Patients with spine abnormalities, present unique challenges to the health care provider responsible for administrating sedation and anesthesia during surgical and technical procedures. Spinal deformities may cause difficulties with both tracheal intubation and regional anesthesia. This report describes the anesthetic management for two urological operations that were performed in a patient wit...

BACKGROUND This study evaluates the effects of spinal anesthesia with hyperbaric bupivacaine plus sufentanil on bladder function in women undergoing cesarean section. SUBJECTS AND METHODS Thirty caucasian healthy pregnants scheduled for elective Cesarean section under spinal anesthesia performed with hyperbaric bupivacaine plus sufentanil were enrolled. Filling cystometry, proprioceptive blad...

Objectives: Intrathecal fentanyl and clonidine are effective analgesics with different mechanisms of action. This study compares 25 μg of both these drugs given intrathecally regarding onset, quality, and duration of hyperbaric bupivacaine-induced spinal block and side effects. Methods: A total of 90 patients of ASA I and II were randomly allocated into three equal groups. Group A received 0.5 ...

BACKGROUND AND OBJECTIVES Several factors affect the cephalad dispersion of the anesthetic solution in the subarachnoid space; among them, physiological changes of pregnancy and the dose and volume of the local anesthetics should be mentioned. The objective of this study was to assess the effectivity and side effects of different volumes of the subarachnoid administration of the association of ...

Background: Intrathecal adjuvants to local anaesthetic enhance the quality and duration of spinal anaesthesia. The present study was aimed to comparatively evaluate the clonidine and butorphanol as adjuvants to intrathecal hyperbaric bupivacaine for subarachnoid blockade during orthopaedic surgeries. Patients and method: Sixty four adult consented patients of both gender of ASA physical status ...

BACKGROUND AND OBJECTIVES Reducing the mass of local anesthetic minimizes the effects of hypotension after spinal anesthesia for cesarean section and the incidence of maternal adverse events preserving fetal well-being, but it may result in insufficient anesthesia. Hypotension associated with greater masses of subarachnoid anesthesia can be controlled by prophylactic continuous infusion of phen...

Background & Aim: Addition of opiates with nonopioid adjuvants to local anaesthetics is becoming popular in perioperative pain management, as no single agent has yet been identified to specifically inhibit nociception without the usual side effects. Research continues concerning different techniques and drugs that could provide optimal operative conditions and postoperative pain relief. The pre...

INTRODUCTION The aim of our study was to compare the effects of isobaric and hyperbaric bupivacaine combined with morphine or fentanyl in patients undergoing caesarean section. We assessed quality and spread of analgesia and anaesthesia, postoperative analgesic requirement and side effects. MATERIAL AND METHODS Hundred patients with American Society of Anesthesiologists physical status (ASA) ...

Objective: To evaluate and compare the characteristics of spinal block, its postoperative analgesic effects, using intrathecal inj. Bupivacaine 0.5% and its combination with nalbuphine or buprenorphine in patients undergoing lower abdominal surgery. Methods: Sixty patients aged 30-60years scheduled for elective lower abdominal surgeries randomly received hyperbaric bupivacaine 0.5% 2.6 ml (grou...

The purpose of this study was to determine if intrathecal fentanyl speeds the onset and prolongs the duration of sensory and motor block, prolongs the duration of postoperative analgesia, or increases the incidence of adverse effects in patients undergoing spinal anesthesia for outpatient knee arthroscopy. Fifty patients were randomized to receive 12 mg of hyperbaric bupivacaine 0.75% with 25 m...