INTRODUCTION The study compared spinal anesthesia using intrathecal hyperbaric bupivacaine between height and weight adjusted dose and fixed dose during caesarean section. METHODS A hundred parturients, who had given their consent and were scheduled for elective caesarean section under spinal anesthesia, were randomly assigned into two groups. We adjusted the intrathecal dose of heavy bupivac...

BACKGROUND Spinal anesthesia is widely used for caesarean section due to its rapid onset, low failure rate, complete analgesia. Addition of intrathecal ketamine and opioids to local anaesthetics seems to improve the quality of block and prolong the duration of analgesia. OBJECTIVES The purpose of this study was to compare the effect of intrathecal ketamine mixed with hyperbaric bupivacaine to...

conclusions the aspiration of 1 - 3 ml of csf before an injection of levobupivacaine did not seem to affect the spread and duration of the sensory block or postpuncture complications in children following sa. results there were no between-group differences in the time to regression of the block below t10 or in the cephalic spread of the sensory block: 94 (27) minutes and t4.4 (sd 2.2) in the cs...

background and aims: one of the problems with the implementation of spinal anesthesia is not to achieve an appropriate sensory level and sensory level decline before the end of operation that can cause pain and stress for the patient and surgeon dissatisfaction.                                                                                              in this study, the effects of transdermal...

INTRODUCTION Bupivacaine is anesthetic often used in spinal anesthesia in the hyperbaric form (with factory-made incorporated 8.25% glucose), and in isobaric form without additives, (so-called "plain"). Baricity manipulation of local anesthetic is made for the better match of necessary and achieved level of sensor block. Too high block is unnecessary and can compromise the patient's hemodynamic...

OBJECTIVE Our goal was to demonstrate which position would be hemodynamically and technically better by comparing the effects of combined spinal epidural (CSE) in the sitting or lateral decubitus position for elective cesarean deliveries on maternal and neonatal parameters and ephedrine requirement. METHODS Sixty parturients were randomly assigned into two groups to perform CSE in the sitting...

Histological and electrophysiological studies were performed on Lewis rats with acute experimental allergic encephalomyelitis (EAE) induced by inoculation with guinea-pig myelin basic protein (MBP) and Freund's adjuvant. The histological studies showed demyelination in the lumbar, sacral and coccygeal dorsal and ventral spinal roots and to a lesser extent in the spinal cord, including the dorsa...

Three cases of spinal epidural hematoma are presented. Computed tomography (CT) was the first diagnostic method used in two patients and demonstrated a surgically confirmed spinal epidural hematoma in both patients. In a third patient who presented with a complete block on myelography, CT was helpful in assessment of the extent of the lesion and suggested a vertebral hemangioma as the cause of ...

Background: Spinal anesthesia is popular, simple and well accepted reliable technique for below umbilicus surgery. It frequently used lower segment section because of its rapid onset, a dense neural block, avoidance risk airway, little local anesthetic toxicity minimal transfer drug to the fetus, as failure block. Objectives this study was compare incidence severity hypotension, dose requiremen...