JPMA. The Journal of the Pakistan Medical Association
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Randomized Controlled Trial Comparative Study
Spinal anaesthesia for caesarean section: plain vs hyperbaric bupivacaine.
To compare the clinical characteristics of sensory and motor block as well as haemodynamic stability using plain and hyperbaric bupivacaine in spinal anaesthesia for caesarean section. ⋯ In obstetric population, both plain and hyperbaric bupivacaine 10 mg, with fentanyl produced adequate anaesthesia for caesarean section without any differences in the time of onset, extent of the block and haemodynamic parameters. However, sensory level regression was delayed in the plain group which may have caused prolonged duration of block.
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To analyse inter-observer variation between a neuroradiologist and neurosurgeon in the MRI diagnosis of lumbar nerve root compression. Although lumbar MFI is primarily analyzed and reported by a radiologist, neurosurgeons often analyse it independently as they have sufficient clinical background as well as radiological expertise to diagnose most spinal pathologies on Magnetic Resonance Imaging (MRI). ⋯ Inter-observer agreement between neuroradiologist and neurosurgeon in diagnosing nerve root compression due to lumbar disc disease was excellent. Agreement regarding disc bulge and herniation was fair.