Refractory Hypotension during Combined General and Epidural Anaesthesia in a Patient on Tricyclic Antidepressants

Combined spinal-epidural anaesthesia.

PURPOSE OF REVIEW The purpose of this review is to present the most important recent studies on the clinical use of the combined spinal-epidural technique. RECENT FINDINGS The predominant recent literature on the combined spinal-epidural technique involves its use in obstetrics. A 2004 UK survey showed that the use of the technique is increasing. Studies are presented which show the role of i...

Combined Spinal Epidural Anaesthesia

Development in anaesthesia and surgery has improved over all surgical outcome during recent decades. There is still concern about the detrimental effects of operative procedures such as myocaridial infarction, pulmonary complications, thromboembolism, gastrointestinal paralysis, immunosupression etc. that cannot be attributed solely to imperfections in surgical technique. Regional anaesthesia o...

The Effects of Local Anaesthetics on QT Parameters during Thoracic Epidural Anaesthesia Combined with General Anaesthesia: Ropivacaine versus Bupivacaine.

BACKGROUND Many studies focusing on the effects of local anaesthetics on QT intervals have been performed, but the articles evaluating the relationship between thoracic epidural anaesthesia combined with general anaesthesia and QT parameters are very limited. AIMS We aimed to compare the effects of bupivacaine and ropivacaine on QT interval, corrected QT, dispersion of QT, and corrected dispe...

Tricyclic antidepressants.

Tricyclic antidepressants.

Correspondence BRiTISH 301 Tricyclic Antidepressants SIR,-I am worried by one sentence in the article on tricyclic antidepressants (13 April, p. 102): "Jaundice, which is very uncommon , is of the cholestatic type similar to that found in chlorpromazine." This is misleading. Jaundice is one of the more frequent side-effects reported from imipramine and imitrip-tyline, the most widely used membe...