Lesson of the week: Postoperative pressure sores after epidural anaesthesia

Lesson of the week.

Introduction Cecil Alergant's contributions to the specialty were both unique and extensive. He founded a great tradition in 1967 by inaugurating the first university course which culminated in an examination for a Diploma in Venereology awarded by the University of Liverpool. This remains the only Diploma in the specialty awarded by a university in the United Kingdom. Cecil's loyalty and servi...

Pressure Sores

DESCRIPTION A 31-year-old man with known history of paraplegia presents to clinic with a long-standing wound as shown earlier. The wound is located in the presacral region with intact periosteum, healthy overlying fascia, and no purulence.

Effect of peri- and postoperative epidural anaesthesia on pain and gastrointestinal function after abdominal hysterectomy.

In a double blind study we have investigated the effects of epidural local anaesthesia (LA), when added to general anaesthesia (GA) and postoperative paracetamol and NSAID, on postoperative pain and gastrointestinal function in patients undergoing open hysterectomy. Sixty patients were randomized into three study groups: GA, and postoperative paracetamol and NSAID (GA, n=20); GA, paracetamol, N...

VI cranial nerve paralysis after epidural anaesthesia.

REGIONAL ANAESTHESIA Short-term changes of intraocular pressure after cervical interlaminar epidural injection: a pilot study

Editor’s key points † Several factors that influence intracranial pressure (ICP) also influence intraocular pressure (IOP). † Injections into the epidural space can cause cerebrospinal fluid shifts into the cranial space. † This has the potential to increase ICP and IOP. † The authors studied the effect of cervical epidural injections (14 ml) on IOP. Background. Cervical epidural injection (CEI...