Regional anesthesia
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Regional anesthesia · Jan 1992
Case ReportsBilateral subdural hematomas after dural puncture: delayed diagnosis after false negative computed tomography scan without contrast.
BACKGROUND. Dural puncture secondary to spinal anesthesia or unintentional dural puncture during attempted epidural anesthesia can lead to headaches complicated by bilateral subdural hematomas. ⋯ CONCLUSION. Computed tomography scans with contrast media or magnetic resonance imaging may be necessary to diagnose bilateral subdural hematomas.
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Regional anesthesia · Jan 1992
Randomized Controlled Trial Comparative Study Clinical TrialContinuous pleural infusion of bupivacaine offers better postoperative pain relief than does bolus administration.
To determine whether continuous pleural analgesia offers better postoperative pain relief than does bolus administration in postcholecystectomy patients. ⋯ Continuous pleural analgesia offers better postoperative pain relief than does bolus administration. Pneumothorax was observed in two patients during the study.
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Regional anesthesia · Jan 1992
Comparative StudySprotte needle for obstetric anesthesia: decreased incidence of post dural puncture headache.
Reports have emphasized the importance of spinal needle tip configuration in the development of post dural puncture headache (PDPH). ⋯ Our data indicate that the Sprotte spinal needle, with its non-cutting tip, results in a significantly lower (p less than 0.05) incidence of PDPH than Quincke cutting-tip needles of smaller gauge.