A case of extensive block with the combined spinal‐epidural technique during labourAnaesthesia - Tập 56 Số 4 - Trang 346-349 - 2001
Ina Shaw, R. J. S. Birks
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 spin...... hiện toàn bộ
Obstetric epidural test dosesAnaesthesia - Tập 41 Số 12 - Trang 1240-1250 - 1986
G.D. Prince, Diana G. McGregor
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 te...... hiện toàn bộ
Prolonged impairment in activities of daily living due to postdural puncture headache after diagnostic lumbar punctureAnaesthesia - Tập 53 Số 3 - Trang 299-302 - 1998
Harri Tohmo, E. Vuorinen, Antti Muuronen
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 ac...... hiện toàn bộ
Bed rest and postlumbar puncture headacheAnaesthesia - Tập 44 Số 5 - Trang 389-391 - 1989
P. T. Cook, Melanie J. Davies, R. E. Beavis
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 anaes...... hiện toàn bộ
Epidural morphine injections for prevention of post dural puncture headacheAnaesthesia - Tập 63 Số 8 - Trang 847-850 - 2008
Roshdi R. Al-Metwalli
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 gr...... hiện toàn bộ
Postdural puncture headache A comparison between 26‐ and 29‐gauge needles in young patientsAnaesthesia - Tập 44 Số 2 - Trang 147-149 - 1989
Hans Flaatten, S. Å. Rodt, Jan Sverre Vamnes, Jan Henrik Rosland, Torben Wisborg, Moshe Koller
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 2...... hiện toàn bộ
Fluid flow through dural puncture sitesAnaesthesia - Tập 44 Số 5 - Trang 415-418 - 1989
Stéphane Boyer, John Hopkinson
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 beve...... hiện toàn bộ
Tourniquet failure and arterial calcificationAnaesthesia - Tập 36 Số 1 - Trang 48-50 - 1981
Sanjay Jeyaseelan, Tamasin Stevenson, J. Pfitzner
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 ...... hiện toàn bộ