Regional anesthesia
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Regional anesthesia · Sep 1996
Randomized Controlled Trial Comparative Study Clinical TrialEffectiveness and safety of combined epidural and general anesthesia for laparoscopic cholecystectomy.
The aim of this study was to compare the efficacy and safety of two anesthesia techniques, combined epidural/general anesthesia (CEGA) versus total intravenous anesthesia (TIVA), for laparoscopic cholecystectomy. ⋯ The use of CEGA for laparoscopic cholecystectomy seems to be effective and safe and to offer some advantages as compared to TIVA alone. CEGA can control pain due to CO2-induced peritoneal irritation, providing excellent intra- and postoperative analgesia. CEGA does not require the use of intraoperative intravenous opioids and shortens recovery time, without increasing the incidence of side effects.
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Regional anesthesia · Sep 1996
Comparative Study Clinical Trial Controlled Clinical TrialPostdural puncture headache and back pain after spinal anesthesia with 27-gauge Quincke and 26-gauge Atraucan needles.
The purpose of this study was to determine whether the 26-gauge Atraucan needle shows any benefit on the incidence of postdural puncture headache (PDPH) and back pain as compared with the 27-gauge Quincke needle. ⋯ Both needles are associated with very low incidences of PDPH and back pain, which are not affected by which needle is chosen.
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Regional anesthesia · Sep 1996
Case ReportsContinuous spinal anesthesia for cesarean delivery in a patient with arthrogryposis multiplex congenita. A clinical report.
Arthrogryposis multiplex congenita (AMC) is a syndrome, diagnosed at birth, which presents with multiple joint contractures. Because this disease often progresses until there is dysfunction of multiple organ systems, it may have an impact on the anesthetic management. There are few anesthetic reports of this disease in the adult pregnant patient. ⋯ Continuous spinal anesthesia can be safely used for cesarean delivery in patients with AMC in the presence of appropriate monitoring.
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Regional anesthesia · Sep 1996
Clinical TrialSpinal clonidine fails to provide surgical anesthesia for transurethral resection of prostate. A dose-finding pilot study.
This study was designed to determine whether subarachnoid clonidine administration alone results in surgical anesthesia for transurethral resection of the prostate. ⋯ Subarachnoid clonidine cannot be reliably used as the sole agent for spinal anesthesia, since general anesthesia is often required or deep sedation occurs. Increasing doses of clonidine do not prolong postoperative analgesia. Thus, clonidine could be used as a spinal analgesic but not as a spinal anesthetic.
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Regional anesthesia · Sep 1996
A multivariate model to predict the distance from the skin to the epidural space in an obstetric population.
Several attempts to relate epidural space depth to individual patient parameters or details of technique have yielded modest correlations. An attempt has been made to construct a multivariate model to predict the depth from the skin of the epidural space with use of several such factors. ⋯ While this model is the best predictor of epidural space depth yet published, it is probably not sufficiently accurate to be clinically useful in confirming proper epidural catheter placement. Further work in this area is probably not justified.