Canadian journal of anaesthesia = Journal canadien d'anesthésie
-
Case Reports
Pulmonary oedema in two parturients with hypertrophic obstructive cardiomyopathy (HOCM).
Two patients with hypertrophic obstructive cardiomyopathy (HOCM) presented for delivery. The first had a repeat Caesarean section with general anaesthesia and the second gave birth vaginally with epidural analgesia. ⋯ The fluid management of the parturient is discussed with particular emphasis on the pathophysiology of HOCM. The indications for invasive monitoring are presented.
-
Randomized Controlled Trial Comparative Study Clinical Trial
Bupivacaine added to epidural fentanyl does not improve postoperative analgesia.
-
Randomized Controlled Trial Comparative Study Clinical Trial
Patient controlled lumbar epidural fentanyl for post thoracotomy pain.
-
Location of the epidural space in epidural anaesthesia usually involves the measurement of loss of resistance using glass or plastic syringes. In the present study two varieties of glass syringe and one plastic type were evaluated to determine the resistive forces associated with plunger movement. ⋯ Each of these values was significantly lower (P less than 0.5) than those for plastic syringes fs = 2.22 X 10(-3) +/- 0.48 X 10(-3) N and fd = 1.46 X 10(-3) +/- 0.37 X 10(-3) N. It is concluded that glass syringes are favoured over plastic for locating the epidural space because frictional forces developed with glass syringes were significantly lower than with plastic.