Phẫu thuật nội soi cắt ruột thừa thường được thực hiện dưới gây mê toàn thân, tuy nhiên việc sử dụng kỹ tê vùng cũng mang lại những lợi ích nhất định trong một số trường hợp bệnh nhân có nền như phổi, tim mạch... Chúng tôi thông báo ca lâm sàng nữ 75 tuổi với các tăng huyết áp, đái tháo đường, giãn phế quản, suy độ II. Tại thời điểm nhập viện, xét nghiệm glucose máu 30,4mmol/L, XQ phổi hình ảnh...

The most common procedure for surgical treatment of lumbar spondylolysis is intertransverse processes spinal arthrodesis with instrumentation. However, this procedure is associated with significant morbidity on long-term follow up. Direct repair of spondylolysis is an alternative method for preservation of motion segment and anatomic continuity in young adults with multiple level spondylolysis....

Nghiên cứu được tiến hành nhằm so sánh tác dụng của levobupivacain và bupivacain trong gây tê tủy sống mổ lấy thai. Thử nghiệm lâm sàng ngẫu nhiên, mù đơn có đối chứng trên 120 sản phụ; bốc thăm chia ngẫu nhiên thành 2 nhóm, nhóm B L lần lượt nhận 8mg phối hợp 30mcg fentanyl fentanyl. So ức chế cảm giác, vận động, sự ổn định về huyết động không mong muốn nếu có. Thời gian đạt phong bế cảm giác ...

OBJECTIVES This study aims to evaluate the analgesic and functional efficacy of subcutaneous local analgesic infusion (ScLAI) in the early postoperative period (especially on the second postoperative day) in patients undergoing simultaneous bilateral total knee arthroplasty with an intraoperative periarticular injection (PAI) of local analgesic cocktail. PATIENTS AND METHODS Fifteen patients ...

The objective of this study was to determine if bupivacaine has any effects on the antioxidant defence system and in lipid peroxidation as thiobarbituric acid substance (TBARS) of spinal fluid. The experiment was carried out on 15 male clinically healthy, 3-4 years old, male Tuj ram weighing an average 56±5 kg. Eight ml of 0.5% bupivacaine was used for the induction of spinal anesthesia (SA). T...

M We have prospectively analqsed the feasibility and advantages of local anesthesia in surgical management of advanced proliferative vitreoretinopathy in retinal detachment (RD). M&Q& Peribulbar anesthesia (PBA) was used in 20 consecutive cases operated for RD. All the pateints requiered s&rat buckling, pars plana vitrectomy, complete membrane removal, endophotocoagulation and internal tamponad...

OBJECTIVE To study the efficacy of peritubal infiltration in postoperative pain following percutaneous nephrolithotomy in general PCNL patients and PCNL patients with supracostal renal access. PATIENTS AND METHODS A total of 105 PCNL patients were randomized into two groups, 53 patients receiving peritubal analgesic infiltration (study group) and 52 patients as the control group. Of these pat...

M We have prospectively analqsed the feasibility and advantages of local anesthesia in surgical management of advanced proliferative vitreoretinopathy in retinal detachment (RD). M&Q& Peribulbar anesthesia (PBA) was used in 20 consecutive cases operated for RD. All the pateints requiered s&rat buckling, pars plana vitrectomy, complete membrane removal, endophotocoagulation and internal tamponad...