scholarly journals Comparison of Complications between Gender during Spinal Anesthesia

2018 ◽  
Vol 3 (2) ◽  
Author(s):  
Vahabi S ◽  
Karimi A ◽  
Ghanavati M
Keyword(s):  
Spinal Anesthesia

Comparison of Endoscopic Versus Percutaneous Approach (Blind) to Control the Obturator Jerk in Patients Undergoing Transurethral Resection of Bladder Tumors Under Spinal Anesthesia

2020 ◽  
Vol 21 (2) ◽  
pp. 120-126
Author(s):  
Alamgir Md ◽  
Karim Km Monwarul ◽  
Nandy SP ◽  
Md Monwar Ul Haque ◽  
Sakhawat Mahmud Khan
Keyword(s):  
Statistical Analysis ◽  
Spinal Anesthesia ◽  
Transurethral Resection ◽  
Bladder Tumor ◽  
Complete Resection ◽  
Satisfaction Level ◽  
Bladder Tumors ◽  
Percutaneous Approach ◽  
Group A ◽  
Group B

Objective: The aim of the study was to compare the endoscopic versus percutaneous approach (blind) to control the obturator jerk in patients undergoing transurethral resection of bladder tumors under spinal anesthesia. Materials and methods: A prospective observational study was performed in Department of Urology, Chittagong Medical College, Chittagong and some Private Hospitals (Ltd.) in Chittagong city during the period from January 2016 to June 2016. Total 100 patients were grouped into two, on alternate basis. Fifty(50) patients in group- A conducted with endoscopic infiltration with 20ml of injection 2% lignocaine at the bladder tumor base and another 50 patients in group-B, conducted with blind percutaneous technique with same drug and volume ( 20ml inj.2% lignocaine) to control obturator jerk. Severity of obturator jerk in both procedure, percentage of complete resection, ONB procedure related time, ONB procedure related complications and surgeon’s satisfaction level were recorded and compared between two approaches. Chi-square analysis was performed to compare the ease of approach and outcome of the two techniques. A value of P<0.05 was considered statistically significant. Results: The mean age of the patients were 59.44+7.681. In group-A, 50 patients were given inj. 2% lignocaine endoscopically at the bladder tumor base to control obturator jerk. Twenty five patients (50%) had no jerk, 20 patients(40%) developed mild jerk and 5 patients (10%) developed moderate jerk and no patients developed severe jerk. Second attempt was taken in moderate jerk patients (5 patients) and succeeded in 3(6%) patients. So, in this group, complete resection of bladder tumor was possible in 96%. In group B, complete resection of bladder tumor was possible in 84%. Statistical analysis was done and result is significant in case of endoscopic procedure to control obturator jerk(p<0.05). ONB Procedure related time was <20 mins. in 32(64%) patients in group-A and 45 (90%) patients in group- B. 20 mins. or more time was required for 18 (36%) patients in group-A and 5 (10%) patients in group-B. Statistical analysis was done and result is significant in percutaneous (blind) technique (p<0.05). ONB procedure related complications in group-A and Group –B were noted. Statistical analysis was done and result is insignificant (p>0.05). Surgeons satisfaction level were recorded on the basis of obturator jerk block and complete resection and which was statistically significant in favour of endoscopy group (p<0.05). Conclusion: It is concluded that endoscopic injection of 2% lignocaine into the bladder tumor base is better in case of jerk elimination and complete resection than blind percutaneous approach. Though, ONB procedure related time was significantly less in percutaneous group. Bangladesh Journal of Urology, Vol. 21, No. 2, July 2018 p.120-126

Acute reduction of cerebrospinal fluid volume prior to spinal anesthesia: implications for sensory block extent

2020 ◽  
Vol 86 (6) ◽  
Author(s):  
Martin F. Bjurström ◽  
Niklas Mattsson ◽  
Andreas Harsten ◽  
Nicholas Dietz ◽  
Mikael Bodelsson
Keyword(s):  
Cerebrospinal Fluid ◽  
Spinal Anesthesia ◽  
Sensory Block ◽  
Fluid Volume ◽  
Cerebrospinal Fluid Volume

December 27th, 1899-2019: the first spinal anesthesia in Italy is 120 years old

2019 ◽  
Vol 85 (12) ◽  
Author(s):  
Andrea Gentili ◽  
Leonardo Arrighi ◽  
Roberto Spisni ◽  
Stefano Arieti ◽  
Elisabetta Baccarini
Keyword(s):  
Spinal Anesthesia

Toward an advisory system for cesarean section spinal anesthesia

2004 ◽  
Author(s):  
P. Fung ◽  
G. Dumont ◽  
M. Ansermino ◽  
M. Huzmezan ◽  
A. Kamani
Keyword(s):  
Cesarean Section ◽  
Spinal Anesthesia ◽  
Advisory System

Fascia iliaca compartment block versus 3-in-1 block in patients undergoing lower limb surgeries under spinal anesthesia: A comparative study

2019 ◽  
Vol 11 (1) ◽  
pp. 69-75
Author(s):  
Jayesh Ingle ◽  
◽  
Naresh Paliwal ◽  
Sunil Lawhale ◽  
Jayal Bhagat ◽  
...  
Keyword(s):  
Comparative Study ◽  
Spinal Anesthesia ◽  
Lower Limb ◽  
Fascia Iliaca Compartment Block

Preemptive analgesia in patients undergoing infraumbilical laparotomy under spinal anesthesia: A randomized, double-blind, comparative evaluation of varying doses of oral pregabalin

2019 ◽  
Vol 10 (3) ◽  
pp. 199-205
Author(s):  
Derlin Thomas ◽  
◽  
Betsy Varghese ◽  
Manu Sam Mathew ◽  
George Kanjirathummoottil George ◽  
...  
Keyword(s):  
Spinal Anesthesia ◽  
Comparative Evaluation ◽  
Preemptive Analgesia ◽  
Double Blind

Combined Extended High Spinal Anesthesia and Endotracheal Narcosis: a Clinical Case

2019 ◽  
Vol 4 (2) ◽  
pp. 152-154
Author(s):  
A. B. Yakushevsky ◽  
A. N. Plekhanov ◽  
A. B. Ayusheev
Keyword(s):  
Abdominal Surgery ◽  
Spinal Anesthesia ◽  
Postoperative Period ◽  
Initial Dose ◽  
Clinical Case ◽  
Central Hemodynamics ◽  
Narcotic Analgesics ◽  
Spinal Catheter ◽  
The Right ◽  
Endotracheal Anesthesia

Background. In recent years, various methods of combined anesthesia during abdominal surgery have been introduced into clinical practice.Aim. To demonstrate the possibilities of a combination of high prolonged spinal anesthesia and endotracheal anesthesia during abdominal surgery.Materials and methods. A clinical case of combined use of high prolonged spinal anesthesia and endotracheal anesthesia in a 48-year-old patient with a tumor in the right half of the ascending part of the right half of the colon is presented.Results. The patient received a puncture of the spinal space at a standard point and was installed a spinal catheter in the cranial direction for 3 cm. An isobaric solution of marcaine in the initial dose of 20 mg was injected into the catheter. The regulation of the development of the block was regulated by the inclination of the head end of the table by 60°. After that endotracheal anesthesia was performed on the basis of fentanyl and propofol. This combination allowed to expand the scope of surgical intervention, provided adequate pain relief intraoperatively and in the postoperative period, without the use of narcotic analgesics. With the appearance of signs of recovery of pain sensitivity, intraoperatively or in the postoperative period, re-introduction of the anesthetic into the spinal catheter was performed in half of the initial dose with liquor barbotage. In the early postoperative period, the patient was on strict bed rest with a head end of the bed raised at 30–45°. The method provides complete segmental blockade and muscle relaxation in the area of operation, stability of central hemodynamics during surgery and in the postoperative period.Conclusion. This type of anesthesia is more easily tolerated by patients, accompanied by early awakening and extubation, characterized by stability of central hemodynamics, reduced risk of complications, the possibility of prolonging anesthesia with lower doses of narcotic analgesics in the intraoperative period, providing high-quality anesthesia in the postoperative period without resorting to the use of narcotic analgesics.

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