Lower limb surgeries may be performed under local, regional (spinal or epidural) general anesthesia, but neuraxial blockade is the preferred mode of anesthesia. Sub-arachnoid block Spinal anaesthesia most common central used in a surgical setting, which being versatile and commonly block. With increasing use hyperbaric bupivacaine for sub arachnoid block, their limitations like prolongation ons...

BACKGROUND The duration of the spinal block is a concern for anesthetists. Low dose intrathecal lidocaine has vasodilatory effects and increases the local anesthetic clearance from the intrathecal space. The aim was to investigate whether this effect of lidocaine can be used to increase the resolution of levobupivacaine spinal anesthesia. METHOD After obtaining ethical approval and informed p...

Objective: In order to prolong the duration of intrathecal lidocaine, various drugs are used along with it. Due to the promising effects of tizanidine on central nervous system, it can be assumed that tizanidine can have a positive effect on increasing the anesthesia duration too. Thus, we aimed to investigate the effect of oral tizanidine on the duration of lidocaine spinal anesthesia.Me...

normal 0 false false false en-us x-none ar-sa background: it was aimed to compare the efficacy and adverse effects of levobupivacaine alone and in combination with fentanyl and sufentanil during transurethral resection of the prostate (turp) under spinal anesthesia. materials and methods: in this prospective, randomized, double-blind trial, 60 patients undergoing elective turp under spinal anes...

BACKGROUND Hip fracture-related pain both before and after surgery is generally reported as severe by most patients. Various regional pain control modalities have been described in order to reduce pain in these patients. OBJECTIVES Because of the challenges of lumbar plexus block (LPB) and the fact that the effect of combined femoral nerve block/spinal anesthesia in controlling pain after ort...

OBJECTIVE The incidence of spinal treatment, including nerve block, radiofrequency neurotomy, instrumented fusions, is increasing, and progressively involves patients of age 65 and older. Treatment of the geriatric patients is often a difficult challenge for the spine surgeon. General health, sociofamilial and mental condition of the patients as well as the treatment techniques and postoperativ...

Background: The beneficial effects of two central neuraxial blocks in combined form are well acceptable and well tolerable by patients. Beneficial effects of both components are utilized, minimizing their drawbacks. Aims: Our study is designed to evaluate the use of peripheral ( popliteal fossa block ) and central nerve block (spinal) in combined form for below knee surgical procedures. Methods...

BACKGROUND A relationship between the depth of sedation as measured by the bispectral index (BIS) and spinal sensory block height in patients with light to no additional sedation has been described previously. The present study was designed to investigate the hypothesis that BIS values closely correlate with the spread of spinal sensory block in patients deeply sedated with an i.v. target-contr...

58 Vol. 10 No. 2, April-June 2008 Introduction: An increasing number of day-case surgical patients are challenging the presently used methods of anaesthesia:. Surgical anaesthesia should be fast, reliable with rapid recovery and minimal side effects. To compete with modern ambulatory general anaesthesia, knowledge of special spinal anaesthesia techniques is essential. 'Walk-in, walk-out' spinal...

OBJECTIVE In our study, the effect of intravenous magnesium sulphate in normal and pre-eclamptic patients on spinal anaesthesia produced by bupivacaine was investigated. METHODS Sixty-four pregnant (32 normal and 32 pre-eclamptic) were accepted in this study. Pregnants were divided into four groups as patients given intravenous magnesium sulphate and as control. Spinal anaesthesia was induced...