Comparison of Thoracic Epidural Access with Lateral Decubitus and Shoulder Rotation Positions for Repeat Thoracic Epidural Blockade
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چکیده
منابع مشابه
Effect of thoracic epidural blockade on hypoxia-induced pulmonary arterial hypertension in rats
Objective(s): The present study was aimed to investigate the influence of thoracic epidural blockade on hypoxia-induced pulmonary hypertension in rats. Materials and Methods: Forty eight Wistar rats were randomly divided into 4 equal groups, named normoxia hypoxia hypoxia/ ropivacaine and hypoxia/saline. Animals were placed in a hypoxia chamber and instrumented with epidural catheters at the t...
متن کاملThoracic epidural anesthesia and epidural hematoma.
This report involves a 74-year-old-male who developed a thoracic epidural hematoma with paraparesis on the second postoperative day in conjunction with thoracic epidural anesthesia established before surgery for acute abdominal aortic dissection. The finding indicates that laminectomy can be performed successfully as late as three days after diagnosis of the hematoma, with a complete restitutio...
متن کاملThoracic epidural analgesia
We read with great interest the editorial by Kamming and Davies [1] regarding the choice of thoracic epidural anaesthesia in cardiac surgery. While the authors provided an interesting analysis, we believe their conclusion regarding the 50% chance of this technique’s failure warrants further comment. Kamming and Davies reported that in two large studies [2,3] ‘epidurals have failed to achieve ad...
متن کاملThoracic Epidural and Paravertebral Analgesia
Thoracotomies are among the most painful of surgical incisions. Postoperatively, the movement of the chest with each breath increases the pain, and patients often “splint” to the point of hypercapnea or hypoxia. Substantial analgesia is required to avoid postoperative respiratory complications, but heavy opioid use blunts the respiratory drive and may itself be associated with postoperative com...
متن کاملFlexion-rotation manoeuvre increases dimension of the acoustic target window for paramedian thoracic epidural access.
BACKGROUND The posterior longitudinal ligament (PLL) has been found to be a reliable measure of the acoustic target window for lumbar spinal anaesthesia and a predictive tool for difficult spinals. Currently, there is limited information on the PLL in the thoracic spine and its potential use for optimizing the acoustic target window during thoracic epidural placement. This study examined the ef...
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ژورنال
عنوان ژورنال: Pain Physician
سال: 2021
ISSN: 2150-1149,1533-3159
DOI: 10.36076/ppj.2021/24/e327