220 July 2016 P mediana dorsalis (PMD) has been rarely visualized but is occasionally implicated as a cause of unilateral epidural local anesthesia. Herein, we demonstrate PMD using epidurography. a normal anteroposterior epidurogram should show contrast outlining the lateral margins of the epidural space bilaterally.1 Herein, we show a unilateral epidurogram through a midline epidural catheter...

OBJECTIVE To compare the efficacy and safety of regional epidural anesthesia and general anesthesia in patients who underwent PCNL. MATERIALS AND METHODS Fifty patients submitted to percutaneous nephrolithotomy (PCNL) were randomized into two groups: Group I (N = 26) received general anesthesia and Group II (N = 24) received regional epidural anesthesia. Demographic and operative data includi...

INTRODUCTION High thoracic epidural anesthesia (TEA) causes blockade of sympathetic fibers involved in innervation of the heart (segments T1-T4), which results in changes of cardiac electrophysiology. The anti-arrhythmic effects of TEA on supraventricular arrhythmias, mainly atrial fibrillation, are controversial. THE AIM OF THE STUDY The aim of the study was to assess the influence of epidur...

General or regional anesthesia can be appropriate for patients undergoing abdominal surgery. In common practice, balanced anesthesia with inhalational anesthetics, opioids and neuromuscular blockers are used in general anesthesia for abdominal surgical procedures. Endotracheal intubation as well as Laryngeal Mask Airway can be used for airway control. Regional anesthesia, mainly central blocks,...

Background: Total knee arthroplasty is an important procedure requiring accuracy and skill. The choice of anesthesia for better outcomes a mandatory requirement in this procedure. Objective: To compare the general verses neuraxial/regional total arthroplasty. Study Design: Comparative analytical study Place Duration Study: Department Orthopaedics, Sahara Medical College, Narowalfrom 1st April 2...

Segmental dorsolumbar epidural anesthesia has been considered difficult to perform. The purpose of this study was to determine whether or not it is difficult for beginners to learn how to do modified dorsolumbar epidural anesthesia of cattle. Thirty cattle were divided into two groups, young (n = 8) and adult (n = 22), according to their age and body weight, and 0.12% new methylene blue (NMB) w...

We report a patient who developed paraplegia caused by a spinal epidural hematoma after removal of an epidural catheter, which resolved spontaneously. A 60-year-old woman underwent thoracoscopic partial resection of the left lung under general anesthesia combined with epidural anesthesia. She neither was coagulopathic nor had received anticoagulants. Paraplegia occurred 40 minutes after removal...

BACKGROUND Paraplegia associated with epidural anesthesia or caused by intramedullary spinal tuberculoma is rare but catastrophic. We present a case of paraplegia following epidural anesthesia in a patient with an undiagnosed intramedullary spinal tuberculoma. CASE PRESENTATION A 42-year-old man developed paraplegia after an open cholecystectomy under epidural anesthesia. Spinal cord infarcti...

OBJECTIVE To study the awakening of the elderly patients from propofol intravenous general anesthesia or sevoflurane inhalation general anesthesia combined with epidural block after radical gastric cancer surgery. METHOD Eighty cases receiving selective radical surgery for gastric cancer were included. They were aged 65-78 years and classified as ASA grade I-II. Using a random number table, t...