The objective of the study was to evaluate the effect of intravenous dexmedetomidine on the duration of subarachnoid block, hemodynamic changes and sedation in patients undergoing surgeries under spinal anaesthesia with 0.5% of hyperbaric bupivacaine. It was a prospective randomised controlled double blind trial.100 ASA physical status I/II patients undergoing elective surgeries under spinal an...

BACKGROUND The local anaesthetics used in day-case spinal anaesthesia should provide short recovery times. We aimed to compare hyperbaric prilocaine and bupivacaine in terms of sensory block resolution and time to home readiness in day-case spinal anaesthesia. MeTHODS: Fifty patients undergoing perianal surgery were randomized into two groups. The bupivacaine-fentanyl group (Group B) received 7...

We analyzed whether acute treatment with serotonergic agonists would improve motor function in rats with transected spinal cords (spinal rats) and in rats that received transplants of fetal spinal cord into the transection site (transplant rats). Neonates received midthoracic spinal transections within 48 hr of birth; transplant rats received fetal (embryonic day 14) spinal cord grafts at the t...

BACKGROUND AND OBJECTIVE Cerebral palsy is one of the most common childhood neuromuscular diseases in the world. Spinal anaesthesia in children is an evolving technique with many advantages in perioperative management. The aim of this retrospective study was to provide first-hand reports of children with cerebral palsy who underwent orthopaedic surgery under spinal anaesthesia. METHODS Record...

Objectives: To evaluate the sensory and motor block of continuous spinal anesthesia compared to epidural anesthesia in mild to moderate preeclamptic patients undergoing cesarean section. Methods: 40 mild to moderate preeclamptic patients undergoing cesarean section under regional anesthesia. Patients are randomly allocated into 2 groups, CSA group (n=20) received continuous spinal anesthesia us...

Neurological deterioration sometimes follows removal of cerebro-spinal fluid by lumbar puncture below a spinal block caused by a tumour. Experience has shown that similar impaction of a spinal intradural tumour may occur following the draining of hydrocephalus. We have used the term "upward spinal coning " to describe this and report four cases in which impaction of an intradural metastasis occ...

Sir,—Elliott, Voyvodic and Brownridge recently reported an unexpected subarachnoid block in a parturient, despite careful aspiration testing and prior administration of local anaesthetic via a catheter, presumably located in the lumbar extradural space. 1 We recently described five similar cases of high spinal block produced by the initial test dose alone after negative aspiration testing. 2 We...

Thoracic Epidurals: Anatomic Explanation Central neuraxial block has a low incidence of major complications, many of which resolve within 6 months. During attempts to insert a spinal needle into the lumbar subarachnoid space, patients occasionally experience paresthesia, with a reported incidence of 13.6%. Neurologic complications, including spinal cord injury, may arise during administration o...

Spinal myoclonus is a rare disorder characterized by myoclonic movements in muscles that originate from several segments of the spinal cord and usually associated with laminectomy, spinal cord injury, post-operative, lumbosacral radiculopathy, spinal extradural block, myelopathy due to demyelination, cervical spondylosis and many other diseases. On rare occasions, it can originate from the peri...

BACKGROUND Magnesium has anti-nociceptive effects and potentiates opioid analgesia following its systemic and neuraxial administration. However, there is no study evaluating the effects of intravenous (IV) magnesium sulphate (MgSO4) therapy on spinal anaesthesia characteristics in severely pre-eclamptic patients. AIMS The aim of this study was to compare spinal anaesthesia characteristics in ...