Middle East journal of anaesthesiology
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Middle East J Anaesthesiol · Jun 1997
Randomized Controlled Trial Clinical TrialPreanesthetic wrapping of legs for prevention of spinal induced hypotension.
Forty-four male patients undergoing herniorrhaphy under spinal anesthesia were allocated to 2 groups. Group I had 15 ml/kg of lactated ringer intravenously as prehydartion for prevention of spinal induced hypotension. Group 11 had the trendelenbourg position to 30 degrees for 2 minutes and the legs wrapped with elastic Esmarch bandage prior to spinal anesthesia without fluid prehydration. ⋯ The later was defined as a decrease in the systolic arterial pressure less than 75% of the baseline value. The incidence of hypotension was greater in the fluid prehydration group (4 of 22) as well as the mean dose of ephedrine required to treat hypotension (7 +/- 10 mg) than the group with wrapping of the legs (1 of 22 and 5 +/- 0 mg). It is concluded that trendelenbourg position and wrapping of the legs prior to the spinal block might prevent the sudden decrease in arterial blood pressure that occurs during spinal anesthesia.
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Middle East J Anaesthesiol · Jun 1997
Case ReportsIpsilateral bronchial intubation in a neonate for expansion of post-operative unilateral atelectasis--case report.
Ipsilateral bronchial intubation was used for reexpansion of unilateral pulmonary atelectasis in a newborn, who developed postoperative right atelectasis following extrapleural repair of tracheoesophageal fistula.