scholarly journals YouTube as an information source of spinal anesthesia, epidural anesthesia and combined spinal and epidural anesthesia

2017 ◽  
Vol 67 (5) ◽  
pp. 493-499
Author(s):  
Serkan Tulgar ◽  
Onur Selvi ◽  
Talat Ercan Serifsoy ◽  
Ozgur Senturk ◽  
Zeliha Ozer
Keyword(s):  
Spinal Anesthesia ◽  
Epidural Anesthesia ◽  
Information Source ◽  
Anesthesia Epidural

scholarly journals To the mechanisms for the prevention of postoperative thromboembolic complications using regional methods of anesthesia

2019 ◽  
Vol 17 (3) ◽  
pp. 85-90
Author(s):  
Oleg N. Zabrodin ◽  
Viktor I. Strashnov
Keyword(s):  
Endothelial Dysfunction ◽  
Spinal Anesthesia ◽  
Regional Anesthesia ◽  
Epidural Anesthesia ◽  
Thromboembolic Complications ◽  
Vascular Thrombosis ◽  
Mechanisms Of Development ◽  
Anesthesia Epidural

The article presents data on the mechanisms of development of vascular thrombosis, in particular, thromboembolic complications: 1. endothelial inyury or endothelial dysfunction; 2. slowing the flow of blood and its stagnation; 3. violation of the coagulation and anticoagulation blood systems. In accordance with paragraphs 1–3 the effects of regional anesthesia – epidural anesthesia and spinal anesthesia on the prevention of postoperative thromboembolic complications are considered.

scholarly journals Use and costs of pain management in cesarian section

2020 ◽  
Vol 101 (3) ◽  
pp. 418-425
Author(s):  
C B Tashtanbekova ◽  
E A Chuenkova ◽  
A A Evstratov ◽  
L E Ziganshina
Keyword(s):  
Pain Management ◽  
Cesarean Section ◽  
Spinal Anesthesia ◽  
Epidural Anesthesia ◽  
Postoperative Period ◽  
Opioid Analgesics ◽  
Cost Of Drugs ◽  
Control Pain ◽  
The Cost ◽  
Anesthesia Epidural

Aim.To study the use of drugs for pain management for cesarean section and their cost on time and the first day after surgery. Methods.A retrospective analysis of 117anesthesia cards and childbirth histories of women after a cesarean section was performed. We analyzed drug therapy aimed at reducing pain during 1day after cesarean section and performed a comparative analysis of the cost of drugs used in spinal and epidural anesthesia. Results.Regional methods of anesthesia, epidural and spinal, were used in 95% of all cases. Spinal anesthesia was performed in 77women, epidural in 34women. The frequency of prescribing opioid analgesics was higher with spinal anesthesia compared with epidural: trimeperidine (intramuscular) was used in 62(83%) of 77patients for spinal anesthesia and 1(3%) of 34 for epidural anesthesia (p0.05). There were no differences in the use of ketoprofen in the postoperative period with epidural and spinal anesthesia. The total cost of medicines used to control pain during and on the 1st day after surgery, with epidural anesthesia, was almost 10times higher than that of spinal anesthesia: 938 and 98rubles, respectively. Conclusion.To control pain during cesarean section, in addition to local anesthetics, trimeperidine was used more often with spinal than epidural anesthesia; in the postoperative period, ketoprofen and trimeperidine were used with the equal frequency with greater use of ropivacaine with epidural anesthesia through a stored catheter; this has caused a higher cost of pain management during and in the first day after cesarean section with epidural anesthesia.

ANESTHESIOLOGICAL MANAGEMENT OF FETOSCOPIC LASER COAGULATION OF PLACENTAL ANASTOMOSES IN TWIN-TO-TWIN TRANSFUSION SYNDROME

2019 ◽  
Vol 6 (1) ◽  
pp. 43-50
Author(s):  
E. A. Murieva ◽  
A. V. Mikhailov ◽  
A. N. Romanovsky ◽  
T. A. Kashtanova ◽  
A. A. Kuznetsov ◽  
...  
Keyword(s):  
Spinal Anesthesia ◽  
Regional Anesthesia ◽  
Epidural Anesthesia ◽  
Maternity Hospital ◽  
Laser Coagulation ◽  
Surgical Experience ◽  
Maternal Complications ◽  
Saint Petersburg ◽  
Fetoscopic Laser Coagulation ◽  
Anesthesia Epidural

In this study we presented the analysis of regional anesthesia (epidural and spinal) effectiveness in 72 fetoscopic laser coagulation (FLC) of placental anastomoses, performed in Saint Petersburg Maternity hospital № 17. In 2008 FLC was performed under epidural anesthesia and average time of procedure was 120 minutes, in 2017 according the rising surgical experience the time of procedure reduced to 33 (23–37.5) minutes, that allowed start to use spinal anesthesia. Conclusions: regional methods (epidural and spinal) manage adequate level of anesthesia. Rising surgical experience and reducing the time of procedure to 33 (23–37.5) minutes allowed to use spinal anesthesia successfully. In 29.2 % of cases of regional anesthesia intraoperative arterial hypotension was observed but was successfully corrected by moderate vasopressors doses. No other anesthesiological maternal complications were observed, which confirming safety of regional anesthesia in fetoscopic laser coagulation of placental anastomoses.

scholarly journals Iatrogenic bacterial meningitis: an unmasked threat

CJEM ◽  
2012 ◽  
Vol 14 (04) ◽  
pp. 263-266 ◽  
Author(s):  
Robert Barnwell ◽  
Vincent Ball
Keyword(s):  
Emergency Department ◽  
Bacterial Meningitis ◽  
Spinal Anesthesia ◽  
Lumbar Puncture ◽  
Epidural Anesthesia ◽  
Emergency Physician ◽  
Rapid Diagnosis ◽  
Treatment And Prevention ◽  
Sterile Technique

ABSTRACT Iatrogenic bacterial meningitis (IBM) is a rare but serious complication of neuraxial procedures, such as spinal and epidural anesthesia or lumbar puncture. We report a case of a 46-year-old female who presented to the emergency department with bacterial meningitis after spinal anesthesia. We reviewthe existing literature outlining the pathogenesis, vector hypothesis, diagnosis, treatment, and prevention as they relate to IBM. We highlight the role of the emergency physician in the rapid diagnosis of this disease, and underscore the need for sterile technique when performing lumbar punctures.

scholarly journals Comparison of Epidural and Spinal Anesthesia Techniques for Transurethral Resections

2018 ◽  
Vol 9 (1) ◽  
pp. 1-10
Author(s):  
Elif Copuroglu ◽  
Gonul Sagiroglu ◽  
Beliz Bilgili ◽  
Sevtap Hekimogl
Keyword(s):  
Mean Arterial Pressure ◽  
Arterial Pressure ◽  
Spinal Anesthesia ◽  
Epidural Anesthesia ◽  
Total Duration ◽  
Satisfaction Score ◽  
Patient Satisfaction Score ◽  
Group I ◽  
Anesthesia Group ◽  
Spinal Anesthesia Group

Purpose: Transurethral resections (TUR) are commonly performed for elderly population who have multiple comorbidities which can cause intraoperative and postoperative complications. The type of anesthesia has an impact on patient outcome. The aim of the study is to compare the effectiveness of epidural and spinal anesthesia techniques for TUR. Methods: A total of 158 elective TUR cases were evaluated. The patients were randomized into 2 groups: Epidural anesthesia was applied to Group I (n=82) and spinal anesthesia was applied to Group II (n=76). Both groups were compared for intraoperative hemodynamic parameters (mean arterial pressure, heart rate, peripheral oxygen saturations), total duration of hospital stay, perioperative complications, and satisfaction of the patients and surgeons. Results: The patients in the spinal anesthesia group experienced more frequent intraoperative hypotensive episodes during TUR (n=2 vs. n=10; p=0.026) and had lower mean arterial pressure values for the first 30 minutes of anesthesia compared to epidural anesthesia group. The postoperative duration of bed stay was longer in the spinal anesthesia group (402.96±49.61 min) than the epidural anesthesia group (205.91±28.27 min) (p<0.001). The patient satisfaction score was significantly higher in the epidural anesthesia group (2.54±0.63) than the spinal anesthesia group (2.23±1.22) (p=0.04) where as the surgeon satisfaction score were similar in both groups. Conclusion: Epidural anesthesia can be considered as an effective and safe technique for ambulatory interventions especially for elderly patients providing perioperative hemodynamic stability and postoperative early mobilization.

Does Spinal Anesthesia Result in a More Complete Sympathetic Block Than That from Epidural Anesthesia?

1996 ◽  
Vol 40 (2) ◽  
pp. 110
Author(s):  
ROM A. STEVENS ◽  
DAVID BEARDSLEY ◽  
J. LEE WHITE ◽  
TZU-CHEG KAO ◽  
ROD GANTT ◽  
...  
Keyword(s):  
Spinal Anesthesia ◽  
Epidural Anesthesia ◽  
Sympathetic Block
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