Journal of anesthesia
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Journal of anesthesia · Apr 2014
Randomized Controlled TrialInjection of intrathecal normal saline in decreasing postdural puncture headache.
Postdural puncture headache (PDPH) is the most common and still unresolved postoperative complication of spinal anesthesia. Although there are several positive results of intrathecal saline injection for the treatment of PDPH and prophylaxis after accidental dural puncture, the effect of deliberate intrathecal saline injection before spinal anesthesia has not been examined. The objective of our study was to evaluate the effect of prophylactic administration of intrathecal normal saline in decreasing PDPH. ⋯ Administration of normal saline (5 ml) before intrathecal administration of hyperbaric bupivacaine as a preventive approach is an effective and simple way to minimize PDPH in patients undergoing cesarean section.
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Journal of anesthesia · Apr 2014
Observational StudyRelationship of abdominal circumference and trunk length with spinal anesthesia level in the term parturient.
We hypothesized that body shape metrics influence the anatomy of spinal canal and intraabdominal pressure in three dimensions. We explored the effects of abdominal circumference, trunk length, and their combination on the level of spinal anesthesia in the term parturient in this study. ⋯ TL/AC2, which simulated the ratio of the long axis and transection area of the abdomen, was correlated with maximal spinal level, and parturients with low TL/AC2 values tended to have higher dermatomal levels during spinal anesthesia.
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Journal of anesthesia · Apr 2014
Letter Case ReportsAnesthesia in a child with Mulvihill-Smith syndrome.