BACKGROUND Morphine injected into the subarachnoid space enhances the analgesic effects of spinal anaesthesia, improving the patient's comfort in the postoperative period. However, it is likely to be associated with adverse side effects that reduce patient satisfaction, e.g., urine retention. The aim of the present study was to evaluate the incidence of urine retention in patients receiving spi...

BACKGROUND Prediction of the duration of motor block after injection of a local anesthetic into cerebrospinal fluid (CSF) would be a very useful tool in clinical practice. However, previous attempts have not shown conclusive results. In this work, glycorrhachia is demonstrated to be an adequate predictive parameter after spinal anesthesia using 0.5% hyperbaric bupivacaine. METHODS Two mL of l...

Medication errorsare still one of the contributing factors leading to morbidity and mortality in anesthesia, despite measures ensure patient safety. A 14-year-old male inadvertently received intrathecal tranexamic acid instead hyperbaric bupivacaine for an elective herniorrhaphy. Shortly after induction, complained severe back lower limb pain, restlessness, tachycardia, hypertension, generalize...

BACKGROUND Hypotension is the most common problem with spinal anesthesia. This prospective study aimed to compare normotensive and hypertensive patients with respect to the hemodynamic effects of spinal anesthesia performed with hyperbaric bupivacaine. MATERIAL AND METHODS Sixty patients who were scheduled to undergo various elective operations under spinal anesthesia were included into the s...

The use of lidocaine in spinal anaesthesia is associated with transient neurological syndrome (TNS). Bupivacaine has a lower incidence of TNS as an alternative but it may have a prolonged action. This study systematically reviews the literature about the recovery profile of patients undergoing spinal anaesthesia, using bupivacaine for arthroscopic knee surgery. We identified 17 eligible randomi...

In four groups of 10 patients, 0.5% bupivacaine 5 ml was used in spinal anaesthesia for gynaecological surgery. Group 1 received plain solution in the sitting position, group 2 plain solution in the lateral position, group 3 hyperbaric solution in the sitting position and group 4 hyperbaric solution in the lateral position. All patients were returned to the horizontal supine position, the sitti...

Background: Ropivacaine had clinical advantages over Bupivacaine with respect to cardiac toxicity and motorblock it was suitable for epidural caecerian section. This study set-up compare ropivacainewith fentanyl / Fentanyl mixture in LSCS surgeries.Method: Out of 90 patients 45 received 10 mg hyperbaric 20 microgram (groupRF) 15 Hemodynamic parameters sensory andmotor blockade APGAR score were ...

INTRODUCTION Multicompartmental blocks are commonly described in epidurals but not spinals. We describe a case of subarachnoid block performed in an obese patient which resulted in a clinical presentation resembling that of a subdural block. CLINICAL PICTURE A 29-year-old woman, scheduled for saucerisation of thigh carbuncle, was administered 2.1 mL of hyperbaric bupivacaine. The spinal resul...