scholarly journals Predicting the Difficulty Score of Spinal Anaesthesia

2021 ◽  
pp. 406-410
Author(s):  
Isha Godwin ◽  
. Girimurugan
Keyword(s):  
Body Mass Index ◽  
Spinal Anesthesia ◽  
Surgical Procedures ◽  
Spinal Anaesthesia ◽  
Regional Anaesthesia ◽  
Spinous Process ◽  
Process Condition ◽  
Lumbar Vertebrae ◽  
Difficulty Score ◽  
Lumbar Spinous Process

Background: Spinal anaesthesia is the commonest regional anaesthesia conducted for several surgical procedures. Objectives: This study aims to predict the difficulty score of spinal anaesthesia to scale back the complications and ultimately improve anaesthesia quality. Materials and Methods: Patients undergoing various surgeries involving spinal anaesthesia were taken in this study and several parameters like demographic details, body mass index, spinous process condition were recorded pre operatively to see how they influenced the difficulty of performing spinal anesthesia on them. Results: Out of the 101 patients enrolled in this study, 53 underwent an easy SA by the first attempt in the first space. It was moderate in 36 and difficult in 12 patients. Conclusion: Considering the examination of patients with respect to BMI, lumbar spinous process status and deformities, radiological signs of lumbar vertebrae can be helpful in predicting how difficult the SA procedure is going to be.

scholarly journals Evaluation of effect of Kati basti in spinal anaesthesia induced low backache

2016 ◽  
Vol 7 (3) ◽  
Author(s):  
Richa Tripathi ◽  
Tripathi JS
Keyword(s):  
Spinal Anesthesia ◽  
Spinal Anaesthesia ◽  
Symptomatic Relief ◽  
Lumbar Vertebrae ◽  
Thoracic Vertebrae ◽  
Lateral Flexion ◽  
Present Context ◽  
Preliminary Study

Low backache is localized pain between twelfth thoracic vertebrae and fifth lumbar vertebrae. About 60% population in India suffers with backache at least once in their life. But in the present context we are concerned with backache, which arises, in postoperative cases following spinal anesthesia. We cannot avoid SA because of its tremendous good effects and the ease, which it provides during surgery to both the surgeon and the patient, but backache after SA has become very common problem. According to Ayurveda this type of backache can be considered as Aghat Janya Kati Shoola. The procedure is done at the site between L1 – L4 vertebrae where there is assortment of various structures like Sira, Sandhi, Asthi, Mansa, Snayu etc. including three important Marma named Nitambha, Kukundar and Katikatarun. Objective: To evaluate the efficacy of Kati Basti in spinal anesthesia induced backache. Methods: Kati Basti with Til Taila was performed for fourteen days in thirty patients. Results: The preliminary study yields significant reduction in the symptoms of stiffness, pain, tenderness, lateral flexion, rotation, SLR, fatigue and ADL. In this condition, Kati Basti is the treatment of choice as it provides long-term symptomatic relief and nourishes the traumatized structures and helps them to heal better.

scholarly journals Subarachnoid Block as a Sole Anesthesia for Emergency Surgical Procedures in Two High-risk Former Preterm Infants

2019 ◽  
Vol 8 (1) ◽  
pp. 2
Author(s):  
Anju Gupta ◽  
Nishkarsh Gupta
Keyword(s):  
High Risk ◽  
Adverse Events ◽  
Spinal Anesthesia ◽  
Preterm Infants ◽  
Surgical Procedures ◽  
Spinal Anaesthesia ◽  
Inguinal Herniorrhaphy ◽  
Subarachnoid Block ◽  
Emergency Procedures

Several reports have described spinal anesthesia as a preffered technique of anaesthesia for preterm infants undergoing inguinal herniorrhaphy. However, it is not used routinely probably due to lack of awareness and fear of adverse events. We are reporting the successful use of spinal anaesthesia for two high risk preterm infants posted for emergency procedures.

scholarly journals Anatomical predicting factors of difficult spinal anesthesia in patients undergoing cesarean section: An observational study

2019 ◽  
Vol 35 (6) ◽  
Author(s):  
Simin Atashkhoei ◽  
Saeed Samudi ◽  
Naghi Abedini ◽  
Nahid Khoshmaram ◽  
Masoumeh Minayi
Keyword(s):  
Body Mass Index ◽  
Observational Study ◽  
Cesarean Section ◽  
Spinal Anesthesia ◽  
Body Mass ◽  
Spinous Process ◽  
Spinal Column ◽  
Elective Cesarean Section ◽  
Predicting Factors ◽  
Body Appearance

Objectives: Although Spinal anesthesia is the most common and safe anesthetic method for patients undergoing cesarean section, difficult access to it is a frequent problem in operating theaters. The predictive factors for the difficulty of spinal anesthesia in patients undergoing cesarean section were investigated. Methods: A total of 110 pregnant women, single-stranded, aged 18-40 years old and ASA class I or II candidates for elective cesarean section with spinal anesthesia were studied. Demographic information, body appearance, ability to bend the back of the patient was recoded. Also the position of the anatomical landmarks of the lumbar spine, the presence or absence of deformity in the spinal column lumbar was recorded for all patients.  Results: The correlation coefficient of age, weight, body mass index, general body appearance, retention ability, anatomical signs of the spinal column (touching the spinous process) and the interval between the vertebra with the difficulty of spinal anesthesia were statistically significant (p<0.05). Complications after spinal anesthesia had a statistically significant relationship with the difficulty of performing spinal blockade (p: 0.006). Conclusion: Increasing age, weight, body mass index, reducing the ability to bend the waist, the non-touching of the spinous process and interstitial space causes the difficulty of performing spinal anesthesia in patients undergoing cesarean section. The results can contribute to determining and designing a spinal blockade scoring system based on the patient’s characteristics and effective factors before the surgery, to facilitate the technique by anesthesiologist.  doi: https://doi.org/10.12669/pjms.35.6.1276 How to cite this:Atashkhoei S, Samudi S, Abedini N, Khoshmaram N, Minayi M. Anatomical predicting factors of difficult spinal anesthesia in patients undergoing cesarean section: An observational study. Pak J Med Sci. 2019;35(6):1707-1711.   doi: https://doi.org/10.12669/pjms.35.6.1276 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Characterization of lumbar spinous process morphology: a cadaveric study of 2,955 human lumbar vertebrae

2015 ◽  
Vol 15 (7) ◽  
pp. 1645-1652 ◽  
Author(s):  
Jeremy D. Shaw ◽  
Daniel L. Shaw ◽  
Daniel R. Cooperman ◽  
Jason D. Eubanks ◽  
Ling Li ◽  
...  
Keyword(s):  
Spinous Process ◽  
Lumbar Vertebrae ◽  
Cadaveric Study ◽  
Lumbar Spinous Process

scholarly journals Corrected Scoliosis, Cholinesterase Deficiency, and Cesarean Section: A Case Report

2009 ◽  
Vol 2009 ◽  
pp. 1-3 ◽  
Author(s):  
Roy Somers ◽  
Yves Jacquemyn ◽  
Luc Sermeus ◽  
Marcel Vercauteren
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Cesarean Section ◽  
General Anaesthesia ◽  
Spinal Anaesthesia ◽  
Regional Anaesthesia ◽  
Previous Caesarean Section ◽  
Corrective Surgery ◽  
Ultrasound Guided ◽  
Severe Scoliosis

We describe a patient with severe scoliosis for which corrective surgery was performed at the age of 12. During a previous caesarean section under general anaesthesia pseudocholinesterase deficiency was discovered. Ultrasound guided spinal anaesthesia was performed enabling a second caesarean section under loco-regional anaesthesia.

scholarly journals Maternal Body Mass Index and Regional Anaesthesia Use at Term: Prevalence and Complications

2017 ◽  
Vol 31 (6) ◽  
pp. 495-505 ◽  
Author(s):  
Frances M. Biel ◽  
Nicole E. Marshall ◽  
Jonathan M. Snowden
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Regional Anaesthesia ◽  
Maternal Body Mass Index ◽  
Maternal Body

scholarly journals Metabolic changes after bariatric surgical procedures

2020 ◽  
Vol 2 (1) ◽  
pp. 14-31
Author(s):  
Mohammed Ahmed ◽  
Saad Hummady ◽  
Falih ALgazgoos
Keyword(s):  
Body Mass Index ◽  
Lipid Profile ◽  
Body Mass ◽  
Surgical Procedures ◽  
Bypass Surgery ◽  
Gastric Bypass Surgery ◽  
Glycosylated Hemoglobin ◽  
Density Lipoprotein ◽  
Lipoprotein Cholesterol ◽  
Independent Effect

Introduction: Obesity is associated with diabetes, dyslipidemia and increased cardiovascular disease risks. Bariatric surgeries are one of the most reliable ways to treat obesity. Bariatric Surgical procedures started in Basra at 2009 and since then, thousands of surgeries had been made, mainly in Al-Sadr Teaching Hospital. Objective: To prospectively evaluate the short term effect of bariatric surgical procedures on body mass index (BMI), lipid profile and glycosylated hemoglobin (HbA1C) and compare the effects of various types of these surgical procedures. Methods: A 12-month prospective study on 73 patients who underwent three types of bariatric surgeries, laparoscopic sleeve gastrectomy surgery (LSG), laparoscopic REUX-EN-Y gastric bypass surgery (LRYGB) and minigastric bypass surgery (MGB). Body mass index (BMI), HbA1C, total cholesterol (TC), High-Density-Lipoprotein cholesterol (HDL), Low-Density-Lipoprotein cholesterol (LDL) and triglycerides (TG) levels were evaluated before surgery and at 3 and 6 months postoperatively. Results: All bariatric procedures show significant improvement in all parameters (increment in HDL, reduction in BMI, A1C, HDL, LDL, TC, TG) at 3 months that continue to improve more at 6 months postoperatively (p<0.001), however, bypass surgeries (LRYGB and MGB) has additional favorable independent effect on A1C and LDL seen at 6 months post operatively. Conclusion: All of the studied bariatric surgeries improve BMI, HbA1C and lipid profile significantly, however, bypass procedures have more effect on LDL and HbA1C that seem to be procedure related and independent from weight loss or other changes.

scholarly journals A Comparison of Oral Gabapentin and Oral Pregabalin as Preemptive Analgesia for Orthopedic Surgery Under Spinal Anaesthesia

2021 ◽  
Vol 9 (1) ◽  
pp. 74-78
Author(s):  
Neena Jain ◽  
Rahul Bankapur ◽  
Preeti Lamba ◽  
saurav Singh
Keyword(s):  
Side Effects ◽  
Postoperative Pain ◽  
Spinal Anesthesia ◽  
Spinal Anaesthesia ◽  
Orthopedic Surgery ◽  
Lower Limb ◽  
Analgesic Efficacy ◽  
Double Blind Study ◽  
Group A ◽  
Group B

Background and Aims: Gabapentin and pregabalin, by decreasing noxious stimulus induced excitatory neurotransmitter release at central nervous system, may attenuate central sensitization and eventually decrease development of postoperative pain. We evaluated preemptive analgesic efficacy of single dose of oral gabapentin 600 mg and pregabalin 75mg for postoperative pain in patients undergoing lower limb orthopedic surgery under spinal anesthesia. Material and methods: A prospective, randomized, double blind study was conducted on 70 patients aged between 18 to 60 years with ASA grade 1 and 2 posted for lower limb surgeries under spinal anaesthesia. Patients were allocated into Group A and Group B receiving oral gabapentin(600mg) and oral pregabalin (75mg) respectively 1.5 hours before surgery. Primary objective was assessing duration and quality of analgesia by Visual Analogue Scale (VAS) score at 2,4,6,8,10,12,16,20 and 24 hours.Secondary objective was to assess total dose of rescue analgesic in first 24 hours, perioperative hemodynamic change and various side effects. Statistical Analysis used: Categorical data was compared using Chi- square test. Quantitative parametric data was analysed using unpaired student t-test. P value < 0.05 was considered statistically significant. Results: Mean duration of analgesia in Group A (10.53 ± 2.686 hours) was longer than Group B (7.943±3.199hr) (P = 0.0006).Mean number of analgesic dosesrequired in first 24 hourswere less in Group A (1.429 ± 0.5021) ascompared to Group B (1.771±0.6897) (P = 0.0202).All patients remained hemodynamically stable with no significant side effects noted in either group. Conclusion: We conclude that preemptive analgesic efficacy of oral gabapentin 600mg is better in comparison to oral pregabalin 75 mg for patients posted for lower limb orthopedic surgeries under spinal anesthesia.

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