Middle East journal of anaesthesiology
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Middle East J Anaesthesiol · Jun 2010
Randomized Controlled Trial Comparative StudyComparison of the effects of intrathecal different dosage of levobupivacaine in elective day-case arthroscopy of the knee.
To observe the motor and sensorial block characteristics with different dosage of levobupivacaine during spinal block for the patients undergoing day-case knee arthroscopy. ⋯ The motor and sensorial block obtained with different spinal anesthesia dosages of 0.5% levobupivacaine were effective for day-case knee artroscopy. Although 7.5 mg is suitable for patients; 10, 12.5 and 15 mg could be used according to anesthetist experience without any side effects.
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Middle East J Anaesthesiol · Jun 2010
Study of post dural puncture headache with 27G Quincke & Whitacre needles in obstetrics/non obstetrics patients.
The proposed study was carried out in the department of Anaesthesiology, Intensive care & Pain management, Himalayan Institute of Medical Sciences. Swami Rama Nagar, Dehradun. A total of 120 patients of ASA I & II obstetric & non-obstetric undergoing elective/emergency surgery under subarachnoid block were included under the study. ⋯ All the three patients were for lower section caesarean section and were young and had undergone more than one attempt to perform spinal block. The headache severity was from mild to moderate and no epidural blood patch was applied.
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Middle East J Anaesthesiol · Jun 2010
Case ReportsNeurological deficit following combined spinal-epidural anesthesia for knee arthroplasty.
A healthy man developed cauda equina syndrome after uneventful combined spinal and epidural anesthesia. No pre-existing neurologic disorder was recorded. ⋯ The sensory levels were improved within a few days following the deficit but little improvement on motor power but not on sphincter tone. Local anesthesia neurotoxicity was thought to be the leading cause of neurologic deficit in our case.