Journal of anesthesia
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Journal of anesthesia · Jun 1994
Estimation of cerebrospinal fluid pressure via lumbar epidural space by equilibration method.
By introducing water into the lumbar epidural space from a vertically held tube under gravity, we measured lumbar epidural pressure (EDP) when the water meniscus no longer declined. In principle, the pressure of either side of dura mater had become equal at this time which is referred to as the equilibrium point. ⋯ Both EDP and CSFP responded sensitively to the manipulations of CSFP during this period. We suggest that this method may provide a means to continuously monitor CSFP by EDP.
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The electroencephalograms (EEG) of 55 children under isoflurane anesthesia were studied to elucidate any change in pattern with age. The children ranged from 1 month to 14 years of age were divided into six age groups. The standard minimum alveolar concentration (MAC) was determined in each group. ⋯ At 1.5 MAC, the incidences of burst suppression in the groups of 6 months to 6 years of age were significantly less than in groups older or younger than that age (P<0.05). Except for infants less than 6 months of age, the mean values of maximum amplitude at 1.0 MAC were two to three times of those in adults. Children 3-6 years of age showed the highest value of 427.0±83.5 μV.
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Journal of anesthesia · Jun 1994
Effect of the lithotomy position on spinal anesthesia with hyperbaric tetracaine.
This study was performed to determine the effects of lithotomy position on the spread of analgesia and hemodynamics following spinal anesthesia with 0.5% hyperbaric tetracaine. Thirty patients who underwent hysterectomy due to myoma uteri were studied. ⋯ There were no significant differences between the groups in mean arterial pressure, heart rate, cardiac output, and in the cephalad spread of analgesia. The lithotomy position had no effect on the spread of analgesia or anesthetic course of spinal anesthesia with hyperbaric tetracaine.