BACKGROUND AND AIM Dexmedetomidine (D) is a α2 agonist, has anesthetic and analgesic-sparing property. The objective of this study was to evaluate the effect of intravenous (I.V.) dexmedetomidine on the duration of sensory and motor block, postoperative analgesia, the level of sedation and side effect. MATERIAL AND METHODS Sixty patients were randomly divided into two groups of thirty each. G...

Background: Spinal magnesium has been found to prolong the duration of analgesia in various surgical procedures. Spinally administered neostigmine causes analgesia in animals and humans by preventing the breakdown of synaptically released acetylcholine, The present study was designed to compare the analgesic efficacy and side effects of either intrathecal magnesium sulfate or neostigmine added ...

A cutaneous current perception threshold (CPT) sensory testing device measures both large and small diameter sensory nerve fiber function and may be useful in evaluating differential neural blockade. Eight subjects received both lumbar epidural saline and lumbar epidural lidocaine. Five milliliters of normal saline was administered and the CPTs were measured. After the saline, 10 mL of 2% plain...

EDITOR: We read about the analgesic effects of intrathecal neostigmine in perianal surgery by Yegin and colleagues with great interest [1]. We agree with them, as we found very similar results, that intrathecal neostigmine increases sensory blockade, motor blockade and increases the incidence of adverse effects such as nausea and vomiting. Hood and colleagues in 1995 suggested that intrathecal ...

The purpose of this study was to determine the accuracy of alcohol swabs in assessing dermatome levels in comparison to pinprick after subarachnoid block. Room temperature alcohol swabs and pinprick were used to determine dermatome levels at 5, 10, and 15 minutes after a 15-mg hyperbaric bupivacaine subarachnoid block was administered with the patient in the sitting position. The sample populat...

In asthmatic subjects there is a pronounced diurnal variation in bronchial responsiveness. If this phenomenon is due to variation in factors that control drug delivery, then it should be paralleled by a similar variation in competitive antagonist blockade. In order to study this possibility, we performed the methacholine challenge test and after 45 minutes, administered atropine by inhalat...

All anesthesia procedures represent a real danger to life in patients with renal insufficiency, which is why these are classified category IV, so for this population adjusted depending on their individual characteristics. Although local and general acceptable modalities arteriovenous fistula formation, it known that associated tissue reduction edema, may be reduced electrocautery efficiency, in...

Background: Spinal anesthesia is the most common neuraxial for infraumblical surgeries. The use of various adjuvants has become popular in today’s scenario to enhance its quality. Aims and Objectives: aim this study was evaluate onset, duration sensory motor block, hemodynamic effects (if any), post-operative analgesia, adverse fentanyl or magnesium given intrathecally with 0.5% bupivacaine hea...