Subarachnoid spread of isobaric tetracaine in adolescents

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Subarachnoid spread of isobaric tetracaine in adolescents.

Sir,—In a recent report, Hirabayashi and colleagues [1] showed that subarachnoid administration of hyperbaric amethocaine (tetracaine) produced an unexpectedly higher level of analgesia in adolescents than in adults. The authors postulated that when adolescents lie in the supine horizontal position, the thoracic kyphotic curvature decreases because of the flexibility of their vertebral columns ...

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Spinal cord blood flow following subarachnoid tetracaine.

Spinal cord and spinal dural blood flow in the cervical, thoracic and lumbosacral regions were measured in dogs using the radioactive microsphere technique. Measurements were taken before and 20 and 40 minutes after lumbar subarachnoid injection of one of the following: physiologic saline; tetracaine 20 mg or tetracaine 20 mg with epinephrine 200 micrograms. No significant change in spinal cord...

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Spinal Anesthesia with Isobaric Tetracaine in Patients with Previous Lumbar Spinal Surgery

PURPOSE Previous lumbar spinal surgery (PLSS) is not currently considered as a contraindication for regional anesthesia. However, there are still problems that make spinal anesthesia more difficult with a possibility of worsening the patient's back pain. Spinal anesthesia using combined spinal-epidural anesthesia (CSEA) in elderly patients with or without PLSS was investigated and the anestheti...

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Subarachnoid spread of germinoma mimicking tuberculous meningitis.

A case of pineal germinaoma spreading along the basal subarachnoid space, clinically and macroscopically at autopsy, resembling tuberculous basal arachnoiditis is reported. Need to carry out CSF cytology of even hemorrhagic CSF is stressed, to diagnose the condition.

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CSF progesterone and spread of subarachnoid anaesthesia in pregnancy.

Sir,—Hirabayashi and colleagues [1] suggested that a sustained (at least 3–4 months) increase in cerebrospinal fluid (CSF) progesterone concentration may be necessary to produce enhanced spread of spinal anaesthesia in pregnant women. We believe that these conclusions are misleading and unsupported by the results. Maximum cephalad spread of analgesia was quoted as being higher in the second tri...

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ژورنال

عنوان ژورنال: British Journal of Anaesthesia

سال: 1995

ISSN: 0007-0912

DOI: 10.1093/bja/75.2.245