British journal of anaesthesia
-
Observational Study
Spinal anaesthesia for patients with coronavirus disease 2019 and possible transmission rates in anaesthetists: retrospective, single-centre, observational cohort study.
Spinal anaesthesia for Caesarean section in patients with COVID can be provided safely, although anaesthetists are at risk of infection, significantly reduced by use of Level 3 PPE (PAPR + protective suit).
pearl -
Randomized Controlled Trial
Sphenopalatine ganglion block for the treatment of postdural puncture headache: a randomised, blinded, clinical trial.
Current treatment of postdural puncture headache includes epidural blood patch (EBP), which is invasive and may result in rare but severe complications. Sphenopalatine ganglion block is suggested as a simple, minimally invasive treatment for postdural puncture headache. We aimed to investigate the analgesic effect of a transnasal sphenopalatine ganglion block with local anaesthetic vs saline. ⋯ NCT03652714.
-
Comparative Study
Counting train-of-four twitch response: comparison of palpation to mechanomyography, acceleromyography, and electromyography.
Train-of-four twitch monitoring can be performed using palpation of thumb movement, or by the use of a more objective quantitative monitor, such as mechanomyography, acceleromyography, or electromyography. The relative performance of palpation and quantitative monitoring for determination of the train-of-four ratio has been studied extensively, but the relative performance of palpation and quantitative monitors for counting train-of-four twitch responses has not been completely described. ⋯ Acceleromyography with the StimPod frequently underestimated train-of-four count in comparison with electromyography with TwitchView.