BACKGROUND In this prospective, clinical study we tested the hypothesis whether two different doses of spinal administered bupivacaine and accordingly, two different levels of spinal anaesthesia can affect the dose requirement of propofol during BIS guided sedation. METHODS Fifty women undergoing vaginal hysterectomy (high spinal group, HS) or transvaginal tape (TVT) procedure for urinary inc...

Poor cardiopulmonary reserve, multiple comorbidities and polypharmacy in geriatric patients result significant hemodynamic changes after the subarachnoid block (SAB) which are often unpredictable requires administration of fluids, vasopressors, invasive monitoring ICU admission leading to poor post operative outcome especially belonging American Society Anaesthesiologists Physical Status (ASA P...

BACKGROUND There are limited data about spinal dosing for cesarean delivery in preterm parturients. We investigated the hypothesis that preterm gestation is associated with an increased incidence of inadequate spinal anesthesia for cesarean delivery compared with term gestation. METHODS We searched our perioperative database for women who underwent cesarean delivery under spinal or combined s...

PURPOSE To highlight technical aspects and pitfalls of spinal anesthesia (SA) in infants. METHODS The medical history and perioperative course of all infants who underwent SA over a 28-month period were collected (retrospectively in the first 20). RESULTS Sixty-two infants underwent surgery under SA. Fifty-five were premature and former-premature, postconceptional age 43.3 +/- 5.0 weeks, we...

BACKGROUND Neuroaxial blockade for ambulatory transurethral resection of the prostate is a well established technique. Patients in this group are often at high risk for perioperative complications from concurrent diseases. The purpose of this study was to compare the elderly patients who received intrathecal fentanyl alone or intrathecal fentanyl plus bupivacaine or epidural anesthesia for tran...

BACKGROUND AND OBJECTIVES Glucose 6-phosphate dehydrogenase (G6PD) deficiency is a relatively common enzymopathy, but there are few publications relating such condition to anesthesia. This report aimed at presenting a case of a G6PD-deficient patient, submitted to Achilles tendon tenotomy under intravenous anesthesia associated to spinal block. CASE REPORT Male patient, 9 years old, 48 kg, wi...

Lower limb surgeries may be performed under local, regional (spinal or epidural) general anesthesia, but neuraxial blockade is the preferred mode of anesthesia. Sub-arachnoid block Spinal anaesthesia most common central used in a surgical setting, which being versatile and commonly block. With increasing use hyperbaric bupivacaine for sub arachnoid block, their limitations like prolongation ons...

BACKGROUND The aim of this study was to compare the clinical efficacy of 5% lignocaine, 2.5% lignocaine, 0.5% bupivacaine and 0.25% bupivacaine in subarachnoid block for pelvic surgeries. METHODS 80 adult ASA grades I and II patients of either sex between the ages of 18-60 yrs, undergoing routine pelvic surgery of short duration were included in this prospective, randomized double blind study...

Background:Magnesium has anti-nociceptive effects and potentiates opioid analgesia following its systemic and neuraxial administration. In our study, the effect of intravenous magnesium sulphate in pre-eclamptic patients on spinal anaesthesia produced by bupivacaine was investigated. Materials and Methods:Sixty pregnant (30 normal and 30 pre-eclamptic) patients were enrolled in this study in tw...