Neurological deficits following epidural or spinal anesthesia are extremely rare. Transient paraplegia following epidural anesthesia in a patient with thoracic disc herniation has been presented. A 44-year-old woman developed paraplegia during the operation for vascular surgery of her legs under epidural anesthesia. Epidural hematoma or spinal cord ischemia was ruled out by magnetic resonance i...

Background: Most of the surgeries are now-a-days performed laproscopically. Early ambulation, less infections, cosmetic effects, minimal surgical pain are some of the advantages of laproscopic surgeries over open surgeries. General anesthesia is usually used to prevent aspiration and respiratory compromise seen secondary to pneumoperitoneum created in laproscopic surgeries. But general anesthes...

BACKGROUND Laparoscopic abdominal surgery is conventionally done under general anesthesia. Spinal anesthesia is usually preferred in patients where general anesthesia is contraindicated. We present our experience using spinal anesthesia as the first choice for laparoscopic surgery for over 11 years with the contention that it is a good alterative to anesthesia. METHODS Spinal anesthesia was u...

Background: Headache is the most common complication caused by spinal anesthesia. Systematic educational programs about conservative treatments could be effective in the reduction of headache after spinal anesthesiz. Aim: This study aimed to evaluate the effects of training programs on the headache of patients after spinal anesthesia. Method: This empirical study was conducted on 120 patients...

We read the paper published in the Journal with great interest on the comparative study of the analgesic role of bupivacaine (S75-R25) and ropivacaine in labor pain control 1. The study gave original information regarding the analgesic effect of the newly mixed solution of bupivacaine containing 75% of the S isomer and 25% of the R isomer and ropivacaine, and the authors declared that these two...

n a recent review article on spinal anesthesia for cesarean section (l), Kestin recommended the use I of subarachnoid anesthesia if epidural block was inadequate after the administration of the maximum allowable dose of local anesthetic (2). The use of spinal anesthesia in obstetrics has also been advocated for patients with potentially difficult airways, as this approach usually would obviate ...

Skin antisepsis prior to the induction of spinal anesthesia is essential because of the potential for infectious complications. Povidone-iodine is a widely used antiseptic solution for skin preparation before spinal anesthesia, and chlorhexidine alcohol solution is a commonly used alternative to povidone-iodine. Previous studies have shown that chlorhexidine is more effective than povidone-iodi...