Acta anaesthesiologica Sinica
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Acta Anaesthesiol. Sin. · Jun 1999
Anesthesia for ankylosing spondylitis patients undergoing transpedicle vertebrectomy.
Ankylosing Spondylitis (AS) patients present specific challenges to the anesthesiologists. Airway management, central venous access, positioning, neuraxial monitoring and protection as well as management of massive blood loss may prove to be difficult. We retrospectively reviewed the anesthetic management of consecutive AS patients who underwent transpedicle vertebrectomy (TPV). ⋯ Although it is extremely challenging, with proper planning, anticipation of difficulties and meticulous work in airway management, central venous catheterization and positioning as well as prevention of neurological injury and massive bleeding, we successfully accomplished fine job of anesthesia for the AS patients presented for correction of severe kyphosis.
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Acta Anaesthesiol. Sin. · Jun 1999
Randomized Controlled Trial Comparative Study Clinical TrialSpinal anesthesia for cesarean section: isobaric versus hyperbaric solution.
The present study was undertaken to compare the outcomes of hyperbaric versus isobaric spinal anesthesia in Cesarean delivery. ⋯ Our results indicated that numerous variables must be taken into consideration in predicting the outcome of a spinal anesthesia. Alternation in the technique and individual patient factor may individually or collectively produce different results.
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Acta Anaesthesiol. Sin. · Jun 1999
Randomized Controlled Trial Clinical TrialPrevention of hypotension after spinal anesthesia for cesarean section: dextran 40 versus lactated Ringer's solution.
This study was designed to compare the efficacy of 10% dextran 40 with lactated Ringer's (LR) solution in reducing the incidence and severity of hypotension after spinal anesthesia for Cesarean section. ⋯ We concluded that 500 ml of dextran 40 is more effective than 1000 ml of lactated Ringer's solution in reducing the incidence of hypotension induced by spinal anesthesia.