The spinal needle feels as if it is in the right position but no CSF flows. Wait at least 30 seconds, then try rotating the needle 90 degrees and wait … Continue reading SPINAL ANAESTHESIA – A Practical Tips
Category: Regional Anaesthesia
POST–DURAL PUNCTURE HEADACHE – AN UPDATE
INTRODUCTION The characteristic feature of a post–dural puncture headache is a frontal or occipital headache that worsens with the upright or seated posture and is relieved by lying supine. Associated … Continue reading POST–DURAL PUNCTURE HEADACHE – AN UPDATE
Management of Local Anesthesia systemic toxicity – LAST Update
If signs and symptoms of LAST occur, prompt and effective airway management is crucial to preventing hypoxia, hypercapnia, and acidosis, which are known to potentiate LAST. Lipid emulsion therapy : … Continue reading Management of Local Anesthesia systemic toxicity – LAST Update
Ganglion Block Beats Blood Patch for Dural Puncture Headache
INTRODUCTION: Postdural puncture headache (PDPH), also known as spinal headache, is a common complication associated with neuraxial anesthesia and diagnostic lumbar puncture. Autologous epidural blood patch is considered the definitive … Continue reading Ganglion Block Beats Blood Patch for Dural Puncture Headache
Vocal Fold Paralysis Following Spinal Anesthesia
Vocal fold movements result from the coordinated contraction of a complicated system of laryngeal muscles. An injury to the recurrent laryngeal nerve (RLN) is necessary to cause a gross VFP. … Continue reading Vocal Fold Paralysis Following Spinal Anesthesia
Update in Post-Dural Puncture Headache: the do’s and don’ts?
“Toward the evening I was forced to take to bed and remained there for nine days, because all the manifestations recurred as soon as I got up. At midnight a … Continue reading Update in Post-Dural Puncture Headache: the do’s and don’ts?
Contemporary Concepts in Spinal Anaesthesia – Pre load Theory Vs After load Theory:
After the successful demonstration of spinal anaesthesia by August Bier in the year 1898, more than one centaury has passed but the haemodynamic changes that occurs after spinal anaesthesia still … Continue reading Contemporary Concepts in Spinal Anaesthesia – Pre load Theory Vs After load Theory:
LAST Update
If signs and symptoms of LAST occur, prompt and effective airway management is crucial to preventing hypoxia, hypercapnia, and acidosis, which are known to potentiate LAST. Lipid emulsion therapy : … Continue reading LAST Update
The management of hypotension with vasopressors during caesarean section under spinal anaesthesia
1. Hypotension following spinal or combined spinal-epidural anaesthesia at caesarean section causes both maternal and fetal/neonatal adverse effects. 2. Hypotension is frequent and, therefore, vasopressors should be used routinely and … Continue reading The management of hypotension with vasopressors during caesarean section under spinal anaesthesia
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