Various complications may develop as a result of epidural anesthesia. Pneumocephalus is a rare complication during epidural catheter insertion. In this case report, 61 years old patient was admitted for hip fracture and planned to have hip replacement surgery. Combined spinoepidural anesthesia was planned during surgery as anesthetic tehchnique. Epidural catheter was inserted for postoperative ...

BACKGROUND Rapid and uneventful postoperative recovery following general anesthesia in morbidly obese patients undergoing bariatric surgery may offer challenges to anesthesiologists. With improved surgical techniques and shorter pneumoperitoneum, regional anesthesia may be considered for this laparoscopic procedure in selected cases. CASE DESCRIPTION The first patient was a 60-year-old male (...

in this quasi-experimental study, we assess the effect of sodium bicarbonate solution on onset and duration of anesthesia with the use of lidocaine and adrenaline solution in surgical patients undergoing epidural anesthesia

STUDY OBJECTIVE To compare spinal anesthesia with epidural anesthesia in patients undergoing surgery for vesicovaginal fistula (VVF) repair. DESIGN Nonrandomized, prospective, clinical, pilot study. SETTING Rural African hospital with 165 beds. PATIENTS 60 ASA physical status I and II patients undergoing VVF repair surgery. INTERVENTIONS 30 patients were included in each study group. Sp...

The aim of the study was to assess the effect of commonly used intravertebral anesthesia on bone cement implantation syndrome (BCIS) in aged patients undergoing hemiarthroplasty.The medical records of 1210 aged patients receiving hemiarthroplasty under intravertebral anesthesia were retrospectively reviewed. Anesthesia charts for all patients were reviewed for central venous pressure, mean arte...

Combined spinal epidural anesthesia is widely used for Caesarean section. Bolus administration of an epidural initial dose introduces the risk of drug flux from the epidural space to the subarachnoid space, and the volume effect of the initial dose may cause epidural top-up and extension of subarachnoid blockade. These problems may be avoided if the initial dose is not administered. This study ...

Anesthetic management of patients with preexisting diseases is challenging and individualized approaches need to be determined based on patients' complications. We report here a case of ultrasound-guided epidural anesthesia in combination with low-dose ketamine during cesarean delivery on a parturient with severe malformations of the skeletal system and airway problems. The ultrasound-guided ep...

BACKGROUND Neuraxial anesthesia reduces the shivering threshold approximately 0.6 degrees C. This effect might be mediated by an apparent (as opposed to actual) increase in lower body temperature. Accordingly, sufficient lower body warming should result in thermoregulatory inhibition comparable to that exerted by epidural anesthesia. We tested the hypothesis that increasing leg skin temperature...

Redistribution of heat from the core to the cool peripheral compartments of the body causes hypothermia during epidural anesthesia. Diminishing the temperature gradient between the core and peripheral tissues by warming the body via the skin before anesthesia should prevent this hypothermia. We measured core temperature, skin temperatures, and cutaneous heat loss in seven volunteers who receive...