Anaesthesia
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A case of extensive block with the combined spinal‐epidural technique during labour
Anaesthesia - Tập 56 Số 4 - Trang 346-349 - 2001
The increasing use of combined spinal‐epidural analgesia in obstetric practice
has arisen from a desire to achieve a rapid onset of analgesia while reducing
the intensity of the motor block. Although the procedure has an excellent safety
profile, as with any technique there are potential problems. Difficulty in
assessing the position of the epidural catheter after establishment of the
spinal block...
Obstetric epidural test doses
Anaesthesia - Tập 41 Số 12 - Trang 1240-1250 - 1986
SummaryA number of obstetric fatalities related to epidural anaesthesia have
been reported recently. In each case catheter or needle misplacement had
resulted in a lethal intrathecal or intravascular injection. In this review
these cases and a number of other similar but nonfatal reports are examined. In
many cases, essential safety checks such as the aspiration test and the test
dose had not been...
Prolonged impairment in activities of daily living due to postdural puncture headache after diagnostic lumbar puncture
Anaesthesia - Tập 53 Số 3 - Trang 299-302 - 1998
To assess the incidence of postdural puncture headache and its effects on
patients' activities of daily living, we interviewed 325 adult patients
subjected to a diagnostic lumbar puncture during a 1‐year period. Two hundred
and eighteen (67%) of the subjects replied to the questionnaire; 41 (19%) of
these were diagnosed as having suffered a postdural puncture headache.
Impairment of the activities...
Bed rest and postlumbar puncture headache
Anaesthesia - Tập 44 Số 5 - Trang 389-391 - 1989
SummaryA prospective, blind, randomised trial was undertaken to determine if the
incidence of postlumbar puncture headache is significantly altered by 24 hours’
recumbency. One hundred and two patients were allocated randomly to rest supine
in bed for either 4 or 24 hours after spinal anaesthesia for urological or
gynaecological surgery. A standardised spinal anaesthetic technique was applied
that...
Epidural morphine injections for prevention of post dural puncture headache
Anaesthesia - Tập 63 Số 8 - Trang 847-850 - 2008
SummaryA prospective, randomised, double‐blind trial was conducted to study the
effect of epidural morphine in prevention of post dural puncture headache in 25
parturients after inadvertent dural puncture. Women were randomly allocated to
receive two epidural injections, 24 h apart, of either 3 mg morphine in 10 ml
saline (morphine group) or 10 ml saline (saline group). The incidence of
headache a...
Postdural puncture headache A comparison between 26‐ and 29‐gauge needles in young patients
Anaesthesia - Tập 44 Số 2 - Trang 147-149 - 1989
SummaryThe incidence of postdural puncture headache after spinal anaesthesia
with two types of 26‐ and 29‐gauge needles was investigated in 149 patients less
than 30 years old. Ten patients, (6.7%), six men and four women, developed
typical symptoms of postdural puncture headache, while six (4.0%) developed
headache of other origin. There were no headaches in the 29‐gauge group. Spinal
anaesthesia...
Bilateral greater occipital nerve block for post‐dural puncture headache
Anaesthesia - Tập 63 Số 5 - Trang 557-558 - 2008
Fluid flow through dural puncture sites
Anaesthesia - Tập 44 Số 5 - Trang 415-418 - 1989
SummaryLeakage of artificial cerebrospinal fluid through human dura was measured
in vitro after puncture by spinal needles. Fluid loss tailed off in all cases
and ceased within 5 minutes in 10% of punctures made with a 22‐gauge needle, 28%
made with a 26‐gauge and 65% made with a 29‐gauge needle (p < 0.05). The fluid
loss was not reduced by alignment of the bevel of the needle parallel to the
long...
Tourniquet failure and arterial calcification
Anaesthesia - Tập 36 Số 1 - Trang 48-50 - 1981
SummaryA patient with Mönckeberg's calcinosis is presented in whom a pneumatic
limb tourniquet failed to be effectitie because of calcification of the femoral
artery wall. Bleeding from the operation site was noticed to be appreciably
greater while the tourniquet was inflated since the cuff, though not occluding
the femoral artery, acted as a very effective venous tourniquet.Theoretical
risks whic...
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