CONTEXT Spontaneous intracranial hypotension is caused by spontaneous spinal cerebrospinal fluid (CSF) leaks and is known for causing orthostatic headaches. It is an important cause of new headaches in young and middle-aged individuals, but initial misdiagnosis is common. OBJECTIVE To summarize existing evidence regarding the epidemiology, pathophysiology, diagnosis, and management of spontan...

Prevention of hypotension during spinal anesthesia for cesarean section avoids maternal and fetal side effects. The aim of this study is to compare the effects of prehydration with crystalloid and prehydration with Hydroxyethyl starch on maternal blood pressure and neonatal outcome during cesarean section under spinal anesthesia. We enrolled 72 full term women weighting between 50 and 85 Kg, cl...

BACKGROUND Spinal anaesthesia is a routinely used anaesthetic technique in elderly patients (> 60 years) undergoing operations involving the lower limbs, lower abdomen, pelvis and the perineum. Spinal anaesthesia has several advantages over general anaesthesia including stable haemodynamic variables, less blood loss, less post-operative pain, faster recovery time and less post-operative confusi...

Objective: One of the most common side effects spinal anesthesia (SA) is hypotension. The aim study was to evaluate efficacay inferior vena cava (IVC) diameter measurements, perfusion index (PI) and pleth variability (PVI) values in determining risk developing hypotension after SA. Materials Methods: This conducted on 81 patients who underwent transurethral prostatectomy. Before administration ...

Background Spinal anesthesia is a regional anesthesia technique widely employed in clinical practice. The common side effects consist in a reduction of systemic vascular resistances, with systemic hypotension. To prevent this complication, blind administration of fluids is commonly used. This is accomplished on an empirical basis, carrying risk of possible volume overload. Vena cava ultrasound ...

OBJECTIVE a case is described of a spontaneously occurring cerebrospinal fluid collection in the ventral cervical spine which caused radiculopathy and spontaneous intracranial hypotension. CASE a sixty eight year old Caucasian man presented with a 2 year history of proximal upper limb weakness with a his-tory of trivial cervical trauma many years previously. METHODS the patient was investig...

Objective: To compare the use of 6% Hetastarch with Lactated ringer's solution for prevention of hypotension after spinal anesthesia for transurethral resection of the prostate. Methods: In a randomized double blind study, 60 patients who underwent subarachnoid anesthesia for transurethral surgery were divided into two equal groups: group A were given Lactated ringer's solution and group B were...