نتایج جستجو برای: intrathecal delivery

تعداد نتایج: 212225  

Journal: :Anesthesiology 2004
Yehuda Ginosar Edward Mirikatani David R Drover Sheila E Cohen Edward T Riley

BACKGROUND Successful cesarean delivery anesthesia has been reported with use of small doses (5-9 mg) of intrathecal bupivacaine coadministered with opioids. This double-blind, randomized, dose-ranging study determined the ED50 and ED95 of intrathecal bupivacaine (with adjuvant opioids) for cesarean delivery anesthesia. METHODS Forty-two parturients undergoing elective cesarean delivery with ...

Journal: :Neuromodulation : journal of the International Neuromodulation Society 2012
Timothy R Deer Robert Levy Joshua Prager Eric Buchser Allen Burton David Caraway Michael Cousins José De Andrés Sudhir Diwan Michael Erdek Eric Grigsby Marc Huntoon Marilyn S Jacobs Philip Kim Krishna Kumar Michael Leong Liong Liem Gladstone C McDowell Sunil Panchal Richard Rauck Michael Saulino B Todd Sitzman Peter Staats Michael Stanton-Hicks Lisa Stearns Mark Wallace K Dean Willis William Witt Tony Yaksh Nagy Mekhail

INTRODUCTION Targeted intrathecal drug infusion to treat moderate to severe chronic pain has become a standard part of treatment algorithms when more conservative options fail. This therapy is well established in the literature, has shown efficacy, and is an important tool for the treatment of both cancer and noncancer pain; however, it has become clear in recent years that intrathecal drug del...

2015
Fei Xiao Wen-Ping Xu Xiao-Min Zhang Yin-Fa Zhang Li-Zhong Wang Xin-Zhong Chen

BACKGROUND Spinal anesthesia was considered as a reasonable anesthetic option in severe preeclampsia when cesarean delivery is indicated, and there is no indwelling epidural catheter or contraindication to spinal anesthesia. However, the ideal dose of intrathecal bupivacaine has not been quantified for cesarean delivery for severe preeclamptic patients. This study aimed to determine the ED 50 a...

2015
Fei Xiao Wen-Ping Xu Yin-Fa Zhang Lin Liu Xia Liu Li-Zhong Wang

BACKGROUND Spinal anesthesia is considered as a reasonable anesthetic option in lower abdominal and lower limb surgery. This study was to determine the dose-response of intrathecal ropivacaine in patients with scarred uterus undergoing cesarean delivery under combined spinal-epidural anesthesia. METHODS Seventy-five patients with scarred uterus undergoing elective cesarean delivery under comb...

2014
Michael M Bottros Paul J Christo

Advances in intrathecal analgesia and intrathecal drug delivery systems have allowed for a range of medications to be used in the control of pain and spasticity. This technique allows for reduced medication doses that can decrease the side effects typically associated with oral or parenteral drug delivery. Recent expert panel consensus guidelines have provided care paths in the treatment of noc...

Journal: :Annals of the Academy of Medicine, Singapore 2010
Nicholas H L Chua Robert van Dongen Kris C Vissers

Dear Editor, We thank the authors for a comprehensive review1 on the role of interventional pain therapies used in cancer pain as well as a informative local audit using the intrathecal catheter (PORT-A-CATH® IT) implantable system (Deltec Inc, USA).2 Our comments are directed at the neuraxial delivery of drugs in both articles. We agree that the most widely accepted indications for intrathecal...

2017
J.E. Pope T.R. Deer K. Amirdelfan W.P. McRoberts N. Azeem

BACKGROUND Intrathecal drug delivery has undergone a revitalization following a better understanding of this delivery route and its pharmacokinetics. Driven by patient safety and outcomes, clinicians are motivated to rethink the traditional spinal infusion pump patient selection criteria and indications. We review the current understanding of the pharmacology of commonly employed intrathecal ag...

2015
Ping Yang Yu Qin Chen Bian Yandong Zhao Wen Zhang Simone Di Giovanni

We have previously demonstrated the growth-promoting effect of intrathecal delivery of recombinant rat IL-6 immediately after corticospinal tract (CST) injury. Our present study aims to further clarify whether intrathecal delivery of IL-6 after CST injury could reactivate the intrinsic growth capacity of pyramidal cells in the sensorimotor cortex which project long axons to the spinal cord. We ...

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