scholarly journals Role of Caudal Blockade in the Modulation of Stress Response in the Surgical Correction of Congenital Malformations of the Lower Parts of the Urogenital System in Children

2020 ◽  
pp. 20-28
Author(s):  
A. M. Karamyshev
Keyword(s):  
Adverse Effects ◽  
Local Anesthetic ◽  
Congenital Malformations ◽  
Surgical Correction ◽  
Laryngeal Mask ◽  
Anesthetic Technique ◽  
Urogenital System ◽  
Anesthetic Solution ◽  
Caudal Blockade ◽  
Local Anesthetic Solution

Objective: to assess the efficiency and safety of an anesthetic technique during the surgical correction of congenital malformations of the lower departments of the urogenital system in children by means of the comparative analysis of laboratory and hemodynamic indices, as well as the course of the early postoperative period, development of adverse effects during the anesthesia.Material and methods. Depending on the type of anesthesia, all patients (127 boys) were divided into 3 clinical groups: those operated under multicomponent balanced inhalation anesthesia (group 1, n = 37), under general laryngeal mask anesthesia in combination with caudal blockade with a local anesthetic solution (group 2, n = 45), under general laryngeal mask anesthesia with caudal blockade with the combination of a local anesthetic solution and adjuvant (group 3, n = 45).Results. The performed analysis of the parameters of hemodynamics, levels of cortisol, glucose, lactate and interleukin-6 (IL-6), as well as the quality, duration, depth of anesthesia and the necessity for an inhalation anesthetic, the assessment of complications and the adverse effects have revealed statistically significant differences indicative of a more effective blockade of the pain sensitivity in the combined application of general and regional anesthesia.Conclusion. The technique of combined anesthesia with the application of the combination of 0.25 % bupivacaine solution and adjuvant to 0.1 % morphine has shown the best efficiency and safety during the surgical correction of congenital malformations of the lower departments of the urogenital system in the children.

scholarly journals Efficiency and safety of an anesthetic technique in surgical correction of congenital malformations of the lower parts of the urogenital system in children

2020 ◽  
pp. 43-51
Author(s):  
A. M. Karamyshev ◽  
G. V. Ilukevich ◽  
T. V. Lyzikova
Keyword(s):  
Congenital Malformations ◽  
Early Postoperative Period ◽  
Surgical Correction ◽  
Laryngeal Mask ◽  
Anesthetic Technique ◽  
Urogenital System ◽  
Inhalation Anesthesia ◽  
Combined Anesthesia ◽  
Group 2 ◽  
Caudal Blockade

Objective: to assess the efficiency and safety of an anesthetic technique in surgical correction of congenital malformations of the lower parts of the urogenital system in children by means of the performance of the comparative analysis of perioperative adverse events and complications, consumption of the inhalation anesthetic sevoflurane and the cost of anesthesia, and also the course of the early postoperative period. Material and methods. Depending on the type of anesthesia, all patients (127 boys) were divided into 3 clinical groups: those operated under multicomponent balanced inhalation anesthesia (group 1, n = 37), under general laryngeal mask anesthesia in combination with caudal blockade with 0.25% bupivacaine solution (group 2, n = 45), under general laryngeal mask anesthesia with caudal blockade with the combination of 0.25% bupivacaine solution and adjuvant (group 3, n = 45). Results. The performed analysis has not revealed any statistically significant distinctions in the assessment of anesthesia complications but it has found some significant distinctions in the consumption of sevoflurane, depth of anesthesia and its cost, as well as the necessity for postoperative anesthesia and introduction of analgesics, which testifies to the efficiency and safety of combined anesthesia and its economic benefit. Conclusion. The most effective, safe, and economically reasonable is the technique of combined anesthesia with the application of caudal blockade with local anesthetic solution and 0.1% adjuvant of morphine solution during surgical correction of congenital malformations of the lower parts of the urogenital system in children.

Influence of Local Anesthetic Solution on Postdural Puncture Headache

1990 ◽  
Vol 10 (3) ◽  
pp. 166
Author(s):  
J. S. Naulty ◽  
L. Hertwig ◽  
C. O. Hunt ◽  
S. Datta ◽  
G. W. Ostheimer ◽  
...  
Keyword(s):  
Local Anesthetic ◽  
Postdural Puncture Headache ◽  
Anesthetic Solution ◽  
Local Anesthetic Solution

Comparison of Jet Injection and Needle-Syringe Injection Techniques in Production of Edema

1972 ◽  
Vol 51 (2) ◽  
pp. 573-576 ◽  
Author(s):  
Norman K. Ikehara ◽  
David H. Mc Kibben ◽  
Jack L. Pechersky ◽  
Robert Rapp
Keyword(s):  
Local Anesthetic ◽  
Injection Technique ◽  
Jet Injection ◽  
Edema Fluid ◽  
Injection Techniques ◽  
Anesthetic Solution ◽  
Syringe Injection ◽  
Local Anesthetic Solution

A biopsy desiccation method was used to demonstrate the production of edema fluid after administration of a local anesthetic solution by jet and needle-syringe injection techniques. The jet injection technique produced less edema fluid than the needle-syringe injection technique.

scholarly journals Impact of hyaluronidase on anesthetic distribution in retrobulbar region following sub-Tenon anesthesia

2008 ◽  
Vol 65 (7) ◽  
pp. 525-531
Author(s):  
Maja Surbatovic ◽  
Mirjana Kendrisic ◽  
Miodrag Jevtic ◽  
Nikola Filipovic ◽  
Nada Popovic ◽  
...  
Keyword(s):  
Optic Nerve ◽  
Local Anesthetic ◽  
Optic Nerve Sheath ◽  
Fat Tissue ◽  
Ophthalmic Surgery ◽  
Nerve Sheath ◽  
Muscle Tissues ◽  
Anesthetic Solution ◽  
Retrobulbar Space ◽  
Local Anesthetic Solution

Background/Aim. Sub-Tenon's block is nowadays commonly used in ophthalmic surgery because of its safety and efficacy. The aim of this study was to investigate the distribution of the anesthetic solution with different amounts of hyaluronidase in the retrobulbar space, following an injection into the Sub-Tenon's space. Methods. In this experimental study, 40 pig cadaver heads were used (80 eyeballs). The material was divided into four groups (of 20 eyeballs each). Each group was administered 4.5 ml of a mixture of 2% lignocaine, 0.5% bupivacaine, and 0.5 ml of Indian ink, with different amounts of hyaluronidase - 15 IU/ml, 75 IU/ml, 150 IU/ml, except the control one. Samples of retrobulbar tissue were analyzed using the standard histopathological procedure. After that, they were also analyzed using the Adobe Photoshop program? (Windows, USA). The retrobulbar space was divided into eight zones by four perpendicular lines, which crossed in the centre of the optic nerve. The presence of ink in fat and muscle tissues and in the sheath of the optic nerve was observed. Results. The presence of the local anesthetic solution was significantly higher in inferonasal and superonasal quadrants of the fat and muscle tissues (p < 0.01). The distribution in optic nerve sheath is similar in each quadrant. Distribution of local anesthetic in each zone of the muscle tissue (I-VIII) was strongly influenced by the amount of hyaluronidase added. In the fat tissue, the distribution of local anesthetic under the influence of hyaluronidase was significantly higher (p < 0.05) in the areas which were distant from the place of injection (I-IV). The distribution in the optic nerve sheath is significantly higher (p < 0.01) in the group with 150 IU/ml of hyaluronidase. Conclusions. Following a sub-Tenon block local anesthetic was present in the retrobulbar space in a high percentage of the cases. The presence of local anesthetic solution in retrobulbar space depends on the amount of hyaluronidase previously added to the local anesthetic.

scholarly journals Buffered lidocaine and bupivacaine mixture the ideal local anesthetic solution

2015 ◽  
Vol 23 (2) ◽  
Author(s):  
Corliss A Best ◽  
Alyssa A Best ◽  
Timothy J Best ◽  
Danielle A Hamilton
Keyword(s):  
Local Anesthetic ◽  
Anesthetic Solution ◽  
Local Anesthetic Solution ◽  
The Ideal

INFLUENCE OF LOCAL ANESTHETIC SOLUTION ON POST-DURAL PUNCTURE HEADACHE

1985 ◽  
Vol 63 (Supplement) ◽  
pp. A454 ◽  
Author(s):  
J. Stephen Naulty ◽  
Linda Hertwig ◽  
Sanjay Datta ◽  
Jess B. Weiss ◽  
Gerard W. Ostheimer
Keyword(s):  
Local Anesthetic ◽  
Dural Puncture ◽  
Post Dural Puncture Headache ◽  
Anesthetic Solution ◽  
Local Anesthetic Solution
Sign in / Sign up

Export Citation Format

Share Document