The sphenopalatine ganglion (SPG) is a parasympathetic ganglion, located in the pterygopalatine fossa. The SPG block has been used for a long time for treating headaches of varying etiologies. For anesthesiologists, treating postdural puncture headaches (PDPH) has always been challenging. The epidural block patch (EBP) was the only option until researchers explored the role of the SPG block as ...

Cardiac and thoracic surgery have been connected to high perioperative opioid use for a long time. With increasing knowledge of regional anesthesia in the region, nerve blocks become supplemental methods analgesia. As part multimodal analgesia, they are important factors enhanced recovery after contribute diminished use. Myofascial more superficial than classic epidural or paravertebral block t...

219 January 2013 E PIDURAL block has been used extensively in pediatric patients.1Epidural block reduces the need for opioid usage, improves hemodynamic stability,2 decreases the need for postoperative ventilator support,3and lowers perioperative stress levels.4 Although cephalad advancement of epidural catheters from the caudal space to the thoracic region is commonly used, blind catheter adva...

BACKGROUND Relative effects of dosage, volume and concentration of local anaesthetics used for postoperative thoracic epidural analgesia are still under debate. In this randomized, prospective, double-blinded study, we evaluated the incidence of side-effects such as changes in arterial pressure, postoperative nausea, vomiting, and pruritus in patients admitted for thoracic surgery during contin...

PURPOSE To examine the effect of continuous epidural block initiated before thoracic surgery upon early and long-term postoperative pain. METHODS In a double-blind study, 70 patients scheduled for thoracic surgery under general anesthesia were assigned randomly to receive continuous epidural block with mepivacaine 1.5% initiated either 20 min before surgical incision (Pre group) or at complet...

The aims and objectives of our study is to analyse the time taken by the anaesthetist for induction during general, spinal, combined spinal epidural and ultrasound guided brachial plexus block ,comparing these with benchmark values and find reasons for delay. Present prospective case study aims at measurement of anaesthesia induction times during a period of two months. Overall 231 patients had...