Reports of acute onset of Guillain-Barré syndrome (GBS) after epidural anesthesia/analgesia after labor and cesarean delivery has raised concern of a correlation between GBS and the use of neuraxial anesthesia. We present a patient who developed bilateral lower extremity weakness and paraparesis within hours after removal of an epidural catheter for cesarean delivery. The clinical diagnosis was...

BACKGROUND Geriatric patients with femoral neck fracture (FNF) have unacceptably high rates of postoperative complications and mortality. The purpose of this study was to compare the effects of epidural anesthesia versus peripheral nerve block (PNB) on postoperative outcomes in elderly Chinese patients with FNF. METHODS This retrospective study explored mortality and postoperative complicatio...

Objective: The effect of general anesthesia combined with epidural analgesia on post-operative recovery was investigated to improve the therapeutic effectiveness of laparoscopic radical resection of rectal carcinoma. Methods: Eighty patients who underwent laparoscopic radical resection of rectal carcinoma in our hospital from February 2016 to February 2017 were selected according to their hospi...

Ephedrine and phenylephrine are used to treat hypotension during combined general and epidural anesthesia, and they may change anesthetic depth. In the current study, we evaluated the effects of ephedrine versus phenylephrine on bispectral index (BIS) during combined general and epidural anesthesia. After injection of ropivacaine through the epidural catheter, general anesthesia was induced wit...

Background: Preeclampsia is a hypertensive related complication of pregnancy; Parturients with pregnancy induced hypertension may present to the labor and delivery unit with or without a prior diagnosis of preeclampsia and may pose a significant anesthetic challenge. Administration of anesthesia in such cases leads to worse cardiovascular response. Objectives: To determine the efficacy of epidu...

Introduction: Video examples with task demonstrations by experts, the expert’s eye movements superimposed on task, are known as “eye movement modeling examples” (EMME). We performed this study to evaluate if there were improvements in performance of anesthesia novice trainees when executing epidural technique after an EMME block procedure. Methods: developed example (EMME) from tracking recordi...

OBJECTIVE To present the safety and efficacy of epidural blockade in children. METHODS A respective review was carried out at the King Khalid University Hospital (KKUH), Riyadh, Saudi Arabia from April to December 2007. The patient age, type of surgery, epidural level block, technique, local anesthetic dose, and quality of epidural block were analyzed. RESULTS Thirty-eight epidural blockade...

The objective of the present study was to investigate the effects of different anesthesia methods on postoperative transient neurologic syndrome (TNS) in patients with lumbar disc herniation (LDH). Ninety-six patients with LDH were selected from November 2015 to October 2016 in Cangzhou Central hospital. All patients were treated with percutaneous transforaminal endoscopic discectomy. The patie...

BACKGROUND Insulin resistance (IR) is a feature of the endocrine stress response to surgery. It is not known whether a preoperative state of IR would affect the postoperative endocrine response. We sought to characterize the preoperative state of IR in a group of patients undergoing elective hip and knee arthroplasty, and to determine to what extent perioperative epidural analgesia modifies the...