conclusions there is no difference between median and paramedian approaches with respect to pdph incidence; the paramedian approach is therefore recommended, especially for older patients with degenerative changes in the spine and intervertebral spaces and those who cannot take the proper position. moreover, the rate of pdph was found to be significantly higher in females than in males. results...

BACKGROUND AND OBJECTIVES Unilateral spinal anesthesia may be advantageous, especially for outpatient procedures. Low anesthetic doses, pencil point or cutting point needles, slow injection rate and the lateral position have been reported as helping unilateral spinal anesthesia technique. This longitudinal study aimed at investigating the depth of unilateral spinal anesthesia with 5 mg of 0.5% ...

BACKGROUND Valsalva maneuver reduces pain by activating sinoaortic baroreceptor reflex arc. We planned this study to evaluate the role of valsalva in attenuating spinal needle-puncture pain. METHODS Ninety American Society of Anesthesiologists (ASA) grade I and II enrolled patients undergoing elective surgery were randomized into 3 groups of 30 each. Group I (Control): didn't blow; group II (...

Spinal anesthesia is one of the most used anesthetic techniques, having been in existence for over 100 years, and time it has improved by development a new needle design, gauge, tip shapes, as well more precise indications contraindications. However, even so, there are still possible complications due to this procedure, especially headache after puncture dura mater, and, because that, procedure...

there are many factors contributing to success of regional anesthesia. patients’ attitude toward spinal anesthesia is one of the most important of these factors. this is a descriptive study performed on 100 healthy parturient selected for elective cesarean section in alzahra obstetric hospital,tabriz, iran. the aim of this study was to evaluate patients’ attitude and their knowledge about spina...

background hypotension during spinal anesthesia is common and can lead to severe injuries and even death. administration of crystalloid fluids is advised to prevent occurrence of hypotension; however its effectiveness is still the matter of arguments. objectives this study was designed to compare the effects of ringer`s lactate and hydroxyethyl starch 6% on hemodynamic parameters after spinal a...

PURPOSE Postdural puncture headache (PDPH) is one of the most recognized complications after spinal anesthesia in women undergoing cesarean delivery. This study aimed to investigate the incidence of PDPH and its associated risk factors in women undergoing cesarean delivery in Jordan. PATIENTS AND METHODS This study included all women who underwent cesarean delivery at King Abdullah University...

BACKGROUND To reduce the risk of post-dural puncture headache (PDPH) in continuous spinal anaesthesia, small-gauge spinal catheter systems with different techniques of dural perforation have been developed. METHODS Two systems, the catheter through-needle technique (MicroCatheter, Portex, UK) and the catheter over-needle technique (22G Spinocath, B. Braun, Germany), were used in 18 young heal...