Regional anesthesia
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Regional anesthesia · Jul 1996
Case ReportsUnexpected neurologic deficit following spinal anesthesia.
A case of unexpected neurologic deficit of the left lower extremity following a successful spinal block is reported. ⋯ Neurologic deficit following spinal or epidural block should be investigated completely and appropriate consultations sought. Psychiatric disorder may be a rare cause of neurologic deficit after successful regional anesthesia and should be made part of a complete workup.
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Regional anesthesia · Jul 1996
Letter Case ReportsStretching of epidural nylon catheters on removal.
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Regional anesthesia · Jul 1996
Review Case ReportsLabor analgesia and anesthesia in a patient with spinal muscular atrophy and vocal cord paralysis. A rare and unusual case report.
A case of labor analgesia and anesthesia in a 23-year-old woman with spinal muscular atrophy and vocal cord paralysis is reported. As spinal muscular atrophy is a progressive degenerative disorder of spinal anterior horn cells, with generalized neuromuscular weakness as a common sequela, the goal of anesthetic management is to provide satisfactory labor analgesia and anesthesia with minimal compromise of respiratory function. ⋯ It is believed that labor analgesia and anesthesia can be provided adequately with lumbar epidural techniques. An understanding of the physiology underlying spinal muscular atrophy is essential to safe anesthetic management of the laboring parturient.
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Regional anesthesia · Jul 1996
Randomized Controlled Trial Comparative Study Clinical TrialThe effect of spinal versus general anesthesia on postoperative pain and analgesic requirements in patients undergoing lower abdominal surgery.
Attempts to reduce central sensitization after tissue injury have led to the concept of preemptive analgesia. The aim of this study was to evaluate the effect of spinal versus general anesthesia on postoperative pain and analgesic requirements in patients undergoing lower abdominal surgery. ⋯ Postoperative pain after lower abdominal surgery can be significantly decreased if the surgery is performed with use of SA.