• Bupivacaine hydrochloride injection contains bupivacaine hydrochloride, an amide local anesthetic indicated in adults for the production of local or regional anesthesia or analgesia for surgery, oral surgery procedures, diagnostic and therapeutic procedures, and for obstetrical procedures. (nih.gov)
  • For each type of block indicated to produce local or regional anesthesia or analgesia, specific concentrations and presentations are recommended. (nih.gov)
  • Intravenous regional anesthesia (Bier Block). (nih.gov)
  • There have been reports of cardiac arrest and death during the use of bupivacaine for intravenous regional anesthesia (Bier Block). (nih.gov)
  • The correlation of anesthetic drugs and techniques with maternal safety, uteroplacental circulation and fetal well-being is detailed in regional anesthesia, related to the use of local anesthetics and opioids, and in general anesthesia, related to the use of inhaled and intravenous anesthetics, and also neuromuscular blockers. (rmmg.org)
  • 40 Should Regional Anesthesia Be Used for Orthopedic Trauma Patients? (icebe.es)
  • 53 When Should Regional Anesthesia Be Used in Pediatric Patients? (icebe.es)
  • So, if you are having a procedure on your thumb, regional anesthesia will numb your arm. (uihc.org)
  • Regional anesthesia involves numbing a limited area of a person's body to prevent pain during surgery. (metrowestanesthesia.com)
  • Regional anesthesia, like general anesthesia, is safe. (metrowestanesthesia.com)
  • Increasingly, many surgeons and anesthesiologists prefer regional anesthesia techniques (when possible) to reduce complication risk and improve the recovery experience with less pain, nausea and less narcotic medicine required. (corycalendinemd.com)
  • Regional anesthesia is a general term used to refer to the injection of local anesthesia near nerves for temporary control of pain - blocking the nerves to a specific area of the body, without affecting your brain or breathing. (corycalendinemd.com)
  • There are three basic types of regional anesthesia utilized most frequently in joint replacement surgery: spinal blocks, epidural blocks and peripheral nerve blocks. (corycalendinemd.com)
  • Advantages to regional anesthesia can include decreased blood loss, less nausea and drowsiness, reduced risk of serious systemic medical complications (such as heart attack or stroke), and improved pain control after surgery. (corycalendinemd.com)
  • However, the majority of nerve problems following labor and delivery are commonly due to the impinging of the nerves by the moving baby along the birth canal, and rarely to regional anesthesia. (painfreebirthing.com)
  • Background and Objectives The purpose of this study was to determine whether the 26-gauge Atraucan needle shows any benefit on the incidence of postdural puncture headache (PDPH) and back pain as compared with the 27-gauge Quincke needle. (bmj.com)
  • Post-dural-puncture headache (PDPH) is a complication of puncture of the dura mater (one of the membranes around the brain and spinal cord). (wikipedia.org)
  • However, the evidence that atraumatic needles reduce the risk of post-dural puncture headache (PDPH) without increasing adverse events such as paraesthesia or backache is moderate-quality and further research should be done. (wikipedia.org)
  • Postdural puncture headache (PDPH) is a common complication following spinal anaesthesia for Caesarean section (CS). (journalajmah.com)
  • Posture and fluids for preventing post‐ dural puncture headache. (journalajmah.com)
  • Mohammed AD, Ayyuba R, Salisu I, Nagoma AU, Owolabi LF, Ibrahim A. An analysis of post-dural puncture headache in obstetric patients: A study from Kano, Nigeria. (journalajmah.com)
  • Kassa A, Beyen T, Zenu Z. Post dural puncture headache (PDPH) and associated factors after spinal anaesthesia among patients in the university of Gondar referral and teaching hospital, Gondar, North West Ethiopia. (journalajmah.com)
  • Incidence and risk factors of postdural puncture headache: Prospective cohort study design. (journalajmah.com)
  • Serbulent GB, Tolga E, Aykut S, Fath S, Ali MU, Ali E, Burcu D. The interrelation between body mass index and post-dural puncture headache in parturient women. (journalajmah.com)
  • No patients in any group had nausea vomitting, post dural puncture headache, urinary retention or high spinal. (ispub.com)
  • Available at: https://www.dynamed.com/condition/postdural-puncture-headache. (epnet.com)
  • 50 What Is the Optimal Management of Postdural Puncture Headache? (icebe.es)
  • All the patients were evaluated for the time of drug administration, number of attempts, time to attain sensory blockade up to T8 level, time to attain motor blockade up to bromage Grade 3, and incidence of post‑dural puncture headache (PDPH) and post‑dural puncture backache. (who.int)
  • PURPOSE OF REVIEW: Postdural puncture headache remains the most frequent complication of neuraxial anesthesia. (uky.edu)
  • There are not many maneuvers that prevent postdural puncture headache. (uky.edu)
  • Several means to treat a postdural puncture headache exist. (uky.edu)
  • Postdural puncture headache is a well- known complication of spinal anesthesia, but the subsequent development of intracranial subdural hematoma is a serious life-threatening complication which should be urgently treated. (longdom.org)
  • After 48 hours she developed postdural puncture headache which was treated conservatively and she was discharged home. (longdom.org)
  • Our report reviews the literature on 49 patients who developed a postdural puncture headache complicated by intracranial subdural hematoma following spinal anesthesia. (longdom.org)
  • However, potential dural puncture headache may lender it difficult to recognize an intracranial hemorrhage. (ommegaonline.org)
  • You will need to talk with your child's doctor about the type of anesthesia that will be best for your child. (medlineplus.gov)
  • Which type of anesthesia is best for my child and the procedure that my child is having? (medlineplus.gov)
  • You may have a type of anesthesia that numbs part of your body. (aultcare.com)
  • After carefully considering the nature of your surgery, your overall health, medical history, lab tests, and your own concerns and preferences, you and your anesthesia provider will make the final decision about the type of anesthesia that is safest and best for you. (metrowestanesthesia.com)
  • Conclusion: We should cautiously consider that general anesthesia may be associated with slightly increased in peri-operative room time , hospital stay & the differences were observed in the tested parameters between general and spinal anesthesia regarding postoperative pain at injection site , headache , lumbar pain , vomiting ,fever ICU admission & infection So it is highly recommended to leave the decision of type of anesthesia to the doctor upon patients' clinical condition. (journalcra.com)
  • Anesthesia & Analgesia. (spine-health.com)
  • Spinal anaesthesia is advantageous in that it uses small dose of anesthetic, is easy to perform and offers a rapid onset, reliable surgical analgesia and good muscle relaxation. (ispub.com)
  • Spinal anaesthesia with hyperbaric bupivacaine hydrochloride is popular for longer procedure due to its prolonged duration but there is need to intensify and increased duration of sensory blocked without increasing the intensity and duration of motor blocked and thus prolong the duration of post operative analgesia. (ispub.com)
  • We present a case of severe autonomic hyperreflexia in a 44-year-old male with spinal cord injury at the level of T4 during urologic procedure under sedation and analgesia successfully treated with intravenous lidocaine. (spinalcordinjuryzone.com)
  • Of the 31 physicians in ASPA, a large majority are regularly scheduled to provide Obstetric analgesia or anesthesia. (aspa-de.com)
  • Anesthesia in medically complex patients or those involving multiple stages of surgical intervention may include multimodal analgesia, various neuraxial or regional anesthetic block techniques in addition to general anesthesia and may require inpatient stays where postoperative acute pain services can be provided. (pediatricurologybook.com)
  • In the end, spinal anesthesia was chosen for the advantage of avoiding hypertensive responses from either airway stimulation or inadequate analgesia. (ommegaonline.org)
  • Thought you might appreciate this item(s) I saw in Anesthesia & Analgesia. (lww.com)
  • More rare complications of EBP include misplacement of blood leading to spinal subdural hematoma or intrathecal injection and arachnoiditis, infection with subdural abscess, facial nerve paralysis, spastic paraparesis and cauda equina syndrome. (wikipedia.org)
  • It is possible for anesthesia to cause complications during or after spinal MUA, which can range from mild to life-threatening. (spine-health.com)
  • 4 5 Atraumatic ("blunt") needles have been in clinical use since the 1950s, principally in anaesthetic practice, where there is substantial evidence of a reduced incidence of headache and other neurological complications after their use. (bmj.com)
  • Some surgeries or diseases may put your child at a higher risk for anesthesia complications. (57357.org)
  • Comparative Study on the Effects and Complications of Transverse Insertion of Two Fine Gauge Quincke's Spinal Needles 26 and 29 G in Spinal Anesthesia. (who.int)
  • Spinal needles have evolved over time to increase efficacy and decrease complications. (who.int)
  • In the operating room, patient was reluctant to have general anesthesia, because he belief that anesthesia lead to complications and his stay in the hospital could be prolonged. (spinalcordinjuryzone.com)
  • In planning for cesarean delivery all available anesthesia techniques should be weighed their inherent complications associated with each technique against the risk of rupturing the aneurysm. (ommegaonline.org)
  • Again, general anesthesia affects your entire body, including your heart and breathing rates, leading to a small risk of a serious complications including heart attack and stroke. (corycalendinemd.com)
  • We compared spinal anesthesia via the 27-gauge Quincke needle in 202 patients (group Q) and via the 26-gauge Atraucan needle in 186 patients (group A). (bmj.com)
  • Using a pencil point needle rather than a cutting spinal needle decreases the risk. (wikipedia.org)
  • Modern, atraumatic needles such as the Sprotte or Whitacre spinal needle leave a smaller perforation and reduce the risk for PDPH. (wikipedia.org)
  • Secondary end points were incidence of headache at one week analysed by needle type, ease of use by operator according to a visual analogue scale, incidence of backache, and failure rate of puncture. (bmj.com)
  • Patient factors (age, BMI, bed rest, and previous history of PDPH), healthcare provider factors (qualification, experience, and the number of dural punctures), and equipment factors (size, design, and spinal needle orientation) were evaluated to determine predisposing factors for PDPH. (journalajmah.com)
  • High BMI, traumatic cutting spinal needle tip design and perpendicular orientation of the needle bevel are predisposing factors. (journalajmah.com)
  • An x-ray may help guide a small needle to the area where spinal fluid is leaking. (epnet.com)
  • Hence, we undertook this study to compare the effects and complication of transverse insertion of Quincke's spinal needle 26 G (gauge) and 29 G. Materials and Methods: Hundred patients of age 18-40 years posted for lower abdominal and lower limb surgeries were allocated into two groups of 50 each to receive spinal anesthesia with 3 ml of 0.5% bupivacaine using 26 G or 29 G Quincke's spinal needle. (who.int)
  • Spinal anesthesia was induced using a 25-gauge Quincke spinal needle. (longdom.org)
  • 2 liters of Ringer's Lactate) spinal anesthesia was performed using a 25-gage Sprotte needle. (ommegaonline.org)
  • This occurs as a result of a needle hole in the sac containing fluid (spinal fluid) during the epidural procedure. (painfreebirthing.com)
  • By holding as still as possible while the epidural needle is placed, you help to decrease the likelihood of a headache. (painfreebirthing.com)
  • Since epidural anesthesia involves needle placement in the back, there is a natural tendency to assume that any post-delivery nerve problem is due to the epidural anesthesia. (painfreebirthing.com)
  • It's a quick and fairly painless procedure in which your child's doctor uses a needle to access her spinal canal and the cerebrospinal fluid that's found floating in it. (childrenshospital.org)
  • A lumbar puncture is a common procedure in which we ask your child to curl up in a ball, and then we use a special needle to gain access to her spinal canal through her back. (childrenshospital.org)
  • an experienced anesthesiologist will give spinal anaesthesia (injecting the previously mentioned mixture intrathecally) using a 25 G pencil point needle, at level of L2-L3 or L3-L4. (who.int)
  • We conclude that PDPH is a common complication following spinal anaesthesia for Caesarean section, and the incidence (24.5%) is relatively high at Thika Level 5 Hospital. (journalajmah.com)
  • Aspiration pneumonia (inhaling stomach contents into the lungs) is a serious complication of anesthesia. (metrowestanesthesia.com)
  • Headache due to a reduced volume of cerebrospinal fluid and reduced pressure complicates a substantial proportion of lumbar punctures. (bmj.com)
  • Spinal anaesthesia and myelography differ from diagnostic lumbar puncture because smaller gauge needles are used, smaller volumes of cerebrospinal fluid are removed, and other fluids can be introduced. (bmj.com)
  • We excluded patients with a history of chronic headache requiring analgesics and those with known or suspected idiopathic intracranial hypertension or other causes of an increased cerebrospinal fluid pressure. (bmj.com)
  • Low pressure headaches are caused by low cerebrospinal fluid (CSF) volume. (headaches.org)
  • As opposed to epidural anesthesia, in which medications are instilled outside the dura mater, the goal of spinal anesthesia is to instill the desired medications into the cerebrospinal fluid (CSF). (medscape.com)
  • Alternatively, spinal and epidural anesthesia can be used jointly, taking advantage of the qualities of both techniques: the rapid, dense sensorimotor blockade of a spinal anesthetic and the opportunity to redose the patient with an epidural catheter anesthetic. (medscape.com)
  • After your arrival at the hospital, you will have the opportunity to meet an anesthesia provider in person, discuss the anesthetic procedure in detail, and ask questions. (metrowestanesthesia.com)
  • Through vigilance by the anesthesia provider and your monitored response to the medications given, your anesthetic is adjusted during the procedure for your safety and comfort. (metrowestanesthesia.com)
  • In short, the patient did not experience any anesthetic sequelae including spinal headache or intracranial hemorrhage. (ommegaonline.org)
  • The surgeries involve an epidural-an anesthetic injection around the spinal column. (justbureaucracy.com)
  • The Centers for Disease Control and Prevention (CDC) is issuing this Health Alert Network Health Advisory about an outbreak of suspected fungal meningitis among U.S. patients hospitalized in Texas after undergoing cosmetic procedures under epidural anesthesia in the city of Matamoros, state of Tamaulipas, Mexico. (cdc.gov)
  • Healthcare providers and the public should be aware that patients who underwent medical or surgical procedures under epidural anesthesia in Matamoros, Mexico, and who have developed signs or symptoms of possible meningitis (e.g., fever, headache, stiff neck, nausea, vomiting, photophobia, altered mental status) should promptly seek evaluation by a healthcare provider and convey that medical history. (cdc.gov)
  • Two additional female patients hospitalized in Texas developed suspected fungal meningitis 1-8 weeks after undergoing cosmetic procedures under epidural anesthesia at Clinica K-3 in Matamoros, Mexico. (cdc.gov)
  • People who had procedures under epidural anesthesia at other clinics in Mexico and develop symptoms should contact their healthcare provider if they are concerned about possible meningitis. (cdc.gov)
  • CDC, the Mexican Ministry of Health, and U.S. state and local health departments are responding to a multinational outbreak of fungal meningitis among people who had procedures under epidural anesthesia in Matamoros, Tamaulipas, Mexico. (cdc.gov)
  • Advisory about an outbreak of suspected fungal meningitis among U.S. patients hospitalized in Texas after undergoing cosmetic procedures under epidural anesthesia in the city of Matamoros, state of Tamaulipas, Mexico. (cdc.gov)
  • PDPH typically occurs hours to days after puncture and presents with symptoms such as headache (which is mostly bi-frontal or occipital) and nausea that typically worsen when the patient assumes an upright posture. (wikipedia.org)
  • Occasionally, a patient may need additional treatment if the headache persists, or associated with other features such as nausea, difficulty in seeing light, or hearing noises. (painfreebirthing.com)
  • Workers' complaints of headaches, nausea, and dizziness at a spinal ward and operating room suite of the Veterans Administration Medical Center (SIC-2519), Bronx, New York were investigated. (cdc.gov)
  • 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)
  • An epidural blood patch is a procedure to stop spinal fluid from leaking. (epnet.com)
  • This procedure is done to ease a spinal headache that does not go away on its own. (epnet.com)
  • Local anesthesia in which only the place of procedure is anesthetized. (57357.org)
  • A simple herniated disk or laminectomy/diskectomy procedure does not normally exclude you from having a labor epidural or spinal anesthesia. (aspa-de.com)
  • You may experience some headache following the procedure. (babydestination.com)
  • Methods We investigated 388 patients, 171 men and 217 women, who were receiving spinal anesthesia for subumbilical surgery. (bmj.com)
  • In patients with a history of low-grade Ta disease and a noted sub-centimeter papillary tumor(s), consider in-office fulguration as an alternative to resection under anesthesia. (medscape.com)
  • There have been reports of cardiac arrest with difficult resuscitation or death during use of bupivacaine hydrochloride for epidural anesthesia in obstetrical patients. (nih.gov)
  • Spinal anesthesia has also been noted to result in symptomatic deterioration in patients with multiple sclerosis. (medscape.com)
  • [ 5 ] Patients with chronic low back pain may decline spinal anesthesia out of concerns for increased low back pain. (medscape.com)
  • The study aimed to investigate the incidence and factors predisposing patients to PDPH after a dural puncture during a planned Caesarean section under spinal anaesthesia at Thika Level 5 Hospital, Kenya. (journalajmah.com)
  • After approval from local ethical committee of institute and written valid informed consent from parents/guardians of all the patients with grade ASA 1 of physical status weight 5-30 kg and age 3-10 years and surgeries below T8 were enrolled for the study except those patients with known sensitivity to the drugs, gross spinal deformity and peripheral neuropathy. (ispub.com)
  • All these patients received epidural anesthesia and underwent cosmetic procedures. (cdc.gov)
  • 19 Is There a Best Approach for Patients With Difficult Airways: Regional Versus General Anesthesia? (icebe.es)
  • Conclusion: 29 G Quincke's spinal could be used to provide spinal anesthesia in young adult patients owing to adequate sensory and motor blockade with no incidence of PDPH and backache. (who.int)
  • To have safe anesthesia at that time, the pathophysiological changes in both the unacclimatized and acclimatized patients at high altitude, which include pulmonary hyperventilation, polycythemia, rising pulmonary blood volume, pulmonary hypertension, and increase in diffusion capacity, are to be considered in preanesthetic checkup. (jcardcritcare.org)
  • Some paraplegic patients may wish undergo some surgical procedures, like urological procedures, without anesthesia. (spinalcordinjuryzone.com)
  • However, these patients can develop autonomic hyperreflexia if cystoscopy is performed without anesthesia. (spinalcordinjuryzone.com)
  • ANESTHESIA PREOPERATIVE RECOMMENDATIONS FOR PATIENTS ON MEDICATIONS On the day of surgery you may continue to take oral medication pills as usual, except those listed below, with a small sip of water. (metrowestanesthesia.com)
  • Occasionally, epidural placement in patients who have had extensive back surgery with bony fusions or spinal instrumentation/rods may be more difficult or result in a lesser degree of patient comfort throughout the childbirth process. (aspa-de.com)
  • Anesthesia plans may vary to include anesthesia for same-day outpatient surgery procedures in healthy patients with an isolated urologic concern or they may be more involved and complex. (pediatricurologybook.com)
  • Medically complex patients may benefit from a visit to the pre-anesthesia or pre-surgical optimization clinic to ensure that all follow-up information is up to date (e.g., echocardiogram and cardiology clearance in patients with congenital heart disease) and to allow for timely completion of any necessary laboratory work or imaging. (pediatricurologybook.com)
  • This condition is characterized by an orthostatic headache, that is, one that occurs or worsens with upright posture, although some patients may have chronic headache or even no headache. (ndtv.com)
  • Performing spinal anesthesia in patients with degenerative lumbar spine disease or a prior history of lumbar surgery may prove technically difficult, but these are not necessarily contraindications. (medscape.com)
  • The 0.75% (7.5 mg/mL) concentration of bupivacaine hydrochloride is not recommended for obstetrical anesthesia and should be reserved for surgical procedures where a high degree of muscle relaxation and prolonged effect are necessary ( 5.1 ). (nih.gov)
  • Anesthesia is a state of controlled, temporary loss of sensation or awareness that is induced for medical purposes, that enables the painless performance of surgical procedures. (57357.org)
  • Some surgical procedures can be accomplished readily with regional or local anesthesia. (metrowestanesthesia.com)
  • Surgical Procedures eligible for Spinal anesthesia. (who.int)
  • PDPH is a common side effect of lumbar puncture and spinal anesthesia. (wikipedia.org)
  • PDPH is roughly twice as common in lumbar puncture than spinal anaesthesia, almost certainly due to the atraumatic needles used in spinal anaesthesia. (wikipedia.org)
  • Epidural anesthesia is often used during labor and delivery, and surgery in the pelvis and legs. (medlineplus.gov)
  • Subarachnoid (spinal) block is a safe and effective alternative to general anesthesia when the surgical site is located on the lower extremities, perineum (eg, surgery on the genitalia or anus), or lower body wall (eg, inguinal herniorrhaphy ). (medscape.com)
  • 51 Does Anesthesia Increase the Risk to the Parturient Undergoing Nonobstetric Surgery? (icebe.es)
  • Before surgery, you will have a chance to discuss your concerns with your child's anesthesia team. (57357.org)
  • The surgery lasted 25 min and the patient went to the post-anesthesia care unit (PACU) hemodynamically stable. (spinalcordinjuryzone.com)
  • If you have an epidural for labor and require a C-section for delivery of your baby, the epidural can be injected with medicine to provide anesthesia for the surgery. (aspa-de.com)
  • As a patient, you are encouraged to bring any documentation or X-rays/X-ray reports from any prior spinal surgery to assist your anesthesiologist with epidural placement. (aspa-de.com)
  • These parents can typically be reassured that they will speak to an anesthesia provider on the day of surgery, or they can be provided with the anesthesia group's contact information for further questions. (pediatricurologybook.com)
  • It is caused by a leak of CSF which may occur following a lumbar puncture or other invasive procedures like myelography, spinal anesthesia, spinal surgery, trauma, or placement of a ventriculoperitoneal shunt.Medical causes include dehydration, diabetic coma, hyperpnea (hyperventilation), uremia, and severe systemic illness. (ndtv.com)
  • Prior to joint replacement surgery, you will meet with members of the surgical team to discuss anesthesia options and methods. (corycalendinemd.com)
  • General anesthesia is reserved for major surgery, including some joint replacement procedures. (corycalendinemd.com)
  • General anesthesia has long been a safe option for hip and knee replacement surgery. (corycalendinemd.com)
  • Options for a peripheral blocks include performing a one-time injection to numb the leg just during surgery or placing a catheter in place to deliver continuous local anesthesia around the nerves for up to several days after surgery. (corycalendinemd.com)
  • Notably, two Americans have died due to a suspected fungal meningitis outbreak after having surgery under epidural anesthesia in Matamoros, Mexico. (justbureaucracy.com)
  • 1. Patient complaining of pain during the forceps skin test which is performed before the surgical incision, or patient complaining of pain during the time of surgery, pain would indicate inadequate anesthesia. (who.int)
  • The objective of this review is to provide the reader with useful information for the proper conduct of obstetric anesthesia. (rmmg.org)
  • In obstetric anesthesia, we try to provide spinal (less often, epidural) anesthesia for scheduled C-sections. (aspa-de.com)
  • The patient would have sedation and possibly spinal anesthesia. (kevinmd.com)
  • This patient had been experiencing a headache for more than four days. (aafp.org)
  • However, that is not to suggest that spinal anesthesia is always the best course in a patient likely to have difficulties with endotracheal intubation. (medscape.com)
  • Fine gauge spinal needles technically consume more time but are advisable in certain clinical conditions such as raised intracranial pressure and when patient well‑being and comfort are the priorities. (who.int)
  • The patient complained of severe headache. (spinalcordinjuryzone.com)
  • The case report considers the available anesthesia techniques in managing the patient safely. (ommegaonline.org)
  • As the patient complained of headache during this admission, an MRI of head was performed which revealed a 4-mm cerebral aneurysm arising from the supraclinoid segment of the left internal carotid artery. (ommegaonline.org)
  • Patient with contraindications to spinal anesthesia. (who.int)
  • The incidence of headache after spinal anaesthesia is typically half that after diagnostic lumbar puncture. (bmj.com)
  • Pregnant women scheduled for planned Caesarean sections under spinal anaesthesia at Thika Level 5 Hospital were randomly recruited. (journalajmah.com)
  • Spinal anaesthesia. (journalajmah.com)
  • Various studies have shown that 1mcg/kg clonidine provides a significant improvement in spinal anaesthesia quality, duration and reduces the need of post-operative analgesic requirement without a significant side effects [1,2,3,4,5,10,11] . (ispub.com)
  • To compare the ease of use of atraumatic needles with standard needles for diagnostic lumbar puncture and the incidence of headache after their use. (bmj.com)
  • The primary end point was intention to treat analysis of incidence of moderate to severe headache, assessed at one week by telephone interview. (bmj.com)
  • Higher body mass index was associated with an increased failure rate with atraumatic needles, but the reduced incidence of headache was maintained. (bmj.com)
  • Atraumatic needles significantly reduced the incidence of moderate to severe headache and the need for medical interventions after diagnostic lumbar punctures, but they were associated with a higher failure rate than standard needles. (bmj.com)
  • We aimed to compare the incidence of headache with atraumatic and standard needles and to evaluate technical difficulties. (bmj.com)
  • If you are scheduled for an elective Caesarean section, your anesthesia team will discuss your options with you. (aspa-de.com)
  • Arm 2 (MD Group): Spinal Anesthesia with dose of 0.5% hyperbaric Bupivacaine chosen accorded to height and weight following a modified Harten's chart table + 25 micrograms of Fentanyl. (who.int)
  • A doctor who gives you epidural or spinal anesthesia is called an anesthesiologist. (medlineplus.gov)
  • A pediatric anesthesiologist is a fully trained anesthesiologist who has completed at least 1 year of specialized training in anesthesia care of infants and children. (57357.org)
  • A doctor called an anesthesiologist or a nurse anesthetist who is a certified registered nurse anesthetist (CRNA), will oversee your anesthesia. (uihc.org)
  • ASPA provides a dedicated anesthesia service (anesthesiologist and nurse anesthetist) to the Women's Building 24 hours/day, 7 days/week, 365 days/year. (aspa-de.com)
  • The anesthesia techniques used can have a significant impact on your recovery and deserve careful discussion with your surgeon and/or anesthesiologist. (corycalendinemd.com)
  • Could your chronic migraines or chronic headaches actually be low pressure headaches? (headaches.org)
  • Low pressure (sometimes called low volume) headaches are often misdiagnosed as chronic migraine. (headaches.org)
  • A blindfold was placed over the patient's eyes as she was told that this might prevent a spinal headache. (kevinmd.com)
  • Depending on your condition, your surgeon may have to utilize instrumentation, like screws and rods, to immobilize your spine to expedite spinal bone fusion or stabilize your spine.Traditional screw placement approaches require the surgeon to remove tissue and muscle from your spine surface. (orthopedicandlaserspinesurgery.com)
  • The most common side effects are bleeding, infection, headache or reaction to the medication. (aspa-de.com)
  • For the best results with the least amount of risk, your child's doctor may use a lumbar puncture (also called a "spinal tap") to diagnose or treat conditions thought to be associated with her CNS. (childrenshospital.org)
  • So, what causes these headaches, and what are some indications that you may be experiencing them? (headaches.org)
  • citation needed] Although in very rare cases the headache may present immediately after a puncture, this is almost always due to another cause such as increased intracranial pressure and requires immediate attention. (wikipedia.org)
  • The headache is severe and described as "searing and spreading like hot metal", involving the back and front of the head and spreading to the neck and shoulders, sometimes involving neck stiffness. (wikipedia.org)
  • The epidural catheter is a long tube, smaller than a typical labor intravenous, taped to your back and connected to an infusion of dilute local anesthesia and pain medication. (aspa-de.com)
  • A femoral nerve block involves an injection of local anesthesia into the groin region near the nerve supply of the thigh and knee. (corycalendinemd.com)
  • Although one-shot injection techniques are the norm, continuous spinal anesthesia has enjoyed periods of popularity while also being demonized. (medscape.com)
  • Studies suggest that a peripheral mechanism may contribute to the symptoms of migraine-a theory that the literature reinforces through demonstrations of improvement in migraine headaches following injection of the botulinum A toxin. (medscape.com)
  • Therefore, we administer an oral anxiolytic (such as midazolam oral liquid, 0.5-0.75 mg/kg) in the pre-operative holding area 15-30 minutes prior to inhalational anesthesia induction to allow optimal timing of medication effect. (pediatricurologybook.com)
  • However, the medication used for anesthesia in the current outbreak got contaminated and was used at two private hospitals. (justbureaucracy.com)
  • A lumbar puncture may be done to help diagnose conditions, effectively deliver medication, or measure/relieve pressure within the spinal canal. (childrenshospital.org)
  • Most of the evidence for manipulation under anesthesia for spinal pain involves case studies and anecdotal evidence, rather than large randomized controlled trials typically required for high-quality scientific evidence. (spine-health.com)
  • Spinal anesthesia produces intense sensory and motor blockade as well as sympathetic blockade. (medscape.com)
  • It is thought that sensory input from the GON and the ophthalmic branch of the trigeminal nerve converges into the trigeminal nucleus caudalis, which is hypothesized to be the reason why occipital neuralgia is sometimes associated with migraine headache symptomatology. (medscape.com)
  • The doctor will give local anesthesia-the area will be numbed. (epnet.com)
  • If you cannot go to an emergency room (for example, because it is too far away), consider calling your local health center or urgent care facility to see if they can do spinal taps. (cdc.gov)
  • Epidural blood patch for the treatment of spontaneous and iatrogenic orthostatic headache. (epnet.com)
  • Greater occipital nerve (GON) blocks are frequently used to treat migraine headaches, although a paucity of supporting clinical evidence exists. (medscape.com)