Regional anesthesia
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Regional anesthesia · Sep 1996
Randomized Controlled Trial Comparative Study Clinical TrialEffectiveness and safety of combined epidural and general anesthesia for laparoscopic cholecystectomy.
The aim of this study was to compare the efficacy and safety of two anesthesia techniques, combined epidural/general anesthesia (CEGA) versus total intravenous anesthesia (TIVA), for laparoscopic cholecystectomy. ⋯ The use of CEGA for laparoscopic cholecystectomy seems to be effective and safe and to offer some advantages as compared to TIVA alone. CEGA can control pain due to CO2-induced peritoneal irritation, providing excellent intra- and postoperative analgesia. CEGA does not require the use of intraoperative intravenous opioids and shortens recovery time, without increasing the incidence of side effects.
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Regional anesthesia · Sep 1996
Comparative Study Clinical Trial Controlled Clinical TrialPostdural puncture headache and back pain after spinal anesthesia with 27-gauge Quincke and 26-gauge Atraucan needles.
The purpose of this study was to determine whether the 26-gauge Atraucan needle shows any benefit on the incidence of postdural puncture headache (PDPH) and back pain as compared with the 27-gauge Quincke needle. ⋯ Both needles are associated with very low incidences of PDPH and back pain, which are not affected by which needle is chosen.
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Regional anesthesia · Sep 1996
Clinical TrialSpinal clonidine fails to provide surgical anesthesia for transurethral resection of prostate. A dose-finding pilot study.
This study was designed to determine whether subarachnoid clonidine administration alone results in surgical anesthesia for transurethral resection of the prostate. ⋯ Subarachnoid clonidine cannot be reliably used as the sole agent for spinal anesthesia, since general anesthesia is often required or deep sedation occurs. Increasing doses of clonidine do not prolong postoperative analgesia. Thus, clonidine could be used as a spinal analgesic but not as a spinal anesthetic.
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Regional anesthesia · Sep 1996
Celiac plexus block. Retrocrural computed tomographic anatomy in patients with and without pancreatic cancer.
Neurolytic celiac plexus block is often performed for analgesia from pancreatic cancer, but it is not known if the cancer alters the anatomy relevant to the successful performance of retrocrural celiac plexus block. ⋯ The predicted success of stimulated retrocrural celiac plexus block differed between patients with and without pancreatic cancer. These findings have implications for the performance of celiac plexus block.
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Regional anesthesia · Sep 1996
Safety of spinal and epidural anesthesia in parturients with chorioamnionitis.
The safety of spinal and epidural anesthesia in patients with chorioamnionitis was explored. ⋯ Conduction anesthesia may be safe in parturients with chorioamnionitis without prior antibiotic therapy.