Acta Anaesthesiologica Scandinavica
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Adverse effects of perioperative paracetamol, NSAID s, glucocorticoids, gabapentinoids and their combinations: a topical review
Acta Anaesthesiologica Scandinavica - Tập 58 Số 10 - Trang 1182-1198 - 2014
Post‐operative pain affects millions of patients worldwide and the
post‐operative period has high rates of morbidity and mortality. Some of this
morbidity may be related to analgesics. The aim of this review was to provide an
update of current knowledge of adverse events (AE) associated with the most
common perioperative non‐opioid analgesics: paracetamol, non‐steroidal
anti‐inflammatory drugs (NS...
The effects of tramadol on postoperative nausea, vomiting and headache after ENT surgery. A placebo‐controlled comparison with equipotent doses of nalbuphine and pethidine
Acta Anaesthesiologica Scandinavica - Tập 43 Số 1 - Trang 28-33 - 1999
Background: Opioids given as adjuncts to balanced inhalational anaesthesia
augment postoperative nausea and vomiting (PONV). Tramadol, equipotent to
pethidine, does not depress respiration, but can cause an increase in blood
pressure and headache via its monoaminergic actions. Nalbuphine, ten times as
potent as pethidine, has a ceiling respiratory depressant and ceiling analgesic
effect at >0.3 mg...
Plasma concentrations of ropivacaine following a single‐shot caudal block of 1, 2 or 3 mg/kg in children
Acta Anaesthesiologica Scandinavica - Tập 45 Số 10 - Trang 1276-1280 - 2001
Background: For documenting the properties of ropivacaine used for regional
anaesthesia in children, the relationship between dose and resulting systemic
exposure is essential. The aim of this pharmacokinetic part of a randomised,
multicentre, double‐blind study was to determine the free and total plasma
levels of ropivacaine in children aged between 4 and 12 years following a
single‐shot caudal d...
Testing whether the epidural works: too time consuming?
Acta Anaesthesiologica Scandinavica - Tập 54 Số 6 - Trang 761-763 - 2010
Background: When using epidural anaesthesia (EDA) for pain relief after major
surgery, a failure rate of 10% is common. A crucial step in improving the care
of patients with EDA is to define the position of the epidural catheter. The aim
of this study was to investigate how much time it takes to determine whether the
block is sufficient by assessing the extent of loss of cold sensation before
indu...
Postdural puncture headache (PDPH): Onset, duration, severity, and associated symptoms: An analysis of 75 consecutive patients with PDPH
Acta Anaesthesiologica Scandinavica - Tập 39 Số 5 - Trang 605-612 - 1995
Among 873 consecutive patients who had undergone a total of 1021 spinal
anaesthesias involving puncture of the lumbar dura, 75 (7.35%) complained of
Postdural Puncture headache. (PDPH). The severity of each patient's PDPH was
categorized, on a scale from mild to severe, on the basis of the onset,
duration, severity of the heActa ches, and the degree to which they were
accompained by auditory and v...
Postural post‐dural puncture headache. A prospective randomised study and a meta‐analysis comparing two different 0.40 mm O.D. (27 g) spinal needles
Acta Anaesthesiologica Scandinavica - Tập 44 Số 6 - Trang 643-647 - 2000
Background: To compare the incidence of postural post‐dural puncture headache
(PPDPH) after spinal anaesthesia using two different 0.40 mm O.D. (27 g) spinal
needles: pencil‐point needle and Quincke needle. In addition, a meta‐analysis of
studies comparing small bore spinal needles with regard to development of PPDPH
was performed.Methods: Clinical study: A prospective randomised double‐blind
stud...
Relief of postural post dural puncture headache by an epidural blood patch 12 months after dural puncture
Acta Anaesthesiologica Scandinavica - Tập 43 Số 9 - Trang 964-966 - 1999
A 20‐year‐old previously healthy male presented at the pain clinic with chronic
headache of about one year duration. Clinical examination revealed no
pathological manifestations. During the consultation the patient was drinking
Coca‐Cola. On direct questioning he told that drinking Coca‐Cola gave partial
relief from the headache, and that the headache started after he had received
two spinal anaes...
Dural puncture: the patients' perspective A patient survey of cases at a DGH maternity unit 1983–1993
Acta Anaesthesiologica Scandinavica - Tập 40 Số 6 - Trang 710-714 - 1996
Background: This study was designed to investigate the patient experience
following accidental dural puncture complicating obstetric epidural
analgesia.Methods: Sixty‐three patients who had suffered from accidental dural
puncture during obstetric epidural analgesia over a ten‐year period were sent a
questionnaire enquiring about their experiences. 68% responded.Results: Headache
was the most sever...
Effect of experience with spinal anaesthesia on the development of post‐dural puncture complications
Acta Anaesthesiologica Scandinavica - Tập 43 Số 1 - Trang 37-41 - 1999
Background: This clinical study was conducted in order to investigate the effect
of operator experience with spinal anaesthesia (SA) on development of postural
post‐dural puncture headache (PPDPH) and postoperative backache.Methods: The
study was a cohort study of the first 100 SA performed by each of 5 trainees in
anaesthesiology at the very beginning of their training period. SA was conducted
wi...
Management of persistent post‐dural puncture headache after repeated epidural blood patch
Acta Anaesthesiologica Scandinavica - Tập 51 Số 5 - Trang 633-636 - 2007
We report a case of persistent post‐dural puncture headache (PDPH) in a patient
despite two epidural blood patches (EBPs). Successful resolution of headache was
achieved with a third EBP performed under computed tomography (CT) guidance. A
38‐year‐old female had a total abdominal hysterectomy under combined
spinal‐epidural anesthesia with no complications. After surgery, she developed a
postural h...
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