STEROID THERAPY AND EXTRADURAL ANALGESIA

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Pre - Emptive Extradural Analgesia

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Delayed presentation of an extradural abscess complicating thoracic extradural analgesia.

Extradural abscess is a rare but recognized complication of extradural anaesthesia. Previous reports have been associated with a short time interval between extradural catheterization and presentation. We report a patient with rheumatoid arthritis, receiving steroid therapy, in whom an extradural abscess did not present until 23 days after the insertion of a thoracic extradural catheter to prov...

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Quantitative assessment of extradural bupivacaine analgesia.

Bupivacaine (0.5%) 20 ml was administered extradurally to six healthy volunteers. It was found that simultaneous application of 10 needles to the skin could evoke pain when analgesia was obtained to one needle stimulation. In addition, a laser beam was used as a quantitative technique to activate simultaneously many cutaneous nociceptors. For 7 h, thresholds (sensory and pain) and pain-evoked b...

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Grand mal seizure after extradural morphine analgesia.

Following an elective Caesarean section under extradural anaesthesia, a 30-yr-old known epileptic woman (gravida 4, para 3) developed a tonic-clonic seizure, 6 h after the administration of morphine 3 mg into the extradural space. Possible aetiological factors are discussed.

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Uneventful extradural analgesia after unrecognized dural perforation.

A case is reported of an uneventful continuous extradural block in spite of unrecognized dural perforation. Although the perforation was recognized later during the block, the dura was probably pierced during the insertion of the catheter and only later the terminal hole came to lie in the subarachnoid space. Consequently both extradural and subarachnoid spread of the injected local anaesthetic...

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ژورنال

عنوان ژورنال: British Journal of Anaesthesia

سال: 1992

ISSN: 0007-0912

DOI: 10.1093/bja/69.4.423