Background: Current guidelines recommend prophylactic vasopressor administration during spinal anesthesia for cesarean delivery to maintain intraoperative blood pressure above 90% of the baseline value. We sought determine optimum mean arterial (MAP) reading guide management hypotension. Methods: performed a secondary analysis data collected from normotensive patients presenting elective in ter...

background spinal anesthesia is a common procedure in the anesthesia. in some studies it has been shown that chronic use of opioids is associated with shorter duration of spinal anesthesia when local anesthetics are applied. objectives this trial was conducted in order to determine effect of fentanyl on the duration of spinal block by bupivacaine in chronic opium abusers who undergo spinal anes...

T aim of our study is to summarize the clinical features, diagnosis, treatment and management of spinal infections. Spinal infections can be primary, or secondary after spine surgery. Primary spinal infections generally arrive from the genitourinary system, respiratory tract or cutaneous infections. Secondary spinal infections may occur during lumbar puncture, spinal anesthesia, discography, ch...

OBJECT Neurological deterioration due to spinal epidural hematoma (SEH) is a rare but significant complication of spinal surgery. The frequency of hematoma evacuation after spinal surgery is reportedly 0.1%-3%. The objective of this study was to investigate the symptomatology of SEH and the frequency of evacuation for each surgical procedure after spinal decompression surgery. METHODS This is...

As a result of rapid advances in the field of spinal instrumentation, the surgeon today has at his disposal many well-designed implants, such as pedicle screws, hooks, rods, plates, and interbody fusion devices. Many of these implants are modular and are used in combination, such as hooks and screws attached to rods, allowing the surgeon flexibility in selecting the appropriate implants to meet...

No recent studies have analyzed the rates of or reasons for unanticipated revision surgery within 30 days of primary surgery in spinal deformity patients. Our aim was to examine the incidence, characteristics, reasons, and risk factors for unplanned revision surgery in spinal deformity patients treated at one institution. All patients with a diagnosis of spinal deformity presenting for primary ...

BACKGROUND Although some patients with symptomatic spinal disease may benefit greatly from surgery, their multiple attendant comorbidities may make general anesthesia risky or contraindicated. However, there is scarce literature describing the efficacy and safety of local anesthesia to perform these operations. Here we report seven patients who successfully underwent spinal surgery utilizing lo...

STUDY DESIGN A retrospective study. OBJECTIVE The purpose of this study was to identify the rates and reasons, and the risk factors for unplanned reoperation of lumbar spinal surgery during the primary admission in terms of a multicenter and a large patient population study. SUMMARY OF BACKGROUND DATA Unplanned reoperation is suggested to be a useful quality indicator for spinal surgery. Ho...