Epidural analgesia and anticoagulant therapy

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[Spinal epidural hematoma during anticoagulant therapy].

Spinal epidural hematoma complicated the course of anticoagulant therapy of cerebrovascular disease in a patient in whom observations of multiple aspects of coagulation had been obtained. Examination of this case and a review of the literature allow delineation of a syndrome that should aid in early diagnosis of spinal epidural henmatoma. It is clear that coumarin derivatives induce multiple co...

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Epidural anaesthesia and analgesia.

OBJECTIVE Among various methods of providing analgesia during surgery for e.g., parenteral opiates and NSAIDS, epidural anaesthesia and analgesia seem to have beneficial efficacy and less side effect profiles. METHODS This study was conducted in 1.53 patients coming for operation at KMCTH between August 2003 to August 2004. Patients were divided in two groups, one group were operated under so...

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Epidural analgesia and anesthesia.

This review describes the beneficial effects of the use of epidural drugs for pre-emptive analgesia, intraoperative analgesia with an inhalant-sparing effect, and prolonged postoperative analgesia. Epidural morphine oxymorphone, or hydromorphone is recommended for use in small animals in combination with a local anesthetic of appropriate duration for procedures involving the hind end, although ...

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Thoracic epidural analgesia

We read with great interest the editorial by Kamming and Davies [1] regarding the choice of thoracic epidural anaesthesia in cardiac surgery. While the authors provided an interesting analysis, we believe their conclusion regarding the 50% chance of this technique’s failure warrants further comment. Kamming and Davies reported that in two large studies [2,3] ‘epidurals have failed to achieve ad...

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Thoracic Epidural and Paravertebral Analgesia

Thoracotomies are among the most painful of surgical incisions. Postoperatively, the movement of the chest with each breath increases the pain, and patients often “splint” to the point of hypercapnea or hypoxia. Substantial analgesia is required to avoid postoperative respiratory complications, but heavy opioid use blunts the respiratory drive and may itself be associated with postoperative com...

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ژورنال

عنوان ژورنال: Anaesthesia

سال: 1983

ISSN: 0003-2409

DOI: 10.1111/j.1365-2044.1983.tb13986.x