Raquia continua en obstetricia / Continuous spinal anesthesia in obstetrics

Noviembre 8, 2017. No. 2896

Anestesia espinal continua para analgesia y anestesia obstétrica Continuous Spinal Anesthesia for Obstetric Anesthesia and Analgesia. Veličković I1, Pujic B2, Baysinger CW3, Baysinger CL4. Author information Front Med (Lausanne). 2017 Aug 15;4:133. doi: 10.3389/fmed.2017.00133. eCollection 2017. Abstract The widespread use of continuous spinal anesthesia (CSA) in obstetrics has been slow because of the high risk for post-dural puncture headache (PDPH) associated with epidural needles and catheters. New advances in equipment and technique have not significantly overcome this disadvantage. However, CSA offers an alternative to epidural anesthesia in morbidly obese women, women with severe cardiac disease, and patients with prior spinal surgery. It should be strongly considered in parturients who receive an accidental dural puncture with a large bore needle, on the basis of recent work suggesting significant reduction in PDPH when intrathecal catheters are used. Small doses of drug can be administered and extension of labor analgesia for emergency cesarean delivery may occur more rapidly compared to continuous epidural techniques. KEYWORDS: intrathecal catheters; labor analgesia; neuraxial blockade; obstetric anesthesia; post-dural puncture headache; spinal catheters PDF LI Congreso Mexicano de Anestesiología Mérida Yucatán, Noviembre 21-25, 2017 Información / Information 17h World Congress of Anaesthesiologists, WFSA Prague, Czech Republic, Sep 6-11, 2020 Informes / Information

Anestesiología y Medicina del Dolor 52 664 6848905 vwhizar@anestesia-dolor.org anestesia-dolor.org

Raquia / Spinal anesthesia

Octubre 15, 2017. No. 2842

Una comparación de tres agujas diferentes utilizadas para la anestesia espinal en términos de riesgo de transporte de células epiteliales escamosas. A comparison of three different needles used for spinal anesthesia in terms of squamous epithelial cell transport risk. Çiğdem ÜK1, Sevinç Ş2, Esef B3, Süreyya Ö4, Muzaffer G4, Akif D4. Author information Rev Bras Anestesiol. 2017 Sep - Oct;67(5):468-471. doi: 10.1016/j.bjan.2017.04.011. Epub 2017 May 16. Abstract BACKGROUND AND OBJECTIVES: To investigate the differences in the number of squamous epithelial cells carried to the spinal canal by three different types of spinal needle tip of the same size. METHODS: Patients were allocated into three groups (Group I, Group II, Group III). Spinal anesthesia was administered to Group I (n=50) using a 25G Quincke needle, to Group II (n=50) using a 25G pencil point spinal needle, and to Group III (n=50) using a non-cutting atraumatic needle with special bending. The first and third drops of cerebral spinal fluid (CSF) samples were taken from each patient and each drop was placed on a slide for cytological examination. Nucleated and non-nucleated squamous epithelial cells on the smear preparations were counted. RESULTS: There was statistically significant difference between the groups in respect to the number of squamous epithelial cells in the first drop (p<0.05). Group III had lower number of squamous epithelial cells in the first drop compared to that of Group I and Group II. Mean while Group I had higher number of squamous epithelial cells in the third drop compared to the other groups. The number of squamous epithelialcells in the first and third drops was statistically similar in each group respectively (p>0.05 for each group). CONCLUSIONS: In this study of different needle tips, it was seen that with atraumatic needle with special bending a significantly smaller number of cells were transported when compared to the Quincke tip needles, and with pencil point needles. KEYWORDS: Agulhas espinhais; Cerebrospinal fluid; Células epiteliais; Epithelial cells; Líquido cefalorraquidiano; Raquianestesia; Spinal anesthesia; Spinalneedles PDF XXVII Congreso Peruano de Anestesiología Lima, Noviembre 2-4, 2017 Informes / Informataion LI Congreso Mexicano de Anestesiología Mérida Yucatán, Noviembre 21-25, 2017 Información / Information

Anestesiología y Medicina del Dolor 52 664 6848905 vwhizar@anestesia-dolor.org anestesia-dolor.org