Peripheral nerve blocks have become a gold standard for anesthesia and postoperative analgesia in limb girdle surgeries due to the feeling of security, simplicity locoregional anesthesia, absence certain adverse effects when general especially quality analgesia. However, has risk.We present two case reports peripheral neuropathy after involving lumbar plexus median nerve.We discuss through lite...

Position The Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) believes that registered nurses (RNs) who are not licensed anesthesia care providers should monitor but not manage the delivery of analgesia and anesthesia by catheter techniques to pregnant women. These techniques include administration of analgesia and anesthesia via epidural, intrathecal, spinal and patient-co...

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“THE position of woman in any civilization is an index of the advancement of that civilization; the position of woman is gauged by the care given her at the birth of her child.” Although many developments have occurred in obstetric anesthesia since this quote’s first publication in 1929, advances in the subspecialty have been complicated by medicolegal, financial, maternal, and fetal considerat...

materials and methods we divided 30 male wistar rats to three (n = 10) groups; including cr, wh and sham (water only) groups. each group was administered (by gavage) the supplements for an intermediate dosage during 25 days. after this period, they became anesthetized using a ketamine-xylazine (kx) and their time to anesthesia and analgesia, and total sleep time were recorded. results data were...

硬膜外麻酔，硬膜外鎮痛は，腹部手術患者の周術期管理において重要な役を担っている．本稿では，腹部外科手術に対する硬膜外麻酔単独による麻酔法，全身麻酔に硬膜外麻酔を併用する際の注意点を示し，術後鎮痛の歴史に沿って，硬膜外鎮痛法について述べた．術後硬膜外鎮痛は，静脈内オピオイド投与と比較して，体動時の鎮痛効果が高く，術後呼吸器合併症が少なく，術後腸管機能の回復が早い点で優れていることは，以前から知られている．しかし，区域麻酔，非オピオイド鎮痛薬およびオピオイドからなるマルチモーダル鎮痛を使用した最近の臨床研究の結果は，この優位性に疑問を呈している．また，術後硬膜外鎮痛が十分に機能していない症例が約半数あることを指摘する報告もある．術後硬膜外鎮痛の位置づけは変わりつつあるといえる．腹腔鏡手術や下部開腹術後の鎮痛は，区域麻酔，非オピオイドとオピオイドによるレスキューを用いたマルチモーダル鎮痛に...

conclusions the addition of 50 mg of magnesium sulfate to a bupivacaine–fentanyl solution for intrathecal anesthesia improved the efficacy and duration of the analgesia without any significant side effects. the addition of 150 µg of neostigmine increased the incidence of hypotension, bradycardia, and nausea and vomiting. moreover, neostigmine failed to prolong analgesia duration. results group ...