CONTEXT Recent studies have shown that local anesthesia for loop colostomy closure is as safe as spinal anesthesia for this procedure. OBJECTIVES Randomized clinical trial to compare the results from these two techniques. METHODS Fifty patients were randomized for loop colostomy closure using spinal anesthesia (n = 25) and using local anesthesia (n = 25). Preoperatively, the bowel was evalu...

PHYSIOLOGY OF SPINAL ANESTHESIA, 2nd Ed. By Nicholas M. Greene. Baltimore, Md., Williams and Wilkins Co., 1969. 243 pp. $9.75. The first edition of The Physiology of Spinal Anesthesia appeared in 1958. Its avowed purpose was to review and evaluate the literature "dealing with the physiological response to spinal anesthesia." While interest in spinal anesthesia has steadily waned during the inte...

Recently, some scholars suggested that it is important to keep a stablehemodynamic state and prevent the stress responses in geriatric patients undergoing total hip replacement (THR). We conducted this randomized prospective study to observe anesthetic potency of unilateral spinal anesthesia and stress response to it in geriatric patients during THR. We compared the effect of unilateral spinal ...

Spinal anesthesia or regional anesthesia is a potent anesthetic procedure. Additional modalities have been sought to increase the duration of block in spinal anesthesia. Ketamine is an N-methyl-D-aspartate (NMDA) receptor blocker that has an anesthetic effect when injected intrathecally and has a synergic effect with bupivacaine. Ketamine also has potent analgesic properties. The present study ...

Hip fractures in elderly patients can lead to lifethreatening complications and increased mortality1,2. The geriatric population in Taiwan, comprising almost 10% of the whole population in 2008, is progressively increasing3. Although recovery is slow, surgery is generally very effective for the repair of hip fractures. General and spinal anesthesia are the predominant forms of anesthesia employ...

BACKGROUND Shivering is a frequent event during spinal anesthesia and meperidine is a well-known effective drug for prevention and treatment of shivering. Nefopam is a non-opiate analgesic and also known to have an anti-shivering effect. We compared nefopam with meperidine for efficacy of prevention of shivering during spinal anesthesia. METHODS Sixty five patients, American Society of Anesth...

PURPOSE The aim of this study is to evaluate the effect of dexmedetomidine on corrected QT (QTc) and Tp-e intervals in patients undergoing spinal anesthesia. MATERIALS AND METHODS We studied 50 patients who were scheduled to undergo spinal anesthesia before orthopedic surgeries. Patients were allocated to receive either an infusion of dexmedetomidine or normal saline after spinal anesthesia. ...

Introduction: The incidence of cesarean section has increased in most countries in recent years. Anesthetic methods used during cesarean section have some advantages and disadvantages to both mother and neonate. In this study, for comparison of general and spinal anesthesia we evaluated the short-term outcome of neonates born through cesarean section. Methods: Retrospectively, we studied 324 mo...

Nowadays knee arthroscopy is the most common orthopedic procedure. It used to diagnose and treat various pathological conditions. Usually can be performed using spinal anesthesia. The article presents a successful experience of combined technique, which consist in unilateral subarachnoid anesthesia with additional adductor canal block blocks articular branches sciatic obturator nerves.

PURPOSE To compare efficacy and complications of spinal anesthesia versus general anesthesia in percutaneous nephrolithotomy (PCNL). MATERIALS AND METHODS In a prospective randomized study, 110 patients were randomly assigned into two groups for PCNL; group 1 (n = 52) underwent general anesthesia and group 2 (n = 58) received spinal anesthesia. In group 1, PCNL was performed using standard te...