Use of antiplatelet agents is becoming increasingly common, and their management may require new strategies if neuroaxial techniques are to be employed in patients who will not tolerate discontinuation of antiplatelet therapy. The patient was a 46-year-old man with a past medical history significant for coronary artery disease and who had undergone 14 stents. He developed stent thrombosis (ST) ...

Meningeal metastasis from cancer has become an increasingly frequent problem as the treatment of systemic disease improves. Leukemia, lymphoma and solid tumors may all metastasize to the meninges, where the blood-brain barrier may provide a sanctuary from cytotoxic concentrations of chemotherapeutic agents. Because meningeal disease may be clinically silent or may present with unusual signs and...

218 Ultrasound Guided Epidural Analgesia for Labour in a Patient with an Intrathecal Baclofen Pump Abstract Type: Case Report/Case Series Manasi Badve, M.D.; Tanmay Shah, M.D.; Jeremy Rice, D.O.; Manuel Vallejo, M.D. Magee-Womens Hospital of UPMCType: Case Report/Case Series Manasi Badve, M.D.; Tanmay Shah, M.D.; Jeremy Rice, D.O.; Manuel Vallejo, M.D. Magee-Womens Hospital of UPMC Intrathecal ...

BACKGROUND Continuous intrathecal labor analgesia produces rapid analgesia or anesthesia and allows substantial flexibility in medication choice. The US Food and Drug Administration, in 1992, removed intrathecal microcatheters (27-32 gauge) from clinical use after reports of neurologic injury in nonobstetric patients. This study examined the safety and efficacy of a 28-gauge intrathecal cathete...

We studied the effects of spinal intrathecal fentanyl on oxytocin secretion in 20 healthy women prior to an elective caesarean delivery at term under spinal anaesthesia. The women were randomly allocated into two groups with respect to spinal anaesthesia. Group I (n=10) received intrathecal bupivacaine (15 mg) plus fentanyl (25 microgram), and Group II (n=10) received intrathecal bupivacaine (1...