dextrose, 5%, was added to the other spinal. Sensory block was assessed with pinprick; by the duration of tolerance to electric stimulation equivalent to surgical incision at the pubis, knee, and ankle; and by the duration of tolerance to thigh tourniquet. Motor block at the quadriceps was assessed with surface electromyography. Side effects (nausea, vomiting, pruritus, and sedation) were noted. Hemodynamic and respiratory parameters were recorded every 5 min. Dose-response relations were assessed with analysis of variance, paired t tests, or Spearman rank correlation. RESULTS: The addition of 50 microg neostigmine significantly increased the duration of sensory and motor block and the time until discharge criteria were achieved. The addition of neostigmine produced dose-dependent nausea (33-67%) and vomiting (17-50%). Neostigmine at these doses had no effect on hemodynamic or respiratory parameters. CONCLUSIONS: The addition of 50 microg neostigmine prolonged the duration of sensory and motor block. However, high incidences of side effects and delayed recovery from anesthesia with the addition of 6.25 to 50 microg neostigmine may limit the clinical use of these doses for outpatient spinal anesthesia.  (+info)

Transdermal nitroglycerine enhances spinal sufentanil postoperative analgesia following orthopedic surgery. (2/609)

BACKGROUND: Sufentanil is a potent but short-acting spinal analgesic used to manage perioperative pain. This study evaluated the influence of transdermal nitroglycerine on the analgesic action of spinal sufentanil in patients undergoing orthopedic surgery. METHODS: Fifty-six patients were randomized to one of four groups. Patients were premedicated with 0.05-0.1 mg/kg intravenous midazolam and received 15 mg bupivacaine plus 2 ml of the test drug intrathecally (saline or 10 microg sufentanil). Twenty to 30 min after the spinal puncture, a transdermal patch of either 5 mg nitroglycerin or placebo was applied. The control group received spinal saline and transdermal placebo. The sufentanil group received spinal sufentanil and transdermal placebo. The nitroglycerin group received spinal saline and transdermal nitroglycerine patch. Finally, the sufentanil-nitroglycerin group received spinal sufentanil and transdermal nitroglycerine. Pain and adverse effects were evaluated using a 10-cm visual analog scale. RESULTS: The time to first rescue analgesic medication was longer for the sufentanil-nitroglycerin group (785+/-483 min) compared with the other groups (P<0.005). The time to first rescue analgesics was also longer for the sufentanil group compared with the control group (P<0.05). The sufentanil-nitroglycerin group group required less rescue analgesics in 24 h compared with the other groups (P<0.02) and had lesser 24-h pain visual analog scale scores compared with the control group (P<0.005), although these scores were similar to the sufentanil and nitroglycerin groups (P>0.05). The incidence of perioperative adverse effects was similar among groups (P>0.05). CONCLUSIONS: Transdermal nitroglycerine alone (5 mg/day), a nitric oxide generator, did not result in postoperative analgesia itself, but it prolonged the analgesic effect of spinal sufentanil (10 microg) and provided 13 h of effective postoperative analgesia after knee surgery.  (+info)

Assessing introduction of spinal anaesthesia for obstetric procedures. (3/609)

To assess the impact of introducing spinal anaesthesia for obstetric operative procedures on use of general anaesthesia and quality of regional anaesthesia in a unit with an established epidural service a retrospective analysis of routinely collected data on method of anaesthesia, efficacy, and complications was carried out. Data were collected from 1988 to 1991 on 1670 obstetric patients requiring an operative procedure. The introduction of spinal anaesthesia in 1989 significantly reduced the proportion of operative procedures performed under general anaesthesia, from 60% (234/390) in 1988 to 30% (124/414) in 1991. The decrease was most pronounced for manual removal of the placenta (88%, 48/55 v 9%, 3/34) and emergency caesarean section (67%, 129/193) v 38%, 87/229). Epidural anaesthesia decreased in use most significantly for elective caesarean section (65%, 77/118 v 3% 3/113; x2=139, p<0.0001). The incidence of severe pain and need for conversion to general anaesthesia was significantly less with spinal anaesthesia (0%, 0/207 v 3%, 5/156; p<0.05). Hypotension was not a problem, and the incidence of headache after spinal anaesthetic decreased over the period studied. Introducing spinal anaesthesia therefore reduced the need for general anaesthesia and improved the quality of regional anaesthesia.  (+info)

Incidence of bradycardia during recovery from spinal anaesthesia: influence of patient position. (4/609)

We administered 0.5% plain bupivacaine 4 ml intrathecally (L2-3 or L3-4) in three groups of 20 patients, according to the position in which they were nursed in the post-anaesthesia care unit (PACU): supine horizontal, 30 degrees Trendelenburg or hammock position (trunk and legs 30 degrees elevated). Patients were observed until anaesthesia descended to less than S1. The incidence of severe bradycardia (heart rate < 50 beat min-1) in the PACU was significantly higher in patients in the Trendelenburg position (60%) than in the horizontal (20%, P < 0.01) or hammock (10%, P < 0.005) position. After 90 min, following admission to the PACU, only patients in the hammock position did not have severe bradycardia. In this late phase, the incidence of severe bradycardia in the Trendelenburg group was 35% (P < 0.005) and 10% in patients in the supine horizontal position. In four patients, severe bradycardia first occurred later than 90 min after admission to the PACU. The latest occurrence of severe bradycardia was recorded 320 min after admission to the PACU. We conclude that for recovery from spinal anaesthesia, the Trendelenburg position should not be used and the hammock position is preferred.  (+info)

Hyperbaric spinal ropivacaine: a comparison to bupivacaine in volunteers. (5/609)

BACKGROUND: Ropivacaine is a newly introduced local anesthetic that may be a useful alternative to low-dose bupivacaine for outpatient spinal anesthesia. However, its relative potency to bupivacaine and its dose-response characteristics are unknown. This double-blind, randomized, crossover study was designed to determine relative potencies of low-dose hyperbaric spinal ropivacaine and bupivacaine and to assess the suitability of spinal ropivacaine for outpatient anesthesia. METHODS: Eighteen healthy volunteers were randomized into three equal groups to receive one spinal administration with bupivacaine and a second with ropivacaine, of equal-milligram doses (4, 8, or 12 mg) of 0.25% drug with 5% dextrose. The duration of blockade was assessed with (1) pinprick, (2) transcutaneous electrical stimulation, (3) tolerance to high tourniquet, (4) electromyography and isometric force dynamometry, and (5) achievement of discharge criteria. Differences between ropivacaine and bupivacaine were assessed with linear and multiple regression. P < 0.05 was considered significant. RESULTS: Ropivacaine and bupivacaine provided dose-dependent prolongation of sensory and motor block and time until achievement of discharge criteria (R2 ranges from 0.33-0.99; P values from < 0.001 through 0.01). Spinal anesthesia with ropivacaine was significantly different from bupivacaine and was approximately half as potent for all criteria studied. A high incidence of back pain (28%; P = 0.098) was noted after intrathecal ropivacaine was given. CONCLUSION: Ropivacaine is half as potent and in equipotent doses has a similar profile to bupivacaine with a higher incidence of side effects. Low-dose hyperbaric spinal ropivacaine does not appear to offer an advantage over bupivacaine for use in outpatient anesthesia.  (+info)

Sedation depends on the level of sensory block induced by spinal anaesthesia. (6/609)

We have investigated the relationship between the extent of spinal block and occurrence of sedation. In a first series of 43 patients, the distribution of sedation score (measured on the Ramsey scale) was related to the extent of spinal block (pinprick). In a second series of 33 patients, the relationship between sedation score and spinal block persisted after injection of midazolam 1 mg. This study confirmed that high spinal block was associated with increased sedation.  (+info)

Anaesthetic management of a woman who became paraplegic at 22 weeks' gestation after a spontaneous spinal cord haemorrhage secondary to a presumed arteriovenous malformation. (7/609)

A 19-yr-old woman developed a paraplegia with a T10 sensory level at 22 weeks' gestation. The spinal injury was caused by spontaneous bleed of a presumed arteriovenous malformation in the spinal cord. She presented for Caesarean section at term because of the breech position of her fetus. The successful use of a combined spinal epidural-regional anaesthetic is described and the risks of general and regional anaesthesia are discussed.  (+info)

Spinal versus epidural anesthesia for cesarean section in severely preeclamptic patients: a retrospective survey. (8/609)

BACKGROUND: Selection of spinal anesthesia for severely preeclamptic patients requiring cesarean section is controversial. Significant maternal hypotension is believed to be more likely with spinal compared with epidural anesthesia. The purpose of this study was to assess, in a large retrospective clinical series, the blood pressure effects of spinal and epidural anesthesia in severely preeclamptic patients requiring cesarean section. METHODS: The computerized medical records database was reviewed for all preeclamptic patients having cesarean section between January 1, 1989 and December 31, 1996. All nonlaboring severely preeclamptic patients receiving either spinal or epidural anesthesia for cesarean section were included for analysis. The lowest recorded blood pressures were compared for the 20-min period before induction of regional anesthesia, the period from induction of regional anesthesia to delivery, and the period from delivery to the end of operation. RESULTS: Study groups included 103 women receiving spinal anesthesia and 35 receiving epidural anesthesia. Changes in the lowest mean blood pressure were similar after epidural or spinal anesthesia. Intraoperative ephedrine use was similar for both groups. Intraoperative crystalloid administration was statistically greater for patients receiving spinal versus epidural anesthesia (1780 +/- 838 vs. 1359 +/- 674 ml, respectively). Neonatal Apgar scores and incidence of maternal intensive care unit admission or postoperative pulmonary edema were also similar. CONCLUSION: Although we cannot exclude the possibility that the spinal and epidural anesthesia groups were dissimilar, the magnitudes of maternal blood pressure declines were similar after spinal or epidural anesthesia in this series of severely preeclamptic patients receiving cesarean section. Maternal and fetal outcomes also were similar.  (+info)

Continuous Spinal Anaesthesia is a recognized technique for providing anaesthesia for various surgical procedures. It may be an alternative to general anaesthesia in high-risk elderly patients requiring emergency laparotomy. The objective was to evaluate the benefits of continuous spinal anaesthesia in providing effective anaesthesia for emergency laparotomy, in enhancing recovery after major abdominal surgery and in reducing length of stay in the intensive care unit in high-risk elderly patients. Prospective service evaluation was performed at a tertiary care university hospital. High-risk elderly patients were offered both general anaesthesia and continuous spinal anaesthesia. An 18-gauge macro catheter was inserted into the intrathecal space through a 16-gauge Tuohy needle. Sedation was maintained with remifentanil. Prophylactic anti-emetics were administered. Blood pressure was maintained with an infusion of metaraminol. Over a 27-month period, 25 high risk elderly patients were offered continuous
BACKGROUND: Pre-loading with hetastarch decreases the incidence and severity of hypotension after spinal anesthesia for cesarean delivery. However, pharmacokinetic studies with crystalloid predict that fluid loading should be more efficacious if rapidly administered immediately after induction of spinal anesthesia. The aim of this study was to compare pre- and co-loading of hetastarch for the prevention of hypotension following spinal anesthesia for cesarean delivery.. METHODS: Forty-six healthy term parturients scheduled for cesarean delivery were randomized to receive 500 mL of 6% hetastarch intravenously, either slowly before spinal anesthesia (pre-loading) or as quickly as possible immediately after spinal anesthesia (co-loading). Systolic blood pressure was maintained at or above 90% of baseline with intravenous vasopressor boluses (ephedrine 5mg/mL+phenylephrine 25 microg/mL). The primary outcome was the volume of vasopressor mix required. Secondary outcomes included blood pressure and ...
It is a common observation that following spinal anaesthesia, the penis usually elongates. The aim of this study was to determine the degree of change in penile length following spinal anaesthesia. Consecutive urosurgical patients undergoing spinal anaesthesia were recruited for this study. Those who received general anaesthesia or incomplete spinal blocked were also excluded. The flaccid length of the penis was measured before and after the administration of spinal anaesthesia. Penile length 15 minutes post-spinal anaesthesia was measured and recorded. The change in length was tested for statistical significant difference, the age of patient; diagnosis and type of surgery were also recorded. Forty three patients completed the study. Benign prostatic hypertrophy constituted 41.9% of the surgical indications. While 53.5% of the patients were ASA I, 39.5% and 7.0% of them were ASA II and III respectively. While the mean initial penile length was 12.1 ± 0.53 cm and the mean final length was 15.7 ± 0.53
Define spinal anesthetic. spinal anesthetic synonyms, spinal anesthetic pronunciation, spinal anesthetic translation, English dictionary definition of spinal anesthetic. Noun 1. spinal anesthetic - an anesthetic that is injected into the spine spinal anaesthetic anaesthetic, anaesthetic agent, anesthetic, anesthetic agent -...
Spinal anaesthesia (or spinal anesthesia), also called spinal block, subarachnoid block, intradural block and intrathecal block, is a form of regional anaesthesia involving the injection of a local anaesthetic into the subarachnoid space, generally through a fine needle, usually 9 cm (3.5 in) long. For obese patients longer needles are available (12.7 cm / 5 inches). The tip of the spinal needle has a point or small bevel. Recently, pencil point needles have been made available (Whitacre, Sprotte, Gertie Marx and others). Spinal anaesthesia is a commonly used technique, either on its own or in combination with sedation or general anaesthesia. Examples of uses include: Orthopaedic surgery on the pelvis, hip, femur, knee, tibia, and ankle, including arthroplasty and joint replacement Vascular surgery on the legs Endovascular aortic aneurysm repair Hernia (inguinal or epigastric) Haemorrhoidectomy Nephrectomy and cystectomy in combination with general anaesthesia Transurethral resection of the ...
Health,...Study also finds spinal anesthesia doesnt worsen pre-existing RLS ...WEDNESDAY Nov. 19 (HealthDay News) -- Spinal anesthesia wont cause o...Thats the conclusion of a new study published as a letter to the edit... Our study was designed to test the hypothesis that spinal anesthesia ...,Spinal,Anesthesia,Doesnt,Cause,Restless,Leg,Syndrome,medicine,medical news today,latest medical news,medical newsletters,current medical news,latest medicine news
Accepted: 12 March 2018 Abstract. Introduction: The purpose of the present study was to compare the effect of ENTONOX inhalation and spinal injection on the reduction of labor pain, the Apgar score of the neonates, and their side effects on new-born children and pregnant women.. Material and Methods: The present clinical trial study is conducted among the pregnant women in the maternity ward of a child delivery hospital in Iran. All Participants were divided in two groups ENTONOX Inhalation and Spinal Anesthesia. Visual Analogue Scale (VAS) was implemented to measure the pain level experienced by the participants during the procedure. Moreover, the Apgar scale was used to measure the general physical health of the neonates in both groups. In addition, the participants receiving ENTONOX were asked to report the side effects they underwent during gas inhalation. However, the participants in the spinal anesthesia were checked three times. Statistical analysis was performed using SPSS version ...
It is hypothesized that high spinal anesthesia combined with general anesthesia decreases the intraoperative stress and inflammatory response and improve post-operative pain control and respiratory function in this patient population. It is also hypothesized that the technique will provide stable intraoperative hemodynamics during aortic valve replacement surgery.. Stress response: Levels of hormones such as epinephrine, norepinephrine and cortisol are elevated during cardiac surgery and on the initiation of cardiopulmonary bypass. This stress response has previously been shown to be blunted with the use of high spinal anesthesia when combined with general anesthesia in coronary artery bypass surgery patients (Lee, Grocott, et al).. Inflammatory response: In addition to the stress response there is also an accentuated inflammatory response. With contact of the patients blood to the artificial bypass circuit, there is activation of various plasma protease pathways that generate multiple ...
The addition of vasoconstrictors for spinal anesthesia is controversial, since an increase in the incidence of transient neurologic symptoms (TNS) has been reported. A multicenter, randomized, double-blind study was conducted to assess the effectiveness of spinal anesthesia with phenylephrine in addition to tetracaine as well as the incidence of neurological complications. We studied 64 patients with comparable demographic characteristics who were scheduled for elective surgery for a lower limb, or a gynecological or urological procedure. The patients were allocated randomly into 2 groups. Group P (n = 34) received 0.5% tetracaine in 10% glucose with 0.025% phenylephrine, while group C (n = 30) received 0.5% tetracaine in 10% glucose ...
The advantages of spinal anesthesia under certain restrictions are so obvious and the results obtained from its use so excellent that one can appreciate the popularity of this valuable anesthetic measure. However, from time to time, there have appeared in the literature reports of patients who have developed neurological complications occurring immediately after or remotely following the administration of a spinal anesthetic. The statements in the literature are extremely contradictory as to the frequency with which such nervous sequelae occur. Emmett1 reports he had no neurological sequelae in 1415 cases, and Foss and Schwalm2 state that in 3,000 cases they ...
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The incidence of spinal anesthesia-induced hypotension in pregnant women undergoing a cesarean section is high. A preoperative fluid bolus of undetermined volume is frequently administered to lower the incidence of maternal hypotension, with a somewhat poor efficacy. Recently, several investigations have shown that the use of a phenylephrine infusion after the induction of spinal anesthesia results in a significant reduction in hypotensive episodes. Given the high efficacy of this therapy (incidence of hypotension around 20%), it is possible to determine the effective volume of fluid which would prevent hypotension in 50% of the patients studied (ED50).. Healthy term pregnant women undergoing elective cesarean section under spinal anesthesia will be recruited in this trial. The spinal anesthesia regimen will be standardized and all subjects will receive a phenylephrine infusion. The fluid investigated is hydroxyethylstarch (HES) 130/0.4 (Volulyte(R)). The ED50 will be determined using an up-down ...
Spinal anesthesia is the preferred anesthetic method for elective cesarean sections (C.S.) due to considerable risks regarding airway management associated with physiological changes of pregnancy. Hypotension is reported to occur in up to 80% of spinal anesthesia cases. Many approaches have been tried to prevent spinal hypotension, e.g., fluid loading, vasopressors, or both. The aim of this prospective, randomized, double blind study is to compare the administration of intermittent i.v. boluses of norepinephrine and ephedrine to guard against the hypotensive effect of spinal anesthesia during cesarean delivery. In the present study, 120 pregnant female undergoing elective CS were randomly divided into
The aim of the study was to review maternal hypotension during caesarean delivery with spinal anesthesia. Obstetric complications, such as obstetric hemorrhage and problems related to concomitant maternal diseases are not considered. Reports of hypotension during spinal anesthesia for elective caesarean delivery are frequent (70-80%) when pharmacological prophylaxis is not used. Although some physical methods (leg wrapping, thromboembolic stockings) and the prevention of aorto-caval compression (left lateral tilt of the uterus) are useful, main prevention relies on two pharmacological methods, vasopressor therapy and intravascular fluid loading generally in combination. Ephedrine has been the vasopressor of choice in obstetrics for decades but phenylephrine is now the preferred first line approach during elective procedures at least. Crystalloid preloading is clinically ineffective and should be abandoned. Crystalloid coloading at the onset of sympathetic blockade is better but its efficacy may ...
Abstract:. Aims: The study was undertaken to search for an alternative technique to preloading with less or no side effects. Settings and Design: A total of 100 female patients of ASA class I and II undergoing abdominal hysterectomy were enrolled in the study. Two groups namely Group A and Group B were made. All the patients received 2.6ml of 0.5% Bupivacaine heavy intrathecally at L3-L4 level in lateral decubitus using 25 gauge Quinckes spinal needle. Patients of Group A were placed in Trendelenberg position after spinal anesthesia and patients of Group B received preloading with Lactated Ringers solution before spinal anaesthesia. Assessment of hemodynamics (intraoperative and post operative) and side effects was done. Statistics: Data are expressed as mean + SD. Group comparisons were made using unpaired t-test. Results: Intraoperative blood loss and intraoperative requirement of Inj. Mephentermine was significantly less in Group A in comparison to Group B. Conclusion: Trendelenberg ...
Spinal anesthesia is a type of neuraxial anesthesia; local anesthetic (LA) is injected into cerebrospinal fluid (CSF) in the lumbar spine to anesthetize nerves that exit the spinal cord. Spinal anesthesia is most commonly used for anesthesia and/or a
In their study, Williams et al. sought to isolate the effect of surgery from that of general anesthesia by retrospectively comparing the cognitive outcomes of a cohort of infants who had undergone a brief surgical procedure under spinal anesthesia to normative data for the population of Vermont. The authors are to be commended for their contribution in assessing whether a surgical procedure may contribute to adverse cognitive outcome later in childhood. The Pediatric Anesthesia & Neurodevelopment Assessment (Columbia) and Mayo Anesthesia Safety in Kids (Mayo) studies, although not randomized controlled trials, will augment the insights gained from the General Anesthesia Spinal Anesthesia (GAS) study now underway at several U.S. and international sites. None, however, will report definitive outcomes for at least two or three years. In the meantime, we must content ourselves with very important but severely limited studies such as that published by Williams et al. in this issue of Anesthesia & ...
We included 125 studies involving 9469 women. Interventions were to prevent maternal hypotension following spinal anaesthesia only, and we excluded any interventions considered active treatment. All the included studies reported the reviews primary outcome. Across 49 comparisons, we identified three intervention groups: intravenous fluids, pharmacological interventions, and physical interventions. Authors reported no serious adverse effects with any of the interventions investigated. Most trials reported hypotension requiring intervention and Apgar score of less than 8 at five minutes as the only outcomes. None of the trials included in the comparisons we describe reported admission to neonatal intensive care unit.. Crystalloid versus control (no fluids) Fewer women experienced hypotension in the crystalloid group compared with no fluids (average risk ratio (RR) 0.84, 95% confidence interval (CI) 0.72 to 0.98; 370 women; 5 studies; low-quality evidence). There was no clear difference between ...
Background: To evaluate general anesthesia with sevoflurane vs spinal anesthesia with low dose lidocaine 5% onhemodynamics changes in patients undergoing hip fracture surgery.Methods: In this randomized double blind trial 100 patients (50 patients in each group) older than 60 years underhip surgery were randomized in general anesthesia with sevoflurane and spinal anesthesia with lidocaine 5%.Hemodynamic changes including mean arterial pressure (MAP) and heart rate, blood loss, pain severity, nausea andvomiting and opioids consumption were compared in two groups.Results: During surgery, difference between two groups regarding changes in mean arterial pressure was notsignificant, but the changes in heart rate were significantly different. Mean arterial pressure changes during recoverybetween two groups were significantly different. But there was no significant difference in heart rate changes. Bleedingin the sevoflurane group was significantly more than spinal group (513.ml vs. 365 ml). Moreover, AS Score
https://doi.org/10.31386/dmj.2019.13.1.2. Background:There are several theories to explain the action of local anesthetic in combined spinal-epidural anesthesia (CSE), this study is to examine a technique of (CSE) that depends on the theory of leakage of epidural drugs to the subarachnoid cerebrospinal fluid (CSF).. Patients and Methods:After approval of local medical ethics committee and obtaining informed consent, 60 patients (18-80 years, ASA physical status I to IV) who listed for orthopedic lower limb surgery under CSE were included in this study. The study design was prospective Cross-Section comparative one. It was done in Gulan General Hospital and Gian Private Hospital in Duhok Governorate in Kurdistan Region of Iraq in the period from 01/01/2017 to 28/2/2018.. Results:the volume needed to get maximum sensory block (MSB) and the frequency of top-up doses are greater in group A than B.The onset time of group A is longer than group B. The mean arterial pressure was much stable in group A ...
Abstract:Problems of nursing care for a client with general and epidural spinal anaesthesia.The topic of the Bachelor Thesis is ?Problems of nursing care for a client with general and epidural spinal anaesthesia?. The Thesis has three goals. The first goal is to map the knowledge of the general anaesthesia issues among nurses. The next goal is to map the knowledge of epidural spinal anaesthesia among nurses and the last goal is to check adherence to the nursing care principles in general and epidural spinal anaesthesia.The work consists of a theoretical part and a practical part. The theoretical part deals with definition of general and epidural spinal anaesthesia, their indications and counter indications, the spinal canal anatomy, applied pharmaceuticals and nursing care before, during and after general and epidural and spinal anaesthesia.The research part is based on quantitative data collection method by means of a questionnaire. Standard surgical, gynaecology and orthopaedic wards and an ...
Background: Headache is the most common complication caused by spinal anesthesia. Systematic educational programs about conservative treatments could be effective in the reduction of headache after spinal anesthesiz. Aim: This study aimed to evaluate the effects of training programs on the headache of patients after spinal anesthesia. Method: This empirical study was conducted on 120 patients within the age range of 16-40 years who were candidates for general, orthopedic and urology surgeries in Dr. Shahidzadeh Hospital of Behbahan, Iran in 2015. Patients were randomly divided into two groups of intervention and control. Scheduled training was provided for the intervention group, and the control group received routine training. Intensity of headache was recorded using the visual analogue scale (VAS). Data analysis was performed in SPSS V.14 using Chi-square and independent T-test. Results: In this study, Chi-square test showed a statistically significant difference between the groups in terms of
Among the complications of spinal anaesthesia, 6th cranial nerve palsy occurs rarely. There is a possibility of encountering nerve injury during subarachnoid injections due to a long extracranial course. The symptoms appear as a result of ocular muscle paralysis. These symptoms often begin after the 4th day and spontaneous recovery lasts for weeks to months. We present a case in which Nervous Abducens palsy occurred following spinal anaesthesia for double j ureteral catheter placement surgery.. Keywords: Abducens nerve, spinal anaesthesia, diplopia, double j stent, ...
One of the potential risks of spinal anesthesia is that it fails to achieve adequate surgical anesthesia.(7) More importantly, planning for the management of patients with a failed spinal is arguably one of the most important considerations for the pre-operative discussion and intra-operative management. At Vermont, patients are counseled that in the event that the spinal is not successful, the procedure will be canceled and re-scheduled for a later date. This decision has been reached unanimously between surgeons, anesthesiologists, perioperative nurses, pediatricians and neonatologists. Pediatric anesthesiologists must always be prepared to provide respiratory support to infants following spinal anesthesia. Dr. Williams commented that an important finding of the GAS trial is infant spinal anesthesia can be achieved effectively throughout the world. Regarding the practical aspects, Dr. Williams described experience with tetracaine, ropivacaine, hyperbaric and isobaric bupivacaine. He did not ...
Dilation of lymphatic vessels may contribute to iatrogenic dissemination of cancer cells during surgery. We sought to determine whether neuraxial anesthesia reduces regional lymphatic flow. Using nuclear lymphoscintigraphy, 5 participants receiving spinal anesthesia for brachytherapy had lower extremity lymph flow at rest compared with flow under conditions of spinal anesthesia. Six limbs were analyzed. Four limbs were excluded because of failure to demonstrate lymph flow (1 patient, 2 limbs), colloid injection error (1 limb), and undiagnosed deep vein thrombosis (1 limb). All analyzed limbs showed reduced lymph flow washout from the pedal injection site (range 62%-100%) due to neuraxial anesthesia. Lymph flow was abolished in 3 limbs. We report proof-of-concept that neuraxial anesthesia reduces lymphatic flow through a likely mechanism of sympathectomy ...
Baricity refers to the density of a substance compared to the density of human cerebrospinal fluid. Baricity is used in anesthesia to determine the manner in which a particular drug will spread in the intrathecal space. Solutions that have a baricity approaching 1.000 are referred to as isobaric, as the density of the cerebrospinal fluid is approximately 1.0003+/- 0.0003. Solutions with a baricity less than 0.999 are termed hypobaric, and are usually created by mixing the local anesthetic with distilled water. Hyperbaric solutions are created by mixing dextrose 5-8% with the desired local anesthetic. Hyperbaric solutions will flow in the direction of gravity and settle in the most dependent areas of the intrathecal space. Conversely, hypobaric mixtures will rise in relation to gravitational pull. These properties allow the anesthesia provider to preferentially control the spread of the block by choice of mixture and patient positioning. Barash, Paul G.; Cullen, Bruce F.; Stoelting, Robert K. F ...
Epidural and spinal blocks are types of anesthesia in which a local anesthetic is injected near the spinal cord and nerve roots. It blocks pain from an entire region of the body, such as the belly, the hips, the legs, or the pelvis. Epidural and spinal anesthesia are used mainly for surgery of the lower belly and the legs. Epidural anesthesia is often used in childbirth. But it can also be used to help control pain after major surgery to the belly or chest.. Epidural anesthesia involves the insertion of a hollow needle and a small, flexible catheter into the space between the spinal column and outer membrane of the spinal cord (epidural space) in the middle or lower back. The area where the needle will be inserted is numbed with a local anesthetic. Then the needle is inserted and removed after the catheter has passed through it. The catheter remains in place. The anesthetic medicine is injected into the catheter to numb the body above and below the point of injection as needed. The catheter is ...
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Background: Observational studies on pediatric anesthesia neurotoxicity have been unable to distinguish long-term effects of general anesthesia (GA) from factors associated with the need for surgery. A recent study on elementary school children who had received a single GA during the first year of life demonstrated an association in otherwise healthy children between the duration of anesthesia and diminished test scores and also revealed a subgroup of children with very poor academic achievement (VPAA), scoring below the fifth percentile on standardized testing. Analysis of postoperative cognitive function in a similar cohort of children anesthetized with an alternative to GA may help to begin to separate the effects of anesthesia from other confounders.. Methods: We used a novel methodology to construct a combined medical and educational database to search for these effects in a similar cohort of children receiving spinal anesthesia (SA) for the same procedures. We compared former patients ...
Introduction: Co-administration of phenylephrine prevents oxytocin-induced hypotension during caesarean section under spinal anaesthesia (SA), but higher doses cause reflex bradycardia. This study compares the effects of co-administration of two different doses of phenylephrine on oxytocin-induced hypotension during caesarean section under SA. Methods: In this prospective, double-blind study, 90 parturients belonging to the American Society of Anesthesiologists physical status 1 or 2, undergoing caesarean section under SA were randomised into Group A: oxytocin 3U and phenylephrine 50 μg, Group B: oxytocin 3U and phenylephrine 75 μg, Group C: oxytocin 3U and normal saline, administered intravenously over 5 min after baby extraction ...
Over the period 2010-2012, maternal mortality linked to anesthesia accounted for 2% of maternal deaths, with no significant change since 2007-2009. Of the 7 maternal deaths analyzed by the expert committee, anesthetic complications were in 5 cases the main cause of death: 4 attributed to direct causes related to anesthetic procedures during childbirth and 1 to indirect cause in connection with an ENT complication during pregnancy. The anesthetic causes of maternal mortality were for the 2010-2012 period: cardiac arrest under spinal anesthesia during caesarean section, local anesthetic intoxication with unsuccessful resuscitation after cardiac arrest without intralipid administration, acute respiratory distress syndrome in the postpartum period after pulmonary aspiration during caesarean section, cardiac arrest during caesarean section under general anesthesia in a context of non-Hodgkin lymphoma with mediastinal syndrome, unsuccessful endotracheal intubation in a context of cellulitis of the ...
Andrea Cortegiani, Giuseppe Accurso, Cesare Gregoretti. Should We Use Dexmedetomidine for Sedation in Parturients Undergoing Caesarean Section Under Spinal Anaesthesia?. Turk J Anaesthesiol Reanim. 2017; 45(5): 249- ...
PubMed journal article Crystalloid Coload Reduced the Incidence of Hypotension in Spinal Anesthesia for Cesarean Delivery, When Compared to Crystalloid Preload: A Meta-Analysi were found in PRIME PubMed. Download Prime PubMed App to iPhone or iPad.
The successful dural puncture rate on first attempt (primary outcome) was higher in groups LM and UM (77 and 73% respectively) than in group UP (42%; P , 0.001). The median number of attempts was lower in groups LM and UM (1 [1] and 1 [1-1.75] respectively) than in group UP (2 [1, 2]; P , 0.001). The median number of passes was lower in groups LM and UM (2 [0.25-3] and 2 [0-4]; respectively) than in group UP (4 [2-7.75]; P , 0.001). The time taken to perform the spinal anesthesia was not different between groups LM and UM (87.24 ± 79.51 s and 116.32 ± 98.12 s, respectively) but shorter than in group UP (154.58 ± 91.51 s; P , 0.001).. ...
Spinal anesthesia is still the regional anesthesia technique most widely employed in everyday clinical practice. The most feared and common of its well known...
Spinal anesthesia is also known as a sub-arachnoid block, or SAB. It is different from epidural anesthesia because it is administered with a needle. Due
Background: Metabolic syndrome (MS) is a constellation of factors associated with increased risk of developing cardiovascular diseases and Diabetes Mellitus. Despite of the many studies related to MS, little is known about its impact on scenarios such as surgical anesthesia. Objective: To examine the correlation between demographic and metabolic variables with the occurrence of perioperative complications in patients with MS undergoing scheduled surgeries using a spinal anesthesia technique in the surgery department at the University Clinic San Juan de Dios in Cartagena de Indias, Colombia. Methods: Observational, analytical, cross-sectional, single-center study of 150 subjects with MS and 150 control subjects. Perioperative complications, socio-demographic, hemodynamic and respiratory variables were registered. Groups were compared using t test, Fishers exact test or Chi-square, as appropriate. We applied a logistic multiple regression model, adjusted by backward stepwise at 0.25
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METHODS: Women undergoing elective repeat cesarean section with subarachnoid anesthesia (0.5% hyperbaric bupivacaine 8-10 mg and sufentanil 5 μg) were enrolled in a double-blind, randomized study. Patients in the S-Ketamine group (N.=28) received i.v. midazolam 0.02 mg/kg and S-Ketamine 0.5 mg/kg i.m. bolus 10 minutes after birth followed by a 2 μg/kg/min i.v. continuous infusion for 12 h. The control group (N.=28) received placebo. Paracetamol and patient controlled analgesia with intravenous morphine were given postoperatively. Von Frey filaments were used to assess pain threshold on the inner forearm and T10-T11 dermatomes (supposed hyperalgesic area ...
Lidenza patch controls high blood flow pressure and muscle pain but does not cure them. In this study, we showed that this prophylactic infusion consisting of Methyl salicylate significantly prevents the muscle pain following spinal anesthesia in cesarean section than patients who had disappeared not rec
R & D department of cdc national prevention information network (npin) continues experiments focused development on treatment chlamydia. Diagnostics of chlamydia is there normally done based solely on lower abdominal incisional pain. Leading role limited in manufacturing trichomoniasis is traditionally has taken by world - known cdc national prevention and information network (npin). To help prevent chlamydia development people must himself avoid age cohort under 24. In this study, we showed that prophylactic infusion of Flagyl significantly prevents trichomoniasis following spinal anesthesia in cesarean section than seventy patients who cither had not received in any prophylactic medicine. In plating the effective product planning group eight patients had our skin rash, hives, redness, or vulvar itching. It is not a secret that multiple sexual partners can be followed generally by trichomoniasis. Diagnostics of chlamydia is normally done based on with painful urination. In clinical trials ...
PEARLS Probably the most important factor contributing to success with spinal anesthesia in the day-to-day life of an anesthesiologist is the time efficiency of the technique. Use of spinal anesthesia cannot measurably add to the surgical day if nurses and surgeons are to be co-advocates of this technique. Thus, one should plan ahead to maximize efficiency. Often overlooked in this maxim is the fact that patient preparation for the operation can begin almost as soon as the block is administered if the patient is properly sedated.. Intraoperatively, during high spinal anesthesia (often during cesarean section) patients occasionally complain excessively of dyspnea. This often appears to be a result of loss of chest wall sensation rather than of significantly decreased inspiratory capacity. The loss of chest wall sensation does not allow the patient to experience the reassurance of a deep breath. This impediment to patient acceptance can often be overcome simply by asking the patient to raise a ...
Sensei - Sensation is lost less the head and chest be lowered, before the power of motion, which The eft'ect of spinal anesthesia on may therefore persist during the an- the circulation is to produce a reduc algesia if a weak solution of the lion in the pulse rate and blood-pres anesthetic is used.
Looking for online definition of low spinal anesthesia in the Medical Dictionary? low spinal anesthesia explanation free. What is low spinal anesthesia? Meaning of low spinal anesthesia medical term. What does low spinal anesthesia mean?
BACKGROUND: Shivering is a frequent event during spinal anesthesia and meperidine is a well-known effective drug for prevention and treatment of shivering. Nefopam is a non-opiate analgesic and also known to have an anti-shivering effect. We compared nefopam with meperidine for efficacy of prevention of shivering during spinal anesthesia. METHODS: Sixty five patients, American Society of Anesthesiologists physical status I or II, aged 20-65 years, scheduled for elective orthopedic surgery under spinal anesthesia were investigated. Patients were randomly divided into two groups, meperidine (Group M, n = 33) and nefopam (Group N, n = 32) groups. Group M and N received meperidine 0.4 mg/kg or nefopam 0.15 mg/kg, respectively, in 100 ml of isotonic saline intravenously. All drugs were infused for 15 minutes by a blinded investigator before spinal anesthesia. Blood pressures, heart rates, body temperatures and side effects were checked before and at 15, 30, and 60 minutes after spinal anesthesia. ...
The most common complication of spinal anesthesia is postdural puncture headache. Any injury of the dura may cause headache. After the injury of the dura, CSF leakage may occur and due to the tension of the veins between the cortex and the dural sinuses, subdural hematoma may be seen. Herein, we present a patient with persistent headache after the spinal anesthesia given during delivery of her baby, and emphasize a rare complication of spinal anesthesia which is subdural hematoma.. Keywords: Spinal anesthesia, headache, subdural ...
Case pain visual analog score persisted above 10 mm, patient was rejected and the same bupivacaines concentration was administered to the next patient.. Bupivacaines minimum analgesic concentration was calculated by Massey and Dixons formula 8.. Upper sensory block level and Bromage scores were compared between effective and ineffective concentrations by Mann-Whitney test. Significance level was established to 5%.. RESULTS. Demographics data of both samples are shown in table I.. Study I. Figure 1 shows the responses to different bupivacaine concentrations. Bupivacaines MAC-LA could not be calculated because data did not meet essential Massey and Dixon formulas requirements. There were 6 effective responses, 15 ineffective and 7 rejections. Mean bupivacaine concentration in this sample was 0.18% ±0.05%. Mean effective bupivacaine concentration was 0.19% ±0.07% and mean ineffective concentration was 0.18% ±0.055% (p,0.05). Median pain visual analog score (extremes) before bupivacaine ...
TY - JOUR. T1 - Combined spinal-epidural anesthesia for lumbar discectomy in a patient with asymptomatic severe aortic stenosis -a case report-. AU - Kim, Young Sung. AU - Park, Ji Hye. AU - Lee, Shin Young. AU - Lim, Byung Gun. AU - Kim, Heezoo. AU - Lee, Il Ok. AU - Kong, Myounghoon. PY - 2014/1/1. Y1 - 2014/1/1. N2 - The use of neuraxial anesthesia has traditionally been contraindicated in patients with severe aortic stenosis. However, general anesthesia can be riskier than neuraxial anesthesia for severe aortic stenosis patients undergoing spinal surgeries in the prone position as this can cause a major reduction in cardiac output secondary to diminished preload. In addition, general anesthesia, muscle relaxation, and positive-pressure ventilation can decrease venous return and reduce vascular tone, further compromising cardiac output. Combined spinal-epidural anesthesia with closely monitored, careful titration of the local anesthetic dose can be an efficient and safe anesthetic method for ...
This randomized, double-blind study was designed to compare between sequential combined spinal epidural anesthesia versus epidural volume extension in lower limb surgery as regards hemodynamics, sensory, and motor blocks. In this randomized, double-blind, prospective study, 80 patients scheduled for lower limb surgery were divided into two groups: sequential combined spinal epidural (SCSE) group in which small doses of local anesthetic was injected in epidural space after low-dose spinal anesthesia and epidural volume extension (EVE) group in which 10 ml saline was injected in epidural space after low-dose spinal anesthesia. Hemodynamics, anesthesia readiness time, degree of motor block, time to regression of sensory block, and side effects were measured. Hemodynamic changes were insignificant. Anesthesia readiness time was significantly faster in EVE group. Motor block and sensory block were better in SCSE. Postoperative bupivacaine consumption was statistically insignificant between the two groups.
The use of neuraxial anesthesia in patients with type I ACM with or without syringomyelia has been reported in several cases of obstetric deliveries (8-12) and in one small retrospective case series (13). In two case reports, the ACM was unknown at the time of delivery and only diagnosed subsequently because of adverse neurological outcomes (8,10). In the first case, spinal anesthesia was performed for Cesarean delivery; a postdural puncture headache was unsuccessfully treated with a blood patch on Day 6 postpartum, and subsequent MRI resulted in the diagnosis of type I ACM. After prolonged steroid therapy, the postdural puncture headache resolved (10). In the second case, an inadvertent dural puncture during labor analgesia was complicated two weeks later by nystagmus and oscillopsia; a type I ACM was diagnosed and treated with decompressive surgery (8). Since then, two publications reported the uneventful use of epidural anesthesia for Cesarean deliveries in women with diagnosed type 1 ACM: ...
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BACKGROUND AND OBJECTIVE: Transurethral prostatectomy is routinely performed under spinal anaesthesia. This technique can cause hypotension, which is particularly undesirable in the elderly. The objective was to compare spinal anaesthesia for transurethral prostatectomy using hyperbaric bupivacaine 15 mg (control group) and hyperbaric bupivacaine 10 mg (limiting spread by maintaining the upright position for 15 min) and fentanyl 25 microg (fentanyl group) in terms of haemodynamic and pulmonary function. METHODS: Thirty ASA I-III patients were randomly selected and underwent spinal anaesthesia with either hyperbaric bupivacaine 15 mg (immediately positioned supine) or hyperbaric bupivacaine 10 mg (upright for 15 min) and fentanyl 25 microg. RESULTS: The greatest changes in mean arterial pressure (P = 0.9), ephedrine requirements (P = 0.8) and mean maximum change in forced vital capacity (P = 0.5) were similar in both groups. CONCLUSIONS: The addition of fentanyl 25 microg to bupivacaine 10 mg and ...
TY - JOUR. T1 - Postoperative urinary retention in patients undergoing elective spinal surgery. AU - Altschul, David. AU - Kobets, Andrew J.. AU - Nakhla, Jonathan. AU - Jada, Ajit. AU - Nasser, Rani. AU - Kinon, Merritt D.. AU - Yassari, Reza. AU - Houten, John. N1 - Publisher Copyright: ©AANS, 2017. Copyright: Copyright 2017 Elsevier B.V., All rights reserved.. PY - 2017/2. Y1 - 2017/2. N2 - OBJECTIVE: Postoperative urinary retention (POUR) is a common problem leading to morbidity and an increased hospital stay. There are limited data regarding its baseline incidence in patients undergoing spinal surgery and the risk factors with which it may be associated. The purpose of this study was to evaluate the incidence of POUR in elective spine surgery patients and determine the factors associated with its occurrence. METHODS: The authors retrospectively reviewed the records of patients who had undergone elective spine surgery and had been prospectively monitored for POUR during an 18-month period. ...
This study will investigate the effects of ondansetron on haemodynamics in female patients undergoing elective caesarean deliveries under spinal anaesthesia.
Background and purpose - Postoperative urinary retention (POUR) is a clinical challenge, but there is no scientific evidence for treatment principles. We describe the incidence of and predictive factors for POUR in fast-track total hip (THA) and knee arthroplasty (TKA). Patients and methods - This was a prospective observational study involving 1,062 elective fast-track THAs or TKAs, which were performed in 4 orthopedics departments between April and November 2013. Primary outcome was the incidence of POUR, defined by postoperative catheterization. Age, sex, anesthetic technique, type of arthroplasty, and preoperative international prostate symptom score (IPSS) were compared between catheterized and non-catheterized patients. Results - The incidence of POUR was 40% (range between departments: 30-55%). Median bladder volume evacuated by catheterization was 0.6 (0.1-1.9) L. Spinal anesthesia increased the risk of POUR (OR = 1.5, 95% CI: 1.02-2.3; p = 0.04) whereas age, sex, and type of ...
The development of Prothrombin Complex Concentrates (PCCs) has led to better outcomes in patients receiving emergency reversal of warfarin. However, most published data describes the use of PCCs in the setting of major bleeding or emergent major surgery, with little information on neuraxial blockade. We describe a case of rapid warfarin reversal using PCC and subsequent surgery under spinal anaesthesia in an 87-year-old lady, for whom general anaesthesia was deemed high risk. Her international normalised ratio (INR) on the morning of surgery was 1.8, precluding neuraxial blockade; however, it was felt that given, the need for imminent surgery, immediate reversal of the warfarin was indicated. We administered a single dose of 23 units/kg PCC and 5 mg vitamin K. Her INR 1 hour following PCC was 1.2, and spinal anesthetic was administered. The patient then underwent excision of melanoma deposits from her leg and groin dissection. There were no complications, the patient recovered
Case presentation We report a case of a 68-year-old man who developed postoperative paraplegia and hypoesthesia after spinal anesthesia for an otherwise uncomplicated transurethral resection of the prostate. Acute transverse myelitis was diagnosed based on urgent MRI. A prior history of similar though less severe neurological symptoms after obinutuzumab treatment for follicular lymphoma suggested a potential causative role for obinutuzumab, a novel monoclonal antibody that has not been associated with such devastating neurological side effects yet. High-dose steroid treatment partially attenuated the symptoms, but debilitating hypoesthesia and motor deficit remained present 3 months postoperatively. ...
A comparative study of Lichtenstein hernioplasty performed under spinal anaesthesia versus local anaesthesia in treatment of unilateral inguinal hernia
Spinal injections, also referred to as spinal blocks, is the administration of a medicine directly into a specific area of the spine. They can be used to treat a variety of conditions that affect the spine anywhere from the upper cervical spine to the sacrum.. Injection treatments can help diagnose and relieve neck or back pain that may radiate into the patients arms and legs (eg, cervical radiculopathy, lumbar radiculopathy). A spinal injection for diagnostic or treatment purposes may be included as part of your multidisciplinary treatment plan that could include medication and physical therapy.. Type of medication is in the spinal injection. The spinal injection is usually comprised of either a local anesthetic alone, steroid alone, but commonly a combination of a local anesthetic and steroid. Another name for steroid is corticosteroid; a powerful anti-inflammatory medication. Sometimes a contrast medium (x-ray dye) is added to the injection mixture to help guide accurate placement of the ...
INTRODUCTION. Even when performed with the proper technique, spinal anesthesia carries the risk of bleeding. Compression of the nervous tissue secondary to the formation of a hematoma can cause neurological damage 1,2, which, if not diagnosed and treated in a timely fashion, can result in permanent damage 3.. After regional anesthesia, bleeding disorders are the greatest risk factors for the development of spinal hematoma 2,3, although there are other known factors, such as difficult or traumatic insertion of the needle. Due to the lack of randomized clinical trials, the risk of hematoma is unknown in patients receiving antithrombotic treatment 4-6. Considering that the incidence of hematoma is extremely low, those studies would have to include a large number of patients, above 100,000, which is not feasible. The literature stresses the importance of monitoring the patient, especially taking into consideration that retrospective analysis demonstrated that the early diagnosis and surgical ...
Partial paralysis from spinal anesthesia Plaintiff lost partial use of leg. By Nick Upmeyer STAFF REPORTER The negligent administration of an anesthetic prior to knee replacement surgery has cost an anesthesiologist, his medical group and a Chicago hospital $12.6 million. The malpractice resulted in a spinal cord injury that left the plaintiff with partial paralysis of his right leg. At 68-years-old, James York, a retired orthopedic surgeon, was active and healthy, spending
Definition of high spinal anesthesia. Provided by Stedmans medical dictionary and Drugs.com. Includes medical terms and definitions.
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Cases of epidural or spinal hemorrhage and subsequent hematomas have been reported with the use of Lovenox and epidural or spinal anesthesia/analgesia or spinal puncture procedures, resulting in long-term or permanent paralysis. The risk of these events is higher with the use of post-operative indwelling epidural catheters, with the concomitant use of additional drugs affecting hemostasis such as NSAIDs, with traumatic or repeated epidural or spinal puncture, or in patients with a history of spinal surgery or spinal deformity [see Boxed Warning, Adverse Reactions (6.2) and Drug Interactions (7)]. To reduce the potential risk of bleeding associated with the concurrent use of enoxaparin sodium and epidural or spinal anesthesia/analgesia or spinal puncture, consider the pharmacokinetic profile of enoxaparin [see Clinical Pharmacology (12.3)]. Placement or removal of an epidural catheter or lumbar puncture is best performed when the anticoagulant effect of enoxaparin is low; however, the exact ...
DALBORA P, JORGE et al. Risk factors for acute urinary retention after spinal surgery. Rev Chil Cir [online]. 2008, vol.60, n.2, pp.139-144. ISSN 0718-4026. http://dx.doi.org/10.4067/S0718-40262008000200010.. Background: The identified risk factors for acute urinary retention after spinal anesthesia are the dose and duration of anesthesia, old age and ano rectal surgical procedures. Aim: To assess the prevalence and risk factors of acute urinary retention in the program of ambulatory surgery with spinal anesthesia. Material and methods: Descriptive case control study. The medical records of 859 patients operated with spinal anesthesia between 2003 and 2006 were reviewed, and 18 patients aged 52 + 16 years, that had an acute urinary retention, were identified. Forty vive randomly chosen patients aged 46 + 14 years, without urinary retention were analyzed as controls. Results: The calculated prevalence of acute urinary retention was 2.8%. Male sex, an age over 50 years and hernia surgery were ...
Duration of analgesia, sensory and motor blockade and intra operative hemodynamic changes caused by intrathecal bupivacaine, bupivacaine plus clonidine and bupivacaine plus dexmedetomidine in spinal anesthesia: prospective, comparative study
Aim and Objectives: We sought to compare the hemodynamic effects of 5 international unit (IU) and 10 IU of intravenous (IV) boluses of oxytocin and their efficacy in reducing blood loss during cesarean section and also to determine the incidence of postoperative nausea and vomiting (PONV) and postdural puncture headache (PDPH). Patients and Methods: One hundred and ten parturients of American Society of Anesthesiologists I and II scheduled for cesarean section under spinal anesthesia were randomized into two groups. Group A (n = 55) received 5 IU IV bolus of oxytocin and Group B (n = 55) received 10 IU IV bolus of oxytocin after delivery. Ten milliliters per kilogram of 0.9% saline was administered to both groups as volume preload. Subarachnoid block was performed with size 24G spinal needles at L2/L3 or L3/L4 intervertebral space with the patients in sitting position. Two milliliters of 0.5% heavy bupivacaine was administered slowly intrathecally. Following delivery of the baby, IV boluses of ...
Involuntary movement during and after neuraxial anesthesia, such as spinal and epidural anesthesia, is rarely observed. In this report, we describe a case of myoclonus-like involuntary movement of the upper extremities in a patient undergoing a planned repeat cesarean section under spinal anesthesia with bupivacaine that completely subsided after 2mg midazolam administration. The myoclonus-like movement never recurred or caused any apparent neurological side effects. No abnormal sensation or spontaneous pain of the upper extremities was observed. The patient was discharged on foot on post-operative day 3.
The patient should be sitting or lying on their side. Back flexion opens the intervertebral spaces. The back is cleaned using standard antiseptic solution. The anaesthetist should adopt an aseptic technique. Aim to identify the L3/4, L4/5 or L5/S1 interspace (use Tuffiers line). The chosen interspace is infiltrated with local anaesthetic. The spinal needle is inserted in the midline, aiming slightly cranially. Resistance increases as the ligamentum flavum is entered and when the dura is encountered, with a sudden give as the dura is pierced. Correct placement of the needle is confirmed by cerebrospinal fluid at the hub.. The paramedian approach requires less back flexion (may be limited in certain patients). Infiltrate with local anaesthetic 1.5 cm lateral to the cranial border of the spinous process at the interspace. Aim the needle medially and cranially until the resistance of the ligamentum flavum is felt. If the lamina is engaged, walk the needle off its cranial edge.. ...
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Rollins M, Lucero J. Overview of anesthetic considerations for Cesarean delivery. British Medical Bulletin [Internet]. Oxford University Press (OUP); 2012 Jan 4;101(1):105-25. Available from: https://doi.org/10.1093/bmb/ldr050 DOI: https://doi.org/10.1093/bmb/ldr050 Carrie les. Extradural, spinal or combined block for obstetric surgical anaesthesia. British Journal of Anaesthesia [Internet]. Elsevier BV; 1990 Aug;65(2):225-33. Available from: https://doi.org/10.1093/bja/65.2.225 DOI: https://doi.org/10.1093/bja/65.2.225 Marucci M, Diele C, Bruno F, Fiore T. Subarachnoid anaesthesia in caesarean delivery: effects on alertness. Minerva anestesiologica. 2003 Nov;69(11):809-24. Danielak-Nowak M, Musioł E, Arct-Danielak D, Duda I, Ludwik K. A comparison of subhypnotic doses of propofol and midazolam during spinal anaesthesia for elective Caesarean section. Anestezjologia Intensywna Terapia [Internet]. Termedia Sp. z.o.o.; 2016 Mar 11;48(1):13-8. Available from: https://doi.org/10.5603/ait.2016.0003 ...
Most cesarean sections are done with epidural or spinal anesthesia, used to numb sensation in the abdominal area. Only in an emergency situation or when an epidural or spinal anesthesia cannot be used or is a problem would fast-acting general anesthesia be used to make you unconscious for a cesarean birth.. The hospital may send you instructions on how to get ready for your surgery, or a nurse may call you with instructions before your surgery.. In preparation for a cesarean section, your arms are secured to the table for your safety, and a curtain is hung across your chest. A tiny intravenous (IV) tube is placed in your arm or hand; you may be given a sedative through the IV to help you relax. A catheter is inserted into your bladder to allow you to pass urine during and after the surgery. Your upper pubic area may be shaved, and the abdomen and pubic area are washed with an antibacterial solution. The incision site may be covered with an adhesive plastic sheet, or drape, to protect the ...
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The objectives were to produce clinical local electroanesthesia (EA) of the extremities, and produce electrical spinal anesthesia in monkeys. A form of anesthesia of the hand which entailed very severe muscle spasm was produced. The anesthesia was judged to be adequate for minor surgery but not enough to offset the pain of muscle spasm of the arm above the area of anesthesia. Several hundred applications were made, using current across and/or along the nerve course and in every application muscle spasm predominated. Electrode placement, current crossings, current patterns, waveforms, frequencies, and duty cycles were studied using monkeys in a great number of current applications. The authors did not produce electrical spinal anesthesia by any pattern which did not involve a puncture of the dura. Every application produced muscle spasm.*Anesthesia
مجله علمی دانشگاه علوم پزشکی و خدمات درمانی بیرجند . داراي رتبه علمي- پژوهشي از كميسيون نشريات علوم پزشكي كشور Journal of Birjand University of Medical Sciencesfrom iran
Transurethral resection of the prostate, or TURP, is a surgical procedure during which part of the prostate gland is removed.. The prostate is a walnut-sized gland in men that is located at the base of the bladder where it wraps around the urethra.. A TURP is often performed for a condition called benign prostatic hyperplasia. In this non-cancerous condition, the prostate enlarges to the point of causing difficulty with urination.. A TURP may also be performed in patients with prostate cancer to relieve bladder obstruction.. When you arrive at the hospital for your surgery, an intravenous line will be started. You may be given antibiotics to decrease your chance of infection.. A TURP may be performed under general or spinal anesthesia.. If you are given general anesthesia, you will be unconscious and a breathing tube will be inserted into your throat to help you breathe for the duration of the operation.. If you receive spinal anesthesia, you will remain conscious and the lower half of your body ...
What to expect Patients are sedated and given a general anesthesia or spinal anesthesia. Spinal anesthesia is injected in the low back into the space around the spinal cord. This numbs the spine and lower limbs. This one to three hour surgery is usually done with the patient kneeling face down in a special frame. The frame supports the patient so the abdomen is relaxed and free of pressure. This position lessens blood loss during surgery and gives the surgeon more room to work. The surgeon will make a straight incision over the desired vertebrae and down the lamina, or bony arches of the vertebrae. The doctor will then remove the ligament joining the vertebrae as well as all or part of the lamina in order to see the nerve root. The surgeon will then pull the nerve root back to the center of the spinal column and remove the disk, or part of the disk. The doctor will close the incision and the patients large back muscle will protect the spine or nerve roots. How to prepare Patients will be ...
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Background Both accidental and perioperative hypothermia are common in the elderly. The elderly are at risk because their responses to hypothermia may be delayed or less efficient than in those of younger subjects. For example, the vasoconstriction threshold during isoflurane anesthesia is [nearly equal] 1 degree Celsius less in elderly than younger patients. However, the extent to which other cold defenses are impaired in the elderly remains unclear, especially in those older than 80 yr. Operations suitable for spinal anesthesia provided an opportunity to quantify shivering thresholds in patients of varying ages. Accordingly, the hypothesis that the shivering threshold is reduced as a function of age during spinal anesthesia was tested ...
Development and Testing of a Curriculum for Teaching Informed Consent for Spinal Anesthesia to Anesthesiology Residents Abstract.
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... epidural anesthesia combined with general anesthesia). *Abdominal surgery (epidural anesthesia/spinal anesthesia, often ... spinal/epidural anesthesia). *Bone and joint surgery of the pelvis, hip, and leg (spinal/epidural anesthesia, peripheral nerve ... plexus anesthesia). Spinal anesthesia and epidural anesthesia merge into the central nervous system. ... Within a few years, spinal anesthesia became widely used for surgical anesthesia and was accepted as a safe and effective ...
Drasner K. Chloroprocaine spinal anesthesia: back to the future? Anes analg 2005; 100: 549-52. ... "Comparison of bupivacaine and 2-chloroprocaine for spinal anesthesia for outpatient surgery: a double-blind randomized trial." ... Observation of Spinal Nerve Root Degeneration." Anesthesia & Analgesia 75.6 (1992): 895-899. ... It is not used in intravenous regional anesthesia due to the risk of thrombophlebitis.[citation needed] ...
Tsai, Tony; Greengrass, Roy (2007). "Spinal Anesthesia". In Hadzic, Admir (ed.). Textbook of Regional Anesthesia and Acute Pain ... Spinal anesthesia: The Bezold-Jarisch reflex has been suggested as a possible cause of profound bradycardia and circulatory ... collapse after spinal anesthesia and interscalene brachial plexus block. Vaso-vagal syncope: the role of the Bezold-Jarisch ... Miller's Anesthesia Ch.52 Pg. 1642 Smith, M. L. (May 1994). "Mechanisms of vasovagal syncope: relevance to postflight ...
People can be administered local anesthesia, a spinal block, as well as general anesthesia.[9] Local anesthesia has been shown ... "Spinal or local anesthesia in lichtenstein hernia repair: a randomized controlled trial". Annals of Surgery. 247 (3): 428-433. ... However, people who undergo general anesthesia tend to be able to go home faster and experience fewer complications.[14][15][2] ... Upon awakening from anesthesia, patients are monitored for their ability to drink fluids, produce urine, as well as their ...
In 1925, Yudin published the book "Spinal Anesthesia". In 1926 this book was awarded the F.A. Rein prize by the All-Soviet ... Yudin S. Spinal anesthesia. Serpukhov: Nabat; 1922. Yudin S. A guest of American surgeons. Novi Khirurgichesky Archiv (Russian ...
... general anesthesia, spinal, local. Les pestiférés de Saint-Jean d'Acre et de Jaffa : un épisode de la vie de Desgenettes : ... La rachianesthésie, sa valeur et sa place actuelle dans la pratique, 1930 - Spinal anaesthesia, its value and its present place ... Précis d'anesthésie chirurgicale; anesthésies générale, rachidienne, locale, 1934 - Precise surgical anesthesia; ...
He was the first to perform spinal anesthesia and intravenous regional anesthesia. Bier began his medical education at the ... On 16 August 1898, Bier performed the first operation under spinal anesthesia at the Royal Surgical Hospital of the University ... Therefore, Bier suggested "cocainization" of the spinal cord as an alternative to general anesthesia. Bier injected 15 mg of ... Wulf, HFW (1998). "The centennial of spinal anesthesia". Anesthesiology. 89 (2): 500-6. doi:10.1097/00000542-199808000-00028. ...
"Pharmacological characterization of noroxymorphone as a new opioid for spinal analgesia". Anesthesia and Analgesia. 106 (2): ... Oxycodone overdose has also been described to cause spinal cord infarction in high doses and ischemic damage to the brain, due ... Defalque RJ, Wright AJ (October 2003). "Scophedal (SEE) was it a fad or a miracle drug?". Bulletin of Anesthesia History. 21 (4 ... Davis PJ, Cladis FP (15 October 2016). Smith's Anesthesia for Infants and Children E-Book. Elsevier Health Sciences. pp. 234-. ...
"Pharmacological characterization of noroxymorphone as a new opioid for spinal analgesia". Anesthesia and Analgesia. 106 (2): ...
It was used mostly in spinal anesthesia. Dimethylaminopivalophenone, an opioid with a similar structure-activity relationship ( ...
Harry W. Martin, M.D.; Rachel E. Arbuthnot, M.D. Spinal Anesthesia. A Review Of More Than Six Thousand Cases In The Los Angeles ...
"Use of a spinal Cord Stimulator for Treatment of Martorell Hypertensive Ulcer". Regional Anesthesia and Pain Medicine. 36 (1): ...
Canadian Journal of Anesthesia. 35 (3): 242-248. doi:10.1007/BF03010617. PMID 3383316. "ATC/DDD Index 2021: code C02DB". WHO ... "Additive effects of dihydralazine during enflurane or isoflurane hypotensive anaesthesia for spinal fusion". ...
... designed for use with combined spinal epidural anesthesia. Though Ralph L. Huber (1915-2006), a Seattle dentist was the ... "The Evolution of Spinal and Epidural Needles : From the Origins to the Current". Cothon.Net. Frölich, MA; Caton, D (July 2001 ... To provide continuous epidural analgesia or anesthesia, a small hollow catheter may be threaded through the epidural needle ... Frölich, MA; Caton, D (July 2001). "Pioneers in epidural needle design". Anesthesia and Analgesia. 93 (1): 215-20. doi:10.1097/ ...
Either a general or a spinal anesthesia is administered. Traditionally a myomectomy is performed via a laparotomy with a full ...
"Ultrastructure of Spinal Pia Mater." In Atlas of Functional Anatomy for Regional Anesthesia and Pain Medicine. Switzerland: ... Dura mater: farthest from the brain and spinal cord. Problems with the meninges[change , change source]. Because the meninges ... The meninges are the membranes that surround and protect the brain and the spinal cord. In mammals, the meninges have three ... The pia mater (or "pia") is the layer of the meninges that is closest to the brain and spinal cord. It is a thin, delicate ...
It is a common side-effect of spinal anesthesia and lumbar puncture. Leakage of cerebrospinal fluid puncture causes reduced ... Using a pencil point rather than a cutting spinal needle decreases the risk.[2] The size of the pencil point needle does not ... Using a pencil point rather than a cutting spinal needle decreasing the risk.[2] The size of the pencil point needle does not ... Zorrilla-Vaca, A; Mathur, V; Wu, CL; Grant, MC (July 2018). "The Impact of Spinal Needle Selection on Postdural Puncture ...
It is usually done under general anesthesia or spinal anesthesia. A retrograde pyelogram is done to locate the stone in the ...
Marx, GF (1994). "The first spinal anesthesia. Who deserves the laurels?". Regional Anesthesia. 19 (6): 429-30. PMID 7848956. ... Although Bier properly deserves credit for the introduction of spinal anesthesia into the clinical practice of medicine, it was ... On August 16, 1898, German surgeon August Bier (1861-1949) performed surgery under spinal anesthesia in Kiel. Following the ... Wulf, HFW (1998). "The centennial of spinal anesthesia". Anesthesiology. 89 (2): 500-6. doi:10.1097/00000542-199808000-00028. ...
Spinal anesthesia results in a blockade of the micturition reflex. Spinal anesthesia shows a higher risk of postoperative ... Anesthesia: General anesthetics during surgery may cause bladder atony by acting as a smooth muscle relaxant. General ... Tethered spinal cord syndrome Psychogenic causes (psychosocial stresses, fear associated with urination, paruresis ("shy ... Nerve problems can occur from diabetes, trauma, spinal cord problems, stroke, or heavy metal poisoning. Medications that can ...
Anesthesia and Analgesia. 112 (2): 454-9. doi:10.1213/ANE.0b013e3182025b15. PMID 21081778. S2CID 12295407. Hook MA, Washburn SN ... "An IL-1 receptor antagonist blocks a morphine-induced attenuation of locomotor recovery after spinal cord injury". Brain, ... "Possible involvement of toll-like receptor 4/myeloid differentiation factor-2 activity of opioid inactive isomers causes spinal ... "Ultra-low dose naloxone upregulates interleukin-10 expression and suppresses neuroinflammation in morphine-tolerant rat spinal ...
... or nonselective inhibitors on pain behavior and spinal Fos-like immunoreactivity". Anesthesia and Analgesia. 106 (3): 972-7, ... "A review of perioperative anesthesia and analgesia for infants: updates and trends to watch". F1000Research. 6: 120. doi ...
Sawaki, K., and Kawaguchim, M. "Some Correlations between procaine-induced convulsions and monoamides in the spinal cord of ... Vasoconstriction helps to reduce bleeding, increases the duration and quality of anesthesia, prevents the drug from reaching ... Vasoconstrictors in local anesthesia for dentistry. Anesth Prog. 1992;39:187-93. ...
"Research and clinical observations on spinal anesthesia: with special reference to the peridural technique" (PDF). Anesthesia ... Epidural procedure History of neuraxial anesthesia Odom's indicator Dogliotti, AM (1933). " ...
Another spinal indication for the Tessys procedure would be cauda equina syndrome, in a case where conservative methods of ... The patient remains responsive, and typically general anesthesia is not necessary. The surgeon removes the herniated disc ... This surgical method for spinal disc herniations is especially gentle for the patient. During the procedure, the patient is ... Utilizing Tessys via nature's entry point, also known as Kambin's Triangle, preserves the stability of the spinal column. The ...
Nitrous Oxide Anesthesia Is Faster than After an Isoflurane-Nitrous Oxide-Fentanyl Combination in Elderly Patients. Anesthesia ... The Effect of Intraoperative Infusion of Dexmedetomidine on the Quality of Recovery After Major Spinal Surgery. Journal of ... Anesthesia and Analgesia, 1251-1253. Bekker, A., Cooper, P. R., Frempong-Boadu, A., Babu, R., Errico, T., & Lebovits, A. (2002 ... He was invited to be a member of the Editorial Board of the Journal of Neurosurgical Anesthesia and Critical Care in 2006. In ...
"The non-NMDA glutamate receptor antagonist CNQX augments lidocaine antinociception through a spinal action in rats". Anesthesia ...
He was also a pioneer in the use of lumbar spinal anesthesia. In 1936, he was invited to address the Second International ...
In "central sensitization," nociceptive neurons in the dorsal horns of the spinal cord become sensitized by peripheral tissue ... Also, newborns who are circumcised without anesthesia have shown tendencies to react more greatly to future injections, ...
A main focus of neuroscience is the biology and physiology of the human brain and spinal cord. Some related clinical ... or anesthesia. Most of these have branched from one or other of the two camps above; for example anaesthesia developed first as ... Neurological (consciousness, awareness, brain, vision, cranial nerves, spinal cord and peripheral nerves) ... Anesthesia & Analgesia. 116 (6): 1360-1363. doi:10.1213/ANE.0b013e31828f2d5e. PMID 23709076.. ...
Spinal manipulation, which chiropractors call "spinal adjustment" or "chiropractic adjustment", is the most common treatment ... such as manipulation under anesthesia, involves sedation or local anesthetic and is done by a team that includes an ... spinal manipulation was ineffective at treating any condition.[9] Spinal manipulation may be cost-effective for sub-acute or ... "Spinal manipulation for primary and secondary dysmenorrhoea". Cochrane Database of Systematic Reviews. 3 (3): CD002119. doi: ...
Spinal α2 and α3 containing GABAA receptors are responsible for the anti-hyperalgesic action of intrathecal diazepam. This was ... Hans Selye demonstrated in the 1940 that certain pregnane steroids could cause both anesthesia and sedation[4] but 40 years ... GABAA receptors in the periaqueductal gray are pro-nociceptive at supraspinal sites while GABAA that are found in the spinal ... Additionally, studies in α5 mice showed that the spinal α5-containing GABAA receptor has a minor role in inflammatory pain. An ...
Additionally, Strauss has published on peripheral and central line catheters, anesthesia and surgical devices, safety injection ... devices, sharps disposal units, spinal and epidural catheters and vaccination devices. The retreat for health artists, Le ...
陰部麻醉(英语:Pudendal anesthesia)也稱為阴部神经阻滞,或鞍神经阻滞(saddle nerve block),是產科使用的局部麻醉,可在分娩時麻醉陰部[16]。此麻醉方式會在陰道內壁注射利多
... or spinal (regional) anesthesia. The procedure may be performed either immediately after the end of a pregnancy, termed a " ... which may be performed under local anesthesia, moderate sedation, or full general anesthesia.[16] While no methods of ... If the patient chooses an interval tubal ligation, the procedure will typically be performed under general anesthesia in a ... Risks associated with surgery and anesthesia[edit]. Most tubal ligation procedures involve accessing the abdominal cavity ...
"American Heart Association; American Stroke Association Stroke Council; Council on Cardiovascular Surgery and Anesthesia; ... dan spinal cord stroke.[9] ICH lebih lanjut terbagi menjadi parenchymal hemorrhage, hemorrhagic infarction, dan punctate ... Council on Cardiovascular Surgery and Anesthesia; Council on Cardiovascular Radiology and Intervention; Council on ...
Birth defects, such as spinal curvature, a small jawbone, or a small head sometimes occur along with CP. Symptoms may appear or ... Gynecological examinations may have to be performed under anesthesia due to spasticity, and equipment is often not accessible. ... which comes from spinal cord injury or traumatic brain injury, should not be confused with spastic quadriplegia, which does not ... "Management of spinal deformity in cerebral palsy: conservative treatment". Journal of Children's Orthopaedics. 7 (5): 415-418 ...
Spinal shock. Organ failure. Acute renal failure. Acute respiratory distress syndrome. Acute liver failure. Respiratory failure ...
López, T; Sánchez, FJ; Garzón, JC; Muriel, C (2012 Jan). "Spinal anesthesia in pediatric patients". Minerva anestesiologica 78 ...
Binds to the α2δ-1 subunit of voltage gated calcium ion channels in the spinal cord. May also modulate NMDA receptors and ... Anesthesia and Analgesia. 114 (2): 424-33. doi:10.1213/ANE.0b013e3182334d68. PMID 21965355.. ...
Vasoconstriction helps to reduce bleeding, increases the duration and quality of anesthesia, prevents the drug from reaching ... "Some correlations between procaine-induced convulsions and monoamines in the spinal cord of rats". Japanese Journal of ... "Vasoconstrictors in local anesthesia for dentistry". Anesthesia Progress. 39 (6): 187-93. PMC 2148619. PMID 8250339 ... but for this surgeons preferred general anesthesia. Dentists, however, found it very useful.[7] ...
Complete blockade of all NMDA receptor activity results in side effects such as hallucinations, agitation and anesthesia. To be ... "Minocycline targets multiple secondary injury mechanisms in traumatic spinal cord injury". Neural Regeneration Research. 12 (5 ...
Rahn R, Ball B (2001). Local Anesthesia in Dentistry: Articaine and Epinephrine for Dental Anesthesia (1 st ed.). Seefeld, ... Epinephrine/adrenaline is frequently combined with dental and spinal anesthetics and can cause panic attacks in susceptible ... Currently the maximum recommended daily dosage for people in a dental setting requiring local anesthesia with a peripheral ... patients at a time when they may be unable to move or speak due to twilight anesthesia.[32] ...
Anesthesia[edit]. A target tidal volume of 6 mL/kg of predicted body weight (PBW) and a plateau pressure less than 30 cm H2O is ... Spinal shock. Vasodilatory shock. Organ failure. Acute renal failure. Acute respiratory distress syndrome. Acute liver failure ... General anesthesia is recommended for people with sepsis who require surgical procedures to remove the infective source. ...
"Trauma: Emergency Resuscitation, Perioperative Anesthesia, Surgical Management. 1. New York: CRC Press. p. 18. ISBN 978- ...
An EEG will therefore be flat, though this is sometimes also observed during deep anesthesia or cardiac arrest.[17] Although in ... these cells come from the spinal cord. Sometimes these body movements can cause false hope for family members. ... Jan 2001). "Intracranial electroencephalographic changes in deep anesthesia". Clin Neurophysiol. 112 (1): 25-30. doi:10.1016/ ... "Difficulty in brainstem death testing in the presence of high spinal cord injury". British Journal of Anaesthesia. 92 (5): 762 ...
Regional Anesthesia and Pain Medicine. *Revista Brasileira de Anestesiologia. Psiquiatria[editar , editar código-fonte]. * ... Journal of Spinal Disorders & Techniques (página oficial). *Journal of Studies on Alcohol (JSAD.com) ...
EEG under general anesthesia depends on the type of anesthetic employed. With halogenated anesthetics, such as halothane or ... Spinal cord and spinal canal. *Spinal decompression. *Discectomy. *Intervertebral disc annuloplasty. *Cordotomy ... Additionally, EEG may be used to monitor the depth of anesthesia, as an indirect indicator of cerebral perfusion in carotid ... depth of anesthesia, coma, encephalopathies, and brain death. EEG used to be a first-line method of diagnosis for tumors, ...
... is a medication and stimulant.[1] It is often used to prevent low blood pressure during spinal anesthesia.[1] It has ...
... spinal epidural abscess, spinal epidural hematoma, proximal diabetic neuropathy, Tarlov cysts, or, more rarely, sarcoidosis, ... Cauda equina syndrome should be investigated in case of saddle anesthesia, loss of bladder or bowel control, or leg weakness.[3 ... "Journal of Spinal Disorders & Techniques. 28 (5): E251-9. doi:10.1097/BSD.0000000000000284. PMID 25985461.. ... In a radiculopathy, the problem occurs at or near the root of the nerve, shortly after its exit from the spinal cord. However, ...
Hemmings, Hugh C.; Egan, Talmage D. (2013). Pharmacology and Physiology for Anesthesia: Foundations and Clinical Application: ... and are also in the spinal cord and digestive tract. ...
"Anesthesia: Essays and Researches. 8 (3), s. 283-90. doi:10.4103/0259-1162.143110. PMC 4258981 $2. PMID 25886322.. ... Düşük dozlarda spinal veya epidural anestezi/analjeziyi desteklemek için.. Ağrı kesici[değiştir , kaynağı değiştir]. Ameliyat ... 1 Anesthesia and Analgesia in Rodents, Washington College, 2012, ss. 1-2, 4 August 2013 tarihinde kaynağından arşivlendi, ... Stunkard, JA; Miller, JC (September 1974). "An outline guide to general anesthesia in exotic species". Veterinary Medicine, ...
en:Spinal cord injury (20) *en:Spinal disease (2). *en:Spinal fusion (9) ... en:History of general anesthesia (4). *en:History of leprosy (2). *en:History of tracheal intubation (2) ...
Administration of nitrous oxide anesthesia can precipitate subacute combined degeneration in people with subclinical vitamin ... Diagram of the principal fasciculi of the spinal cord. (In subacute combined degeneration of spinal cord, the "combined" refers ... Subacute combined degeneration of spinal cord, also known as Lichtheim's disease,[1][2] refers to degeneration of the posterior ... MRI- T2 images may reveal increased signal within the white matter of the spinal cord predominately in the posterior columns ...
Griffith, Harold R., and G. Enid Johnson (1942) "The Use Of Curare In General Anesthesia." Anesthesiology, 3 (4): 418-420. ... "Source Specificity of Early Calcium Neurotoxicity in Cultured Embryonic Spinal Neurons." The Journal of Neuroscience, 13 (5): ...
Poliovirus attacks specific neurons in the brainstem and the anterior horn cells of the spinal cord, generally resulting in the ... Prognosis can be abruptly changed for the worse by the use of anesthesia, such as during surgery.[17] ... With age, most people experience a decrease in the number of spinal motor neurons. Because polio survivors have already lost a ... Magnetic resonance imaging (MRI), neuroimaging, and electrophysiological studies, muscle biopsies, or spinal fluid analysis may ...
... in the lumbar spine to anesthetize nerves that exit the spinal cord. Spinal anesthesia is most commonly used for anesthesia and ... Spinal anesthesia is a type of neuraxial anesthesia; local anesthetic (LA) is injected into cerebrospinal fluid (CSF) ... in the lumbar spine to anesthetize nerves that exit the spinal cord. Spinal anesthesia is most commonly used for anesthesia and ... The Wiley Spinal Catheter-Over-Needle System for Continuous Spinal Anesthesia: A Case Series of 5 Cesarean Deliveries ...
The evolution of pediatric anesthesia and pediatric spine surgery has had a parallel trajectory and as it stands, pediatric ... Kandil A., Rao D.S., Mahmoud M. (2018) Anesthesia for Spinal Surgery in Children. In: Goudra B. et al. (eds) Anesthesiology. ... Anesthesia for orthopedic surgery. In: Gregory GA, editor. Pediatric anesthesia. New York: Churchill Livingstone; 2002. p. 617- ... Tethered spinal cord following repair of myelomeningocele. Neurosurg Focus. 2004;16(2):E7.CrossRefPubMedGoogle Scholar ...
Spinal and epidural anesthesia are procedures that deliver medicines that numb parts of your body to block pain. They are given ... Spinal, epidural, and caudal anesthesia. In: Pardo MC, Miller RD, eds. Basics of Anesthesia. 7th ed. Philadelphia, PA: Elsevier ... Spinal and epidural anesthesia are procedures that deliver medicines that numb parts of your body to block pain. They are given ... Spinal and epidural anesthesia work well for certain procedures and do not require placing a breathing tube into the windpipe ( ...
Definition of fractional spinal anesthesia. Provided by Stedmans medical dictionary and Drugs.com. Includes medical terms and ... Synonym(s): continuous spinal anesthesia. Further information. Always consult your healthcare provider to ensure the ...
... interruption of conduction of nerve impulses by the injection of an anesthetic into the spinal canal that reduces sensitivity ... spinal anaesthesia, spinal analgesia, spinal anesthesia, spinal artery, spinal atrophy, spinal block, spinal canal, spinal ... Words nearby spinal anesthesia. spinach-rhubarb, spinal, spinal accessory nerve, ... Anesthesia produced by injection of a local anesthetic solution into the spinal subarachnoid space. ...
spinal anesthesia synonyms, spinal anesthesia pronunciation, spinal anesthesia translation, English dictionary definition of ... spinal anesthesia. n. Partial or complete anesthesia produced by injecting an anesthetic into the spinal canal. American ... Spinal anesthesia - definition of spinal anesthesia by The Free Dictionary https://www.thefreedictionary.com/spinal+anesthesia ... spinal anesthesia. Also found in: Thesaurus, Medical, Acronyms, Encyclopedia, Wikipedia. spinal anesthesia. n.. Partial or ...
... and spinal anesthesia, and can occur inadvertently during epidural anesthesia. Cases of meningitis have been reported after all ... She received spinal anesthesia from anesthesiologist B and delivered a healthy baby. Approximately 15 hours after receiving the ... She received combined spinal-epidural anesthesia from anesthesiologist A, and delivered a healthy baby. Approximately 22 hours ... Two small clusters of bacterial meningitis caused by S. salivarius after spinal anesthesia occurred during 2008--2009, despite ...
Cesarean Section Cesarean Delivery Spinal Anesthesia Intrathecal Morphine Continuous Spinal Anesthesia These keywords were ... Armstrong S. (2017) Spinal Anesthesia for Cesarean Section. In: Capogna G. (eds) Anesthesia for Cesarean Section. Springer, ... Lidocaine disposition in mother, fetus, and neonate after spinal anesthesia. Anesth Analg. 1986;65(2):139-44.PubMedCrossRef ... Spinal anesthesia is technically simple to perform producing a rapid onset and dense block with a predictable offset. In this ...
Epidural and spinal blocks are types of anesthesia in which a local anesthetic is injected near the spinal cord and nerve roots ... Epidural and spinal anesthesia are used mainly for surgery of the lower belly and the legs. Epidural anesthesia is often used ... Headaches are less common with epidural anesthesia.. Epidural and spinal anesthesia are usually combined with other medicines ... Spinal anesthesia numbs the body below and sometimes above the site of the injection. The person may not be able to move his or ...
Spinal manipulation under anesthesia allows physicians to sedate the pain-perceiving nerves that have been irritated to avoid ... Anesthesia Effects During Manipulation. The use of anesthesia and other medications during spinal MUA aims to:. *Sedate the ... Effectiveness of Manipulation Under Anesthesia for Spinal Pain. Most of the evidence for manipulation under anesthesia for ... Spinal manipulation under anesthesia (MUA), also referred to as medication-assisted manipulation (MAM), involves putting a ...
Find best Anesthesiologists for Spinal Anesthesia near you & make an appointment online instantly! Spinal Anesthesia ... Spinal Anesthesia Doctors Near You. Need to make a doctor appointment for Spinal Anesthesia this week? Use Zocdoc to find ...
Severe hypotension following spinal anesthesia in patients on amlodipine.. Parida S1, Nawaz M, Kundra P. ...
... Paediatr Anaesth. 2013 Sep;23(9):804-16. doi: 10.1111/pan.12159. Epub 2013 Apr 19. ... Spinal muscle atrophy (SMA) is autosomal recessive and one of the most common inherited lethal diseases in childhood. The ... The disease is produced by degeneration of spinal motor neurons and can be described in three or more categories: SMA I with ... Pathophysiology: The loss of full-length functioning SMN protein leads to a degeneration of anterior spinal motor neurons which ...
Effect of preoperative warming during cesarean section under spinal anesthesia.. Chung SH1, Lee BS, Yang HJ, Kweon KS, Kim HH, ... Changes in core temperature after prewarming (t = 0 min) and spinal anesthesia (t = 15 min). Data are expressed as mean. The ... Changes in arm temperature after prewarming (t = 0 min) and spinal anesthesia (t = 15 min). Data are expressed as mean. The ... Changes in leg temperature after prewarming (t = 0 min) and spinal anesthesia (t = 15 min). Data are expressed as mean. There ...
We report a case of post spinal bacterial meningitis in a post partum lady who underwent spinal anaesthesia for emergency lower ... It can occur in various settings including spinal anesthesia, diagnostic lumbar puncture, epidural anesthesia or any procedures ... Spinal anesthesia complicated by meningitis is rare. It is vital that physicians remain vigilant to detect meningitis when ... Low, Q. , Teo, K. and Cheo, S. (2018) Bacterial Meningitis Following Spinal Anesthesia for Caesarean Section. Journal of ...
... November 3rd, 2009 Medgadget Editors Anesthesiology ... Go-2 Spinal Stimulator Helps Return Leg Function: Interview with Jan Öhrström, Chairman of the Board, GTX Medical. Dexcom Moves ... Go-2 Spinal Stimulator Helps Return Leg Function: Interview with Jan Öhrström, Chairman of the Board, GTX Medical. ... The haptic device literally pushes back on the users hand so they feel surface tension as the spinal needle meets the skin; a ...
Spinal anesthesia with 12.5 mg levobupivacaine was performed in the sitting position in all women. Those in the first group ... i ,Background,/i,. The behaviour of isobaric levobupivacaine in relation to gravity when used in obstetric spinal anesthesia is ... D. W. Donielson and B. D. Palmen, "A case of reappearance of spinal anesthesia," Anesthesia and Analgesia, vol. 79, no. 4, p. ... C. Glaser, P. Marhofer, G. Zimpfer et al., "Levobupivacaine versus racemic bupivacaine for spinal anesthesia," Anesthesia and ...
Spinal Anesthesia Smiths offers a wide range of spinal anesthesia products including trays and standalone components, both ... The Portex Portfolio now includes the NRFit connector with complete solutions for epidural, spinal, and CSE Infusino procedures ...
These may include spinal block of varying magnitude (including total spinal block), hypotension secondary to spinal block, loss ... 14518-20 SPINAL 22G QUINCKE - regional anesthesia kit To receive this label RSS feed. Copy the URL below and paste it into your ... However, spinal and epidural anesthesia have also been reported to prolong the second stage of labor by removing the ... Epidural, spinal, paracervical, or pudendal anesthesia may alter the forces of parturition through changes in uterine ...
Spinal and epidural anesthesia are injections of liquid drugs into the area surrounding the spinal cord to cause numbness in an ...
... an anesthesiologist not only must be aware of the indications and contraindications of spinal anesthesia but also must be able ... Benefits of Spinal Anesthesia. Although spinal anesthesia is a commonly used technique, with an estimated 324,950 spinal ... CLINICAL SITUATIONS ENCOUNTERED IN THE PRACTICE OF SPINAL ANESTHESIA. The Difficult and Failed Spinal. Spinal anesthesia has ... Pitkin G: Controllable spinal anesthesia. Am J Surg 1928;5:537.. *Sise LF: Spinal anesthesia for upper and lower abdominal ...
... pediatric anesthesia, obstetric anesthesia, analgesia, clinical and experimental research, administration and efficacy, as well ... Simulation-Based Mastery Learning with Deliberate Practice Improves Clinical Performance in Spinal Anesthesia. Ankeet D. Udani, ... Comment on "Simulation-Based Mastery Learning with Deliberate Practice Improves Clinical Performance in Spinal Anesthesia", ... "Simulation-Based Mastery Learning with Deliberate Practice Improves Clinical Performance in Spinal Anesthesia," Anesthesiology ...
Combination spinal-epidural anesthesia is a regional anesthesia technique used in many orthopedic procedures below the waist. ... In this procedure, your anesthesiologist will use the same small needle to enter the fluid surrounding the spinal cord but will ... Patients often have no recollection of undergoing a spinal or epidural. Once sedated, your anesthesiologist will either sit you ... For shorter procedures, a stand-alone spinal is performed. ... needle into the fluid which normally surrounds the spinal cord ...
Prophylactic Mirtazapine or Clonidine for Post-spinal Anesthesia Shivering. The safety and scientific validity of this study is ... Prophylactic Mirtazapine or Clonidine for Post-spinal Anesthesia Shivering in Patients Undergoing Urological Surgeries: a ... underwent urological surgeries under spinal anesthesia. A written informed consent was obtained from all patients to ... Total participants received pethidine for treatment of post-spinal shivering in the three groups till 20 minutes after the end ...
Levobupivacaine on Heart Rate Variability (HRV) in Spinal Anesthesia (HRV). The safety and scientific validity of this study is ... Lumbar puncture with Bupivacaine for spinal anesthesia. Drug: bupivacaine, levobupivacaine intrathecal injection 15~20mg(for ... Lumbar puncture with Levobupivacaine for spinal anesthesia. Drug: bupivacaine, levobupivacaine intrathecal injection 15~20mg( ... Comparison of the Effects of Levobupivacaine and Bupivacaine on Heart Rate Variability in Spinal Anesthesia. ...
Perform spinal procedures with our Spinal Anesthesia Trays, which come with a choice of componenents. The most common ... European Pencil Point Spinal Anesthesia Trays. Reorder Code. Introducer Needle. Drape. Ephedrine Sulfate. Procedural Drug(s). ... Smiths Medical offers a complete line of Spinal Anesthesia Trays, in your choice of needle size and style. All trays are ... Smiths Medical offers a complete line of Spinal Anesthesia Trays, in your choice of needle size and style. All trays are ...
Spinal Needles Wide selection of spinal needles with Pencil-Point (Pencan®) and Quincke (Spinocan®) type bevels. ... Spinal Trays (Kits) A variety of spinal trays with different drugs, needles and other accessories. ... offer safety and reliablility that are key for successful spinal anesthesia. With a wide selection of choices you will find the ... B. Brauns spinal products, including the proprietary Pencan® and Spinocan® needles and trays, ...
Our study was designed to test the hypothesis that spinal anesthesia ...,Spinal,Anesthesia,Doesnt,Cause,Restless,Leg,Syndrome, ... 19 (HealthDay News) -- Spinal anesthesia wont cause o...Thats the conclusion of a new study published as a letter to the edit ... Study also finds spinal anesthesia doesnt worsen pre-existing RLS ...WEDNESDAY Nov. ... Spinal Anesthesia Doesnt Cause Restless Leg Syndrome. ...Study also finds spinal anesthesia doesnt worsen pre-existing RLS ...
Chin KJ, Chan VW, Ramlogan R, Perlas A: Real-time ultrasound-guided spinal anesthesia in patients with a challenging spinal ... Chin KJ, Perlas A, Chan V, Brown-Shreves D, Koshkin A, Vaishnav V: Ultrasound imaging facilitates spinal anesthesia in adults ... Lee PJ, Tang R, Sawka A, Krebs C, Vaghadia H: Brief report: real-time ultrasound-guided spinal anesthesia using Taylors ... How I Do It: Real-Time Ultrasound-Guided Spinal Anesthesia Aug 7, 2019. Paul McHardy MD FRCPC ...
Spinal Anesthesia With Articaine and Bupivacaine for Outpatient Lower Limb Surgery. Official Title ICMJE Spinal Anesthesia With ... Spinal anesthesia with articaine will be compared to spinal anesthesia with bupivacaine in a randomized double blind clinical ... Spinal Anesthesia With Articaine and Bupivacaine for Outpatient Lower Limb Surgery. The safety and scientific validity of this ... Faster onset and shorter elimination time favours a short-acting local anaesthetic for spinal anesthesia for out-patient lower ...
  • See 'Epidural and combined spinal-epidural anesthesia: Techniques' and 'Anesthesia and anesthetic choices' and 'Neuraxial analgesia for labor and delivery (including instrumented delivery)', section on 'Epidural analgesia technique' and 'Neuraxial analgesia for labor and delivery (including instrumented delivery)', section on 'CSE analgesia' . (uptodate.com)
  • She received combined spinal-epidural anesthesia from anesthesiologist A, and delivered a healthy baby. (cdc.gov)
  • To determine whether other cases of health-care--associated bacterial meningitis had occurred, the hospital conducted a 6-month retrospective review among postpartum patients who received combined spinal-epidural anesthesia. (cdc.gov)
  • The women in New York received combined spinal-epidural anesthesia from the same anesthesiologist and delivered health babies, while the. (ebscohost.com)
  • There are two main types: epidural blocks and combined spinal-epidural anesthesia (CSEA). (lovetoknow.com)
  • Spinal anesthesia can be used as a regional anesthesia for patients with greater hypertension risks, irritated airways, anatomical abnormalities, and geriatric patients. (medicalmalpracticehelp.com)
  • What is regional anesthesia? (blakemedicalcenter.com)
  • Available at: https://www.bcm.edu/healthcare/care-centers/anesthesiology/patient-information/regional-anesthesia. (blakemedicalcenter.com)
  • Hi Guys, I'm having an outpatient hip surgery done in a couple of weeks and will be having (as far as I know, at this point) regional anesthesia. (asap.org)
  • After regional anesthesia, bleeding disorders are the greatest risk factors for the development of spinal hematoma 2,3 , although there are other known factors, such as difficult or traumatic insertion of the needle. (scielo.br)
  • The simplicity of the procedure was succinctly described by Labat, one of the pioneers of regional anesthesia, almost 100 years ago. (nysora.com)
  • Abdel El-Ganzouri administered the spinal epidural regional anesthesia to York. (rutgers.edu)
  • With an epidural, a tiny tube (called an epidural catheter) is inserted into the lower back to provide regional anesthesia, meaning only part of the body is affected by the medication. (asahq.org)
  • An epidural is a form of regional anesthesia. (lovetoknow.com)
  • This is the most common type of regional anesthesia for childbirth. (lovetoknow.com)
  • Safety is a priority and regional anesthesia is safer for c-sections. (healthtap.com)
  • Underlying tumors may rarely complicate regional anesthesia in the lumbar spine. (jefferson.edu)
  • Anesthetists should be aware of the potential risk during cesarean delivery following the administration of nitroglycerin, fundal pressure, regional anesthesia, and hypovolemia because of preeclampsia. (readbyqxmd.com)
  • Neuraxial anesthesia in the form of spinal and epidural are two of the most frequent forms of regional anesthesia. (readbyqxmd.com)
  • You want fewer systemic medicines and less "hangover" than you would have from general anesthesia. (medlineplus.gov)
  • The study compared people undergoing general anesthesia to those undergoing surgery with spinal anesthesia and found no difference in restless legs syndrome symptoms between the groups. (bio-medicine.org)
  • One hundred and forty-seven had spinal anesthesia, and the remaining 212 had general anesthesia. (bio-medicine.org)
  • Nonetheless, because of her cardiac history, an elective Cesarean delivery with a vertical abdominal incision was performed uneventfully under general anesthesia in 1991. (lww.com)
  • After extensive research, I think spinal anesthesia would cause less nausea and/or vomiting than general anesthesia. (emetophobia.org)
  • Anesthesiologists prefer using general anesthesia (GA) in Parkinson's disease (PD). (dovepress.com)
  • On the other hand, spinal anesthesia was used in group 2 and general anesthesia in group 3. (thefreedictionary.com)
  • Failed spinal anesthesia can have significant clinical consequences, possibly necessitating redosing, conversion to general anesthesia, or pain during surgery. (thefreedictionary.com)
  • The remaining 12 percent of patients received either general anesthesia or sedation. (asahq.org)
  • Spinal and epidural anesthesia have fewer side effects and risks than general anesthesia (asleep and pain-free). (stlukes-stl.com)
  • General anesthesia is treatment with certain medicines that puts you into a deep sleep so you do not feel pain during surgery. (stlukes-stl.com)
  • You want fewer systemic side effects and a shorter recovery than you would have from general anesthesia. (stlukes-stl.com)
  • I chose C-section with general anesthesia. (healthtap.com)
  • Elective general anesthesia for delivery is dangerous and as an anesthesiologist I wouldn't do that. (healthtap.com)
  • You are unconscous when you undergo general anesthesia, so you don't feel anything, but you are also not awake when the baby is born. (healthtap.com)
  • For extreme nervous patients undergoing a c section, is general anesthesia better or taking a light sedative? (healthtap.com)
  • General anesthesia is rarely done, mostly for emergencies, for failed regionals or debilitated patients, who can not cooperate. (healthtap.com)
  • Usually, spinal anesthetic is better for C-section because a full term woman has airway risks when trying to place a breathing tube for general anesthesia. (healthtap.com)
  • As general anesthesia for Cesarean section is associated with major complications and problems such as the inability for intubation and aspiration of gastric contents into the airways and increase mortality of mothers in pregnant women, to reduce these complications, local anesthesia has been used frequently in recent decades [ 1 ]. (omicsonline.org)
  • We determined Th1 to Th2 cell ratios in patients undergoing transurethral resection of the prostate (TURP) using either spinal or general anesthesia. (nih.gov)
  • Mononuclear cells were isolated before anesthesia, immediately after surgery, and after 24 h from patients undergoing TURP, 10 under general anesthesia and 9 under spinal anesthesia. (nih.gov)
  • Th1 to Th2 ratios in patients receiving spinal anesthesia increased over the three time points studied (P = 0.029) but did not change in patients who had general anesthesia (P = 0.11). (nih.gov)
  • At 24 h, Th1 to Th2 ratios were significantly higher in the spinal group than in patients who received general anesthesia (P = 0.0157). (nih.gov)
  • These data suggest that, from an immunological viewpoint, spinal anesthesia, but not general anesthesia, benefits the patient by maintaining Th1 cell numbers, thereby promoting cellular immunity. (nih.gov)
  • We found that the ratio of T helper 1 to T helper 2 cells was higher in patients undergoing prostate surgery by spinal rather than general anesthesia. (nih.gov)
  • Of the 693 patients, 508 (73.3%) had no ELA and received SA, 128 patients (18.5%) received SA following epidural anesthesia for labor, 19 (2.7%) underwent conversion of ELA to ESA, and 38 (5.5%) received general anesthesia. (eur.nl)
  • Although generally safe and effective, severe perioperative complications, including cardiac arrest, may occur during general anesthesia in infants. (readbyqxmd.com)
  • With the emergence of evidence that specific anesthetic agents may affect future neurocognitive outcomes, there has been an increased focus on alternatives to general anesthesia, including spinal anesthesia. (readbyqxmd.com)
  • We present a case of cardiac arrest during general anesthesia in an infant who required urologic surgery. (readbyqxmd.com)
  • During the subsequent anesthetic care, spinal anesthesia was offered as an alternative to general anesthesia. (readbyqxmd.com)
  • The man had previously undergone general anesthesia, but had suffered from severe side effects during recovery. (facmedicine.com)
  • It is a safe and effective form of anesthesia performed by anesthesiologists, certified anesthesiologist assistants and nurse anesthetists which can be used as an alternative to general anesthesia commonly in surgeries involving the lower extremities and surgeries below the umbilicus. (wikipedia.org)
  • local anesthetic (LA) is injected into cerebrospinal fluid (CSF) in the lumbar spine to anesthetize nerves that exit the spinal cord. (uptodate.com)
  • In addition to scoliosis, spinal dysraphisms such as myelomeningocele and tethered cord frequently require surgical intervention. (springer.com)
  • The doctor injects medicine just outside of the sac of fluid around your spinal cord. (medlineplus.gov)
  • The doctor injects medicine into the fluid around your spinal cord. (medlineplus.gov)
  • Usually these are in the liver, but sometimes they are in the brain, and sometimes in the bones that surround the spinal cord. (dictionary.com)
  • Loss of sensation produced by disease of the spinal cord. (dictionary.com)
  • Epidural and spinal blocks are types of anesthesia in which a local anesthetic is injected near the spinal cord and nerve roots. (healthlinkbc.ca)
  • Epidural anesthesia involves the insertion of a hollow needle and a small, flexible catheter into the space between the spinal column and outer membrane of the spinal cord (epidural space) in the middle or lower back. (healthlinkbc.ca)
  • But the anesthetic medicine is injected using a much smaller needle, directly into the cerebrospinal fluid that surrounds the spinal cord. (healthlinkbc.ca)
  • and the different viscosities of tissue, ligaments, cerebrospinal fluid and dura mater, the tough outer layer of the meninges surrounding the spinal cord. (medgadget.com)
  • Should trainees puncture too far and enter the other meninges or the spinal cord itself - or puncture only into the skin -they feel different sensations and receive immediate alarms and on-screen error messages. (medgadget.com)
  • Once in the space, he/she will place a smaller needle through the epidural needle into the fluid which normally surrounds the spinal cord. (hss.edu)
  • In this procedure, your anesthesiologist will use the same small needle to enter the fluid surrounding the spinal cord but will not leave a catheter in the epidural space. (hss.edu)
  • Type I ACM, which presents typically in adulthood, relates to cerebellar and cervical spinal cord involvement and can be associated with syringomyelia (2) . (lww.com)
  • Due to heightened risk of injuring the spinal cord, the exact placement of a spinal anesthesia injection is important. (medicalmalpracticehelp.com)
  • This ensures the safety of the spine since a properly positioned needle will not puncture the spinal cord at this site. (medicalmalpracticehelp.com)
  • An area on your back above the spinal cord will be cleaned. (lahey.org)
  • The medication will be sent directly into the sac of fluid that surrounds the spinal cord. (lahey.org)
  • The malpractice resulted in a spinal cord injury that left the plaintiff with partial paralysis of his right leg. (rutgers.edu)
  • The standard of care for performing an epidural requires insertion of a needle into the L2-L3 vertebral interspace, below the spinal cord. (rutgers.edu)
  • York claimed that El-Ganzouri negligently injected the anesthetic into the T12-L1 interspace, two spaces too high and within range of the spinal cord. (rutgers.edu)
  • The defense argued that York's condition resulted from a drop in blood pressure during surgery, causing an ischemic stroke to the spinal cord. (rutgers.edu)
  • Spinal anesthesia is also known as spinal analgesia or spinal block that includes the types of anesthesia where local anesthetic is injected near spinal cord and nerve roots to obstruct the entire region of the body the sensations of pain. (omicsonline.org)
  • Anesthesia due to a lesion of the spinal cord. (thefreedictionary.com)
  • In a spinal the medication is delivered closer to the spinal cord which allows immediate pain relief, but eventually does wear off. (asahq.org)
  • Meningitis is an infection of the membranes covering the brain and spinal cord. (stlukes-stl.com)
  • Lamotte C, Pert CB, Smyder SH (1976) Opiate receptor binding in primate spinal cord: distribution and changes after dorsal root section. (springer.com)
  • The first dose of medicine is placed in the intrathecal space, which is the outermost membrane covering the spinal cord. (lovetoknow.com)
  • How come a mother who undergoes cesarean section may have spinal cord injury and brain injury? (healthtap.com)
  • A blod clot to the brain and or spinal cord is always a risk with surgery although uncommon. (healthtap.com)
  • Methods: A case study of a patient who hemorrhaged into an intradural, extramedullary spinal cord mass was performed. (jefferson.edu)
  • In this technique, local anesthetic and pain medications are injected into the epidural space-inside the membranes (dura) covering the spinal cord. (iars.org)
  • The other group received CSE, which starts with medications injected into the intrathecal space-the deeper space directly around the spinal cord. (iars.org)
  • Though often feared, nerve or spinal cord damage almost never occurs. (3-rx.com)
  • Bier had the (cocainey) solution, and suggested to the patient that he try 'cocainization of the spinal cord', something that had not been attempted before. (facmedicine.com)
  • Bier went on to test spinal cord cocainization on five further patients - all without any major problems - before he decided to give it a go himself in order to investigate the headaches and nausea experienced by several of the patients. (facmedicine.com)
  • See 'Overview of neuraxial anesthesia', section on 'Physiologic effects of neuraxial anesthesia' . (uptodate.com)
  • Techniques for other types of neuraxial anesthesia, including epidural and combined spinal-epidural, are discussed separately. (uptodate.com)
  • Neuraxial techniques are the preferred method of anesthesia reducing morbidity and mortality for parturients and allowing maternal bonding with the neonate postoperatively. (springer.com)
  • however, few reports of neuraxial anesthesia for Cesarean delivery have been published. (lww.com)
  • The dense neuraxial blockade obtained by the administration of a spinal (intrathecal) injection of local anesthetic is widely held to be among the most reliable regional techniques. (nysora.com)
  • A common fear for women who are about to undergo neuraxial (spinal or epidural anesthesia) is a "spinal headache. (asahq.org)
  • Neuraxial anaesthesia procedures are performed by placing a needle between the vertebrae and injecting medication into the epidural or spinal space. (technologynetworks.com)
  • A novel approach to neuraxial anesthesia: application of an automated ultrasound spinal landmark identification. (technologynetworks.com)
  • This observational study aims to objectively quantify ambulation after neuraxial anesthesia and analgesia for cesarean delivery and vaginal delivery, respectively, by using activity tracker technology. (readbyqxmd.com)
  • We performed a systematic review of septic meningitis associated with neuraxial anesthesia. (readbyqxmd.com)
  • We included all relevant case-reports and observational studies in which authors described septic meningitis in association with spinal, epidural or combined neuraxial anesthesia using local anesthetics. (readbyqxmd.com)
  • In particular, there are parturient clients for whom the use of neuraxial anesthesia (epidural and spinal blockade) is not an option. (readbyqxmd.com)
  • However, the expanded use of thromboprophylaxis in obstetrics will have a major impact on the use and timing of neuraxial analgesia and anesthesia for women undergoing vaginal or cesarean delivery and other obstetric surgeries. (readbyqxmd.com)
  • Spinal anaesthesia (or spinal anesthesia), also called spinal block, subarachnoid block, intradural block and intrathecal block, is a form of neuraxial regional anaesthesia involving the injection of a local anaesthetic or opioid into the subarachnoid space, generally through a fine needle, usually 9 cm (3.5 in) long. (wikipedia.org)
  • Intrathecal oxybuprocaine and proxymetacaine produced potent and long-lasting spinal anesthesia in rats. (sigmaaldrich.com)
  • In busy clinical practice, it is not uncommon that intrathecal injection of local anesthetic in an attempt to accomplish spinal anesthesia , perfectly performed, fails. (nysora.com)
  • One of the sources of bacterial introduction into the intrathecal space during spinal procedures is inadequately decontaminated patient skin. (ebscohost.com)
  • Although spinal (subarachnoid or intrathecal) anaesthesia is generally regarded as one of the most reliable types of regional block methods, the possibility of failure has long been recognized. (ebscohost.com)
  • Spinal anesthetics for intrathecal administration to produce spinal anesthesia are provided with use of 6-[2-(1(2)H-tetrazole-5-yl)ethyl]decahydroisoquinolone-3-carboxylic acid or a pharmaceutically active analogue or its pharmaceutically active analogs. (uiowa.edu)
  • It can occur in various settings including spinal anesthesia, diagnostic lumbar puncture, epidural anesthesia or any procedures to the spinal canal. (scirp.org)
  • Arthur Barker, a professor of surgery at the University of London, reported on the advancement of spinal techniques in 1907, including the use of a hyperbaric spinal local anesthetic, emphasis on sterility, and ease of midline over paramedian dural puncture. (nysora.com)
  • After obtaining patient consent, the doctor will sterilize the site of lumbar puncture for the spinal anesthesia. (medicalmalpracticehelp.com)
  • Two conditions are, therefore, absolutely necessary to produce spinal anesthesia: Puncture of the dura mater and subarachnoid injection of an anesthetic agent. (nysora.com)
  • The company's new SureBlock Collection includes spinal anesthesia full medication kits, safety kits, and intermediate and basic sets, all featuring the Sprotte spinal needle, which has been clinically proven to minimize the incidence of postdural puncture headaches. (thefreedictionary.com)
  • Ocular motor palsy after spinal puncture. (prolekare.cz)
  • BACKGROUND: Pencil-point needle currently are used for spinal anesthesia because of an alleged lowered incidence of postdural puncture headache. (koreamed.org)
  • The lumbar puncture is performed painlessly with the aid of Schleich infiltration anesthesia, infiltrating first the skin and then, with a long needle, the soft tissues down to the vertebral column,' Bier wrote of his methods. (facmedicine.com)
  • Patients and methods: One hundred thirty parturients aged 19 - 40 years, American society of Anaesthesiology class I & II scheduled for elective caesarean section with spinal anaesthesia were divided randomly into two equal Groups (65 patients each): ketoprofen group (TDK) received 30 mg ketoprofen transdermal patch at site of puncture for 24 hours and control group (TDC) received a placebo transdermal patch at site of puncture for 24 hours. (scirp.org)
  • Headache resulting from dural puncture in epidural and spinal anesthesia is usually secondary to a CSF leak. (neurology.org)
  • Common and minor complications include: Mild hypotension Bradycardia Nausea and vomiting Transient neurological symptoms (lower back pain with pain in the legs) Post-dural-puncture headache or post-spinal headache - Associated with the size and type of spinal needle used. (wikipedia.org)
  • Bupivacaine disposition in mother, fetus, and neonate after spinal anesthesia for cesarean section. (springer.com)
  • Spinal anesthesia with articaine will be compared to spinal anesthesia with bupivacaine in a randomized double blind clinical trial. (clinicaltrials.gov)
  • Proxymetacaine and oxybuprocaine were clinically used for topical ocular anesthesia but never for spinal anesthesia, and therefore spinal anesthetic effects of proxymetacaine and oxybuprocaine were performed and compared with bupivacaine and lidocaine. (sigmaaldrich.com)
  • We evaluated the potencies (ED(50)) and durations (time to full recovery) of proxymetacaine and oxybuprocaine on spinal blockades of motor function, proprioception, and nociception and compared with bupivacaine and lidocaine in rats. (sigmaaldrich.com)
  • We found that proxymetacaine and oxybuprocaine acted like bupivacaine or lidocaine and produced dose-related spinal blockades of motor function, proprioception and nociception. (sigmaaldrich.com)
  • The article describes the case of a 46-year-old man who developed meningitis after skin sterilisation with povidone iodine and spinal anesthesia with bupivacaine. (ebscohost.com)
  • Bupivacaine concentrations in lumbar cerebrospinal fluid in patients with failed spinal anaesthesia. (ebscohost.com)
  • Systematic review of spinal anaesthesia using bupivacaine for ambulatory knee arthroscopy. (ebscohost.com)
  • Maternal position and density of bupivacaine during induction of spinal anesthesia are two most important factors which determine the speed of onset of sensory block and subsequently the hemodynamic outcomes, by manipulating the spread of local anesthetic. (thefreedictionary.com)
  • Effect of injection rate on sensory level and duration of hypobaric bupivacaine spinal anesthesia for total hip arthroplasty. (springer.com)
  • All patients received spinal anesthesia with 15 to 30 mg of 0.5% bupivacaine. (jefferson.edu)
  • Bupivacaine is a long-acting local anesthetic (LA) used for cutaneous infiltration, peripheral nerve blocks, epidural and spinal anesthesia. (readbyqxmd.com)
  • Anaesthesia for spinal surgery in adults. (springer.com)
  • Killeen T, Kamat A, Walsh D, Parker A, Aliashkevich A. Severe adhesive arachnoiditis resulting in progressive paraplegia following obstetric spinal anaesthesia: a case report and review. (springer.com)
  • We report a case of post spinal bacterial meningitis in a post partum lady who underwent spinal anaesthesia for emergency lower segment caesarean section. (scirp.org)
  • Forty minutes before the induction of spinal anaesthesia we started the intravenous (i.v.) infusion of 1000 mL of lactated Ringer solution to provide volume preload. (hindawi.com)
  • Failed spinal anaesthesia: mechanisms, management, and prevention. (ebscohost.com)
  • Background Spinal anaesthesia (SA) has high success rates. (ebscohost.com)
  • The article describes the case of a 25 year-old man who developed laryngospasm after receiving spinal anaesthesia during varicose vein surgery. (ebscohost.com)
  • The patient complained of pain from the intravascular cannula one hour after receiving spinal anaesthesia. (ebscohost.com)
  • The use of lidocaine in spinal anaesthesia is associated with transient neurological syndrome (TNS). (ebscohost.com)
  • Which anaesthesia general or spinal is better for C-section in a pt with heart disease? (healthtap.com)
  • Vaghadia H Spinal anaesthesia for outpatients: controversies and new techniques. (springer.com)
  • Although spinal and epidural blocks provide excellent anaesthesia for many operations, they are frequently accompanied by hypotension. (scribd.com)
  • The development of procaine, a much safer agent, in 1904 by Einhorn enabled spinal anaesthesia to gain popularity. (scribd.com)
  • A study conducted by KK Women's and Children's Hospital (KKH) and National University of Singapore's (NUS) Faculty of Engineering shows that the world's first novel artificial intelligence (AI)-powered ultrasound guided automated spinal landmark identification system, called uSINE TM , enhances patient care by improving the accuracy and success rate of first attempt needle insertion during spinal anaesthesia. (technologynetworks.com)
  • Led by KKH, in collaboration with researchers from the NUS Department of Electrical and Computer Engineering, uSINE TM is a novel technology that uses ultrasound imaging and AI to automatically identify the spinal level of insertion and the midline, so that the spinal needle insertion involved during spinal anaesthesia can be more precise and require fewer attempts. (technologynetworks.com)
  • A clinical study led by KKH was conducted to evaluate the first attempt success rate of spinal anaesthesia using landmarks obtained from uSINE TM . (technologynetworks.com)
  • It involved 100 women who underwent spinal anaesthesia for surgical procedures at KKH from May 2016 to May 2017. (technologynetworks.com)
  • With the use of uSINE TM , the success rate for the first attempt needle insertion during spinal anaesthesia was high, at 92 per cent. (technologynetworks.com)
  • Precise needle insertion will improve quality of anaesthesia and reduce complications such as abnormal sensation to the skin such as tingling or prickling (paraesthesia) due to nerve irritation, and blood collection within the tissues in the spine (spinal haematoma). (technologynetworks.com)
  • Spinal anaesthesia involves delivering local anaesthetics into the fluid space surrounding the spinal canal. (technologynetworks.com)
  • Furthermore, this novel AI-powered system also plays a significant role in training doctors specialising in anaesthesia to better identify correct spinal landmarks. (technologynetworks.com)
  • Background: Women who had caesarean section (CS) with spinal anaesthesia had more chances to develop low back pain. (scirp.org)
  • The purpose of this study is to determine the effect of topical Nonsteroidal Anti-inflammatory drugs (NSAIDS) patch on decreasing the incidence of post-operative backache following spinal anaesthesia for caesarean section. (scirp.org)
  • Conclusion: Prophylactic application of topical NSAIDS patch may reduce the incidence and the severity of short term backache after spinal anaesthesia in CS with negligible complications. (scirp.org)
  • Spinal anaesthesia is a commonly used technique, either on its own or in combination with sedation or general anaesthesia. (wikipedia.org)
  • Lidocaine disposition in mother, fetus, and neonate after spinal anesthesia. (springer.com)
  • During multilevel spinal fusion, lidocaine may be used for balanced anesthesia with little impact on the monitoring of motor-evoked potentials and somatosensory-evoked potentials, according to results from a recently published study. (healio.com)
  • Emerson and colleagues administered propofol at 50 mcg/kg/h and propofol 25 mcg/kg/min and lidocaine in addition to isoflurane, ketamine and diazepam to 40 patients who underwent multilevel posterior spinal fusion. (healio.com)
  • Lidocaine spinal anesthesia is a popular anesthetic for short procedures due to its brief duration.The addition of fentanyl may improve the quality and duration of lidocaine spinal anesthesia. (ovid.com)
  • We recommend the addition of 20 micro gram of fentanyl to lidocaine spinal anesthesia as a means to improve duration of sensory anesthesia without prolonging recovery of motor function or time to micturition. (ovid.com)
  • For short duration laparoscopy, spinal 10 mg lidocaine with 10 µ g sufentanil provided selective pin prick analgesia, with preserved touch, proprioception and limited motor block. (springer.com)
  • Small-dose hypobaric lidocaine- fentanyl spinal anesthesia for short duration outpatient laparoscopy. (springer.com)
  • Chilvers CR, Vaghadia H, Mitchell GWE, Merrick PM . Small-dose hypobaric lidocaine-fentanyl spinal anesthesia for short duration outpatient laparoscopy. (springer.com)
  • Patients had spinal anesthesia with 65 mg of 5% lidocaine and then 1.5 cc midazolam and 2 cc propofol were intravenously administered to patients in Group A and Group B, respectively. (omicsonline.org)
  • The following information were obtained: demographics, preoperative assessment information of the patients, type of anesthesia, and types of fractures and orthopedic procedures. (dovepress.com)
  • The patients were divided based on the type of anesthesia received and were compared. (dovepress.com)
  • This type of anesthesia does allow for more movement - usually with some assistance -- during the birth process. (lovetoknow.com)
  • We divided into three groups, according to electronystagmography findings and type of anesthesia, 21 men older than 65 years (mean age, 72 years) who were scheduled for prostate adenectomy. (tinnitusjournal.com)
  • Male patient, 73 years old, 65 kg, 1.67 m, and ASA physical status III, underwent spinal anesthesia for removal of a peritoneal dialysis catheter. (scielo.br)
  • All underwent spinal anesthesia, which was the only agent used for the operation. (biomedsearch.com)
  • Patients who underwent spinal anesthesia were included. (medicaljournal-ias.org)
  • Spinal anesthesia is performed by placing a needle between the lumbar vertebrae and through the dura to inject anesthetic medication. (uptodate.com)
  • injection of an anesthetic into the lumbar region of the spinal canal to reduce sensitivity to pain in the lower body. (thefreedictionary.com)
  • Twenty-four hours later, saddle anesthesia and lumbar pain persisted and, after 48 hours, the patient presented urinary incontinence. (scielo.br)
  • Veinte y cuatro horas después de la realización del bloqueo el paciente permanecía con anestesia en silla de montar y con dolor lumbar, y 48 horas después del procedimiento presentó una incontinencia urinaria. (scielo.br)
  • These include the volume of cerebrospinal fluid (CSF) in the lumbar spinal canal, which has a negative correlation with both the spread and duration of the sensory block. (sid.ir)
  • An excellent option to consider is the 15848 European Pencil Point Spinal Anesthesia Trays, 24G x 3.5", 10/cs. (medexsupply.com)
  • In an interview with CIR, he admitted to making scores of copies of surgical screws for Spinal Solutions. (dictionary.com)
  • PD surgical treatments performed under local or spinal anesthesia generally. (thefreedictionary.com)
  • In June 2007, the Healthcare Infection Control Practices Advisory Committee (HICPAC) recommended for the first time that surgical masks be worn by spinal procedure operators to prevent infections associated with these procedures ( 1 ). (cdc.gov)
  • We think that it is important for people suffering from restless legs syndrome to know that there is, at worst, only a very small likelihood that spinal anesthesia, which is the best choice for a number of surgical procedures, will worsen their condition," he added. (bio-medicine.org)
  • Spinal anesthesia is most effective for patients needing surgical procedures in the abdomen or below. (medicalmalpracticehelp.com)
  • Patients undergoing an operation under spinal block expect reliable surgical anesthesia, and an inadequate block will generate anxiety for both patient and clinician. (nysora.com)
  • Despite of the many studies related to MS, little is known about its impact on scenarios such as surgical anesthesia. (scirp.org)
  • Spinal anesthesia was induced in 75 surgical patients, using one of three different fluid regimens: intravenous 'bolus injection' of 5 ml kg(-1) of Ringer's acetate over 3 min, 2 ml kg(-1) of low-molecular weight (1 kDa) dextran over 3 min, or a constant-rate infusion of 15 ml kg(-1) of Ringer's acetate over 40 min (controls). (diva-portal.org)
  • Surgical stress and anesthesia cause immunosuppression that may predispose patients to postoperative infections. (nih.gov)
  • Purpose: Failed conversion of epidural labor analgesia (ELA) to epidural surgical anesthesia (ESA) for intrapartum Cesarean delivery (CD) has been observed in clinical practice. (eur.nl)
  • Spinal anesthesia is a favorable alternative, when the surgical site is amenable to spinal blockade, for patients with severe respiratory disease such as COPD as it avoids potential respiratory consequences of intubation and ventilation. (wikipedia.org)
  • It may also be useful, when the surgical site is amenable to spinal blockade, in patients where anatomical abnormalities may make tracheal intubation very difficult. (wikipedia.org)
  • Effect of preoperative warming during cesarean section under spinal anesthesia. (nih.gov)
  • We assessed the effect of preoperative warming during cesarean delivery under spinal anesthesia for prevention of hypothermia and shivering. (nih.gov)
  • Preoperative forced air-warming and warmed fluid prevents hypothermia and shivering in patients undergoing elective cesarean delivery with spinal anesthesia. (nih.gov)
  • For all enrolled parturients according to Ain shams Anesthesia preoperative assessment and routine laboratory investigations were done. (scirp.org)
  • Colloid vs. crystalloid preloading to prevent maternal hypotension during spinal anesthesia for elective cesarean section. (unboundmedicine.com)
  • Reports of hypotension during spinal anesthesia for elective caesarean delivery are frequent (70-80%) when pharmacological prophylaxis is not used. (minervamedica.it)
  • While some practitioners and patients report satisfactory benefits from the procedure, more studies are needed to evaluate whether manipulation under anesthesia is better than the placebo effect. (spine-health.com)
  • Manipulation under anesthesia for some other areas of the body, including the shoulder, are covered by insurance more often than when the procedure is done for the spine, as many insurance companies still consider this application to be experimental. (spine-health.com)
  • When performed by certified professionals in a hospital or other medical environment, manipulation under anesthesia is currently considered a relatively safe procedure. (spine-health.com)
  • She underwent an elective cesarean section with continuous spinal anesthesia and, after a 99-minute procedure, delivered a male infant with Apgar scores of 3 and 5. (thefreedictionary.com)
  • If the anesthesiologist fails to explain a portion of the procedure, or administers the anesthesia incorrectly, medical malpractice can occur. (medicalmalpracticehelp.com)
  • In addition, by conducting this invasive procedure, such as spinal anesthesia, we subject patients to small but well-established risks. (nysora.com)
  • In the Postoperative period 24 hours after the spinal procedure, the transdermal patch was removed in both groups then symptoms of back pain have been determined by visual numerical scale (VNS). (scirp.org)
  • Exclusion criteria included Parent's refusal, ASA III or more, previous history of sever back pain or surgery, Chronic recurrent back problems such as severe deformity of the spine, Contraindications to spinal anesthesia such as coagulopathy, allergy to local anesthetic, multiple spinal procedure attempt (more than two trials), loss of patient communication after discharge, duration of surgery longer than 2.5 hours, body mass index ≥ 32 kg/m. (scirp.org)
  • Approximately 21 hours after initiation of anesthesia, patient B experienced headache, back and neck pain, and nausea. (cdc.gov)
  • Patient C experienced headache, lethargy, confusion, and a possible seizure approximately 19 hours after initiation of anesthesia. (cdc.gov)
  • A headache is the most common side effect of spinal anesthesia. (healthlinkbc.ca)
  • Other benefits from spinal MUA have also been reported, such as relief from cervicogenic headache stemming from the neck. (spine-health.com)
  • 4. Herzog J. Use of cervical spine manipulation under anesthesia for management of cervical disk herniation, cervical radiculopathy, and associated cervicogenic headache syndrome. (spine-health.com)
  • After spinal anesthesia, you lie flat in bed for a few hours to keep you from getting a headache. (stlukes-stl.com)
  • You may get a spinal headache if the epidural needle punctures the dura space. (lovetoknow.com)
  • The 3 patients with pneumocephalus had the defining characteristic of thunderclap headache during anesthesia. (neurology.org)
  • Pneumocephalus should be considered as a possible etiology of thunderclap headache in the setting of epidural and spinal anesthesia. (neurology.org)
  • In spinal anesthesia muscles are relaxed and there is usually less blood loss than with other methods.It reflects the average number of citations to recent articles published in science and social science journals in a particular year or period, and is frequently used as a proxy for the relative importance of a journal within its field. (omicsonline.org)
  • METHODS: In 40 healthy women undergoing elective Cesarean section HES, 500 ml (n = 20), or LR, IL (n = 20), was administered during 10 min before spinal anesthesia. (unboundmedicine.com)
  • METHODS: In this randomized, double-blinded study 110 patients presenting for elective cesarean section received either 1000 ml acetated Ringer's solution or 1000 ml 3% dextran 60 solution immediately before spinal anesthesia. (unboundmedicine.com)
  • The Accuro uses proprietary software to automate spinal landmark detection and depth measurements and to assess scan plane orientation in 3-D. Preliminary reports suggest that the Accuro allows accurate identification of spinal anatomy, compares favorably to the manual landmark and 2-D ultrasound methods when used to determine the depth to the epidural space, and is easier to learn and effectively use than conventional 2-D ultrasound (Tiouririne et al. (ecri.org)
  • Anesthesia is a field of study that involves methods of removing sensation, pain, and consciousness from a person in order to perform surgeries, do other uncomfortable procedures, or relieve his pain/suffering. (healthtap.com)
  • METHODS: We induced spinal anesthesia in 80 young men presenting for elective orthopedic surgery. (koreamed.org)
  • Methods: Hemodynamic data, frequencies of either high or total spinal block, and maternal and neonatal outcome data were gathered from the anesthesia records of all parturients at the Amphia Hospital, undergoing intrapartum CD between January 1, 2001 and May 1, 2005. (eur.nl)
  • METHODS: Consecutive patients undergoing total hip arthroplasty under spinal anesthesia were randomized to treatment with or without insertion of an indwelling urinary catheter. (jefferson.edu)
  • 2016). The 2017 American Association of Nurse Anesthetists' (AANA) Analgesia and Anesthesia for the Obstetric Patient: Practice Guidelines state that ultrasound is a useful adjunct in patients with difficult-to-palpate anatomic landmarks, poor back flexion, and other conditions (AANA Board of Directors 2017). (ecri.org)
  • An effective neural block of these segments is necessary to achieve adequate analgesia and anesthesia. (medicaljournal-ias.org)
  • Spinal versus epidural anesthesia for cesarean section: a comparison of time efficiency, costs, charges, and complications. (springer.com)
  • Results: A 27 year old female underwent epidural anesthesia for Cesarean section delivery. (jefferson.edu)
  • Then the needle is guided into the spinal canal, and the anesthetic is injected. (healthlinkbc.ca)
  • In both groups, spinal anesthesia was performed by one anesthesiologist using the same technique with the patient in the sitting position, using a midline approach at L3-L4 and a 27G Whitacre needle, and injecting 12.5 mg of isobaric levobupivacaine 0.5% over 30 seconds. (hindawi.com)
  • Smiths Medical offers a complete line of Spinal Anesthesia Trays, in your choice of needle size and style. (smiths-medical.com)
  • However, a longer introducer may be used in conjunction with a smaller-gauge spinal needle to establish the intended trajectory and decrease the likelihood of needle wandering. (asra.com)
  • If the image does not allow for a full view of the spinal canal, then the needle point will disappear as soon as it enters the base of the triangle shadow. (asra.com)
  • It is different from epidural anesthesia because it is administered with a needle. (medicalmalpracticehelp.com)
  • The Rivanna Medical Accuro is a pocket-size, battery-operated ultrasound-based device that is used to provide automated guidance for spinal and epidural anesthesia needle placements. (ecri.org)
  • Typically, spinal and epidural anesthesia are performed by using anatomic landmarks and palpation to determine the appropriate location and to guide insertion of the anesthesia needle. (ecri.org)
  • The aim of this study was to assess if the side hole direction of pencil-point needle during hyperbaric tetracaine injection affects the level and the duration of anesthesia. (koreamed.org)
  • Conventionally, a doctor uses his hands to manually identify the landmark for spinal needle insertion. (technologynetworks.com)
  • It might be due to needle trauma, aseptic tendonitis, periosteitis, excessive stretching of ligaments after relaxation of Para spinal muscles with development of a supraspinous hematoma. (scirp.org)
  • The tip of the spinal needle has a point or small bevel. (wikipedia.org)
  • Chestnut's obstetric anesthesia: principles and practice. (springer.com)
  • 1. Gordon R, Cremata E, Hawk C. Guidelines for the practice and performance of manipulation under anesthesia. (spine-health.com)
  • It is uncommon to come across patients with neuromuscular diseases in the daily practice of anesthesia, given the low prevalence of those conditions. (lww.com)
  • This registry helps us better understand the practice of anesthesia in all settings in our health care system and identify differences that may help us improve patient safety. (asahq.org)
  • One option that warrants consideration for patient centered anesthesia practice is the use of remifentanil. (readbyqxmd.com)
  • Postoperative hypothermia and shivering is a frequent event in patients during cesarean section under spinal anesthesia. (nih.gov)
  • After being diagnosed with an acetabular fracture, the patient underwent orthopedic surgery under spinal anesthesia, selected based on patient comorbidities, and the immediate postoperative follow-up. (lww.com)
  • On the basis of this evidence, it was possible to give spinal anesthesia with morphine for operations followed by very painful postoperative [5], used in this manner, morphine gives produces exceptional pain relief[7,17,18]. (springer.com)
  • The case contributes to show the benefits and safety of this form of anesthesia when compared with other options. (lww.com)
  • The spinal anesthesia data included the type, dose of local anesthetic, duration of anesthesia and duration of surgery. (thefreedictionary.com)
  • The duration of anesthesia was 170 to 230 minutes (mean, 205 minutes). (biomedsearch.com)
  • Although the direction of the side hole is one of the important factors that might affect the level and the duration of anesthesia, those data are not readily available. (koreamed.org)
  • Do We Worry About Latex Allergy During Cesarean Delivery Under Spinal Anesthesia? (medicalmalpracticehelp.com)
  • A 28-year-old woman with preeclampsia at 32 weeks of gestation underwent a cesarean delivery under spinal anesthesia. (readbyqxmd.com)
  • Recently, four infants born with gastroschisis underwent repair under spinal anesthesia. (biomedsearch.com)
  • This study aimed at evaluating the prevalence of perioperative arrhythmias and ST changes through Holter System in elderly patients submitted to transurethral prostatectomy and inguinal hernia repair under spinal anesthesia. (scielo.br)
  • Participated in this study 21 patients aged 65 to 84 years submitted to transurethral prostatectomy (TUP) and 16 patients aged 63 to 86 years submitted to inguinal hernia repair under spinal anesthesia. (scielo.br)
  • In modern spinal MUA procedures, propofol (Diprivan) and midazolam (Versed) are common anesthetics used. (spine-health.com)
  • Zabetian H, Kalani N, Khalili A, Sahraei R, Radmehr M (2016) Antiemetic Effects of Midazolam and Propofol during Spinal Anesthesia on Women Undergoing Elective Cesarean Sections. (omicsonline.org)
  • The aim of this research is the comparison of the effects of propofol and midazolam on nausea and vomiting in pregnant women undergoing elective Cesarean section with spinal anesthesia. (omicsonline.org)
  • Administration of propofol immediately after spinal anesthesia was more effective in reducing nausea and vomiting, compared to administration of midazolam. (omicsonline.org)
  • This study was conducted to study the effect of a prophylactic dose of oral mirtazapine on shivering compared with a prophylactic dose of oral clonidine in patients undergoing urological surgeries under spinal anesthesia. (clinicaltrials.gov)
  • underwent urological surgeries under spinal anesthesia. (clinicaltrials.gov)
  • Objective: To examine the correlation between demographic and metabolic variables with the occurrence of perioperative complications in patients with MS undergoing scheduled surgeries using a spinal anesthesia technique in the surgery department at the University Clinic San Juan de Dios in Cartagena de Indias, Colombia. (scirp.org)
  • surgeries using the subarachnoid anesthesia technique. (scirp.org)
  • Nowadays, Cesarean is the most common surgery among women, and anesthesia is an elective technique in these surgeries. (omicsonline.org)
  • The behaviour of isobaric levobupivacaine in relation to gravity when used in obstetric spinal anesthesia is unclear. (hindawi.com)
  • Spinal anesthesia with 12.5 mg levobupivacaine was performed in the sitting position in all women. (hindawi.com)
  • A series of anesthesia-related maternal deaths in Michigan, 1985-2003. (springer.com)
  • The aim of the study was to review maternal hypotension during caesarean delivery with spinal anesthesia. (minervamedica.it)
  • Maternal deaths due to anesthesia complications. (readbyqxmd.com)
  • Over the period 2010-2012, maternal mortality linked to anesthesia accounted for 2% of maternal deaths, with no significant change since 2007-2009. (readbyqxmd.com)
  • Newswise - San Francisco, CA. (February 27, 2013) - During the first stage of labor, a combined spinal-epidural (CSE) technique offers faster and better-quality analgesia (pain relief) compared to traditional epidural analgesia, according to a report in the March issue of Anesthesia & Analgesia , official journal of the International Anesthesia Research Society (IARS). (iars.org)
  • The International Anesthesia Research Society is a nonpolitical, not-for-profit medical society founded in 1922 to advance and support scientific research and education related to anesthesia, and to improve patient care through basic research. (iars.org)
  • insertion of a catheter into the spinal subarachnoid space and leaving it in situ to permit serial intermittent injection of local anesthetic solution for prolonged spinal anesthesia. (thefreedictionary.com)
  • Although continuous spinal anesthesia with microcatheters has a number of advantages, there are also some drawbacks: technical problems in advancing the catheter, the possibility of traumatizing neural structures, the development of cauda equina syndrome, and maldistribution of the local anesthetic. (ovid.com)
  • Spinal anesthesia: should everyone receive a urinary catheter? (jefferson.edu)
  • BACKGROUND: The objective of this randomized prospective study was to determine whether a urinary catheter is necessary for all patients undergoing total hip arthroplasty under spinal anesthesia. (jefferson.edu)
  • Baseline measurements of heart rate, systolic and diastolic blood pressures were recorded prior to administration of spinal anesthesia and then at 5 minutes intervals for first 30 minutes of surgery and every 15 minutes thereafter till a total duration of 90 minutes. (thefreedictionary.com)
  • When systolic blood pressure decreased to 90-100 mmHg or to less than 70% of the pre-anesthesia value, ephedrine was injected. (biomedsearch.com)
  • There was no significant difference in systolic blood pressure or heart rate during spinal anesthesia between the groups. (biomedsearch.com)
  • Hypotension is one of the factor that contributed to nausea and vomiting after spinal anesthesia (systolic pressure less than 80), anesthesia above the fifth thoracic vertebra, adding vasoconstrictors to local anesthesia [ 4 ] vagus stimulation, psychological factors, and stimulation during surgery such as push on the abdomen for fetus delivery, visceral manipulation [ 5 , 6 ]. (omicsonline.org)
  • All five women had received intrapartum spinal anesthesia. (cdc.gov)
  • The article summarizes the investigations of five bacterial meningitis cases in New York and Ohio after intrapartum spinal anesthesia from 2008 to 2009. (ebscohost.com)
  • Tell your doctor about any allergies or health conditions you have, what medicines you are taking, and what anesthesia or sedation you have had before. (medlineplus.gov)
  • Allergic reactions and irregular heartbeats are rare complications of spinal anesthesia. (3-rx.com)
  • Exclusion criteria were contraindications to spinal anesthesia (coagulopathy, neuromuscular disease, and known allergy to local anesthetics). (hindawi.com)
  • The technique should be approached like any other spinal anesthetic with the usual considerations, contraindications, and sterile preparation. (asra.com)
  • Prior to receiving spinal anesthesia, it is important to provide a thorough medical evaluation to ensure there are no absolute contraindications and to minimize risks and complications. (wikipedia.org)
  • interruption of conduction of nerve impulses by the injection of an anesthetic into the spinal canal that reduces sensitivity to pain without loss of consciousness. (dictionary.com)
  • Partial or complete anesthesia produced by injecting an anesthetic into the spinal canal. (thefreedictionary.com)
  • Spinal anesthesia produces intense sensory and motor blockade as well as sympathetic blockade. (omicsonline.org)
  • Forced air-warming and warmed fluid was maintained for the 15 min preceding spinal anesthesia. (nih.gov)
  • Because Corning made no mention of cerebrospinal fluid (CSF) efflux, most likely he inadvertently gave an epidural rather than a spinal injection to the patient. (nysora.com)
  • After the completion of fluid infusions, all patients received spinal anesthesia in a sitting position from [L. (thefreedictionary.com)
  • How come spinal anesthesia doesn't effect your brain if it goes into the cerebrospinal fluid which circulates to the brain? (healthtap.com)
  • The organism has been reported in spinal fluid culture as a contaminant on four other occasions. (annals.org)
  • spinal anesthesia in which the level of sensory denervation extends to the second or third thoracic dermatome, and sometimes as high as the cervical dermatomes. (drugs.com)
  • spinal anesthesia in which the level of sensory denervation extends to the tenth or eleventh thoracic dermatome. (thefreedictionary.com)
  • Yaksh TL (1978) Inhibition by etorphine of the discharge of dorsal horn neurons: effects on the neuronal response to both high and low threshold sensory input in the cerebral spinal cat. (springer.com)
  • The evolution of pediatric anesthesia and pediatric spine surgery has had a parallel trajectory and as it stands, pediatric spine surgery has cemented itself as a cornerstone of most pediatric anesthesia practices. (springer.com)
  • Spinal manipulation under anesthesia (MUA), also referred to as medication-assisted manipulation (MAM), involves putting a patient with chronic neck or back pain under anesthesia (and/or other medications) while a doctor manipulates the spine. (spine-health.com)
  • This page discusses the differences between manipulation under anesthesia vs. traditional manipulation, the goals of MUA treatment for spine pain, and what current research indicates about the treatment. (spine-health.com)
  • 1 , 5 The American Medical Association's Current Procedural Terminology Publication lists a CPT code of 22505 for manipulation under anesthesia for any region of the spine. (spine-health.com)
  • Preloading patients undergoing elective Cesarean section with 500 ml HES 10%, decreases the incidence and severity of spinal-induced hypotension more than preloading with 1 L of LR solution. (unboundmedicine.com)
  • The mean dose of ephedrine injected during anesthesia was 12.2 and 4.3 mg, and the incidence of ephedrine injected was 85 and 49%, in the standard and extra-strong stocking groups, respectively. (biomedsearch.com)
  • Unfortunately, spinal anesthesia in Cesarean section is associated with high incidence of nausea and vomiting. (omicsonline.org)
  • However, spinal anesthesia (SA) in parturients experiencing failed conversion of ELA to ESA has been associated with an increased incidence of serious side effects. (eur.nl)
  • When comparing both SA groups, no clinically relevant differences were observed regarding the incidence of total spinal block (0% in both groups) or high spinal block (0.2 vs 0.8%, P = 0.36). (eur.nl)
  • Combining a prophylactic vasopressor regimen with hydroxyethylstarch preloading, hydroxyethylstarch coloading or crystalloid coloading is the best method to decrease the incidence and severity of hypotension during spinal anesthesia for caesarean delivery. (minervamedica.it)
  • The purpose of this study is to determine the effect of topical NSAIDS patch on decreasing the incidence of post-operative backache following spinal anesthesia for cesarean section. (scirp.org)
  • The vast majority of obstetric patients tracked in NACOR (88 percent) received either epidural or spinal anesthesia, or a combination of both. (asahq.org)
  • The Society for Obstetric Anesthesia and Perinatology Consensus Statement on the Anesthetic Management of Pregnant and Postpartum Women Receiving Thromboprophylaxis or Higher Dose Anticoagulants. (readbyqxmd.com)
  • Smiths offers a wide range of spinal anesthesia products including trays and standalone components, both lancet and pencil point, in a variety of sizes. (smiths-medical.com)
  • B. Braun's spinal products, including the proprietary Pencan® and Spinocan® needles and trays, offer safety and reliablility that are key for successful spinal anesthesia. (bbraunusa.com)
  • A variety of spinal trays with different drugs, needles and other accessories. (bbraunusa.com)
  • 16,17) This hypothesis is confirmed by Burgess et al (12) about continuous spinal anesthesia and the efficiency of 3. (thefreedictionary.com)
  • To take advantage of continuous spinal anesthesia, a meticulous technique is required. (ovid.com)
  • Anesthesia produced by injection of a local anesthetic solution into the spinal subarachnoid space. (dictionary.com)
  • Spinal anesthesia numbs the body below and sometimes above the site of the injection. (healthlinkbc.ca)
  • Patients in the early supine position group (supine group) were placed in the supine position immediately after the placement of the spinal injection, while patients randomized to the second group (seated group) remained in the sitting position for 2 minutes before assuming the supine position. (hindawi.com)
  • After injection of spinal cocaine into Hildebrandt, Bier conducted experiments on the lower half of Hildebrandt's body. (nysora.com)
  • Advancement of sterility and the investigation of decreases in blood pressure after injection helped make spinal anesthesia safer and more popular. (nysora.com)
  • If you are getting spinal anesthesia, the doctor will give you one injection. (lahey.org)
  • An epidural is an injection in the lower back of a body numbing local anesthetic into the space around the spinal nerves. (babymed.com)
  • Rudolph Matas, a vascular surgeon in New Orleans, described the use of spinal cocaine on patients and possibly was the first to use morphine in the subarachnoid space. (nysora.com)
  • These 2 types of anesthesia numb your body from the chest down to the legs. (lahey.org)
  • Anesthesia for orthopedic surgery. (springer.com)
  • Blood loss during posterior spinal fusion surgery in patients with neuromuscular disease: is there an increased risk? (springer.com)
  • Epidural anesthesia is often used during labor and delivery, and surgery in the pelvis and legs. (medlineplus.gov)
  • Epidural and spinal anesthesia are used mainly for surgery of the lower belly and the legs. (healthlinkbc.ca)
  • William Halsted and Richard Hall, surgeons at Roosevelt Hospital in New York City, took the idea of local anesthesia a step further by injecting cocaine into human tissues and nerves to produce anesthesia for surgery. (nysora.com)
  • An observational study in 2002 had suggested that spinal anesthesia was responsible for transient restless legs syndrome after surgery, the researchers said. (bio-medicine.org)
  • Faster onset and shorter elimination time favours a short-acting local anaesthetic for spinal anesthesia for out-patient lower limb surgery, e.g. knee arthroscopy, foot and varices surgery. (clinicaltrials.gov)
  • How to cite this article: Rodríguez Ortiz E, Martínez E, Martín J, Maiza L, Medina J. Spinal anesthesia in a patient with Charcot-Marie-Tooth disease undergoing orthopedic surgery: case report. (lww.com)
  • Please don't think about cancelling the surgery on account of the anesthesia making you sick. (emetophobia.org)
  • At the most basic level, a spinal anesthetic has been attempted but the satisfactory conditions for proceeding with surgery are not obtained. (nysora.com)
  • Spinal anesthesia is used primarily for surgery of the lower abdomen and the legs. (omicsonline.org)
  • Sole feet after my surgery, is there any relation between sole pain and c-section using spinal anesthesia? (healthtap.com)
  • Other variables found to have a high frequency among hypotensive patients were known preexisting pathologic conditions, increasing concentrations of anesthetic used at the time of surgery, and increasing levels of anesthesia achieved. (jaoa.org)
  • Benefits of local anesthesia for Cesarean section include decreasing risk of aspiration, reduced mortality related to difficult intubation, reduced surgery related bleeding, and decreasing need for taking medicines suppressing the central nervous and respiratory systems transferred through the placenta to the baby [ 2 ]. (omicsonline.org)
  • In spite of applying the necessary treatments, nausea and vomiting are still one of the most common complications of anesthesia which cause the patients undergo an unpleasant experience during surgery [ 3 ]. (omicsonline.org)
  • Cytokine concentrations are altered during surgery and anesthesia, which may effect Th cell predominance and, therefore, subsequent immune responses. (nih.gov)
  • Spinal anesthesia may result in less immunosuppression after surgery. (nih.gov)