Subarachnoid anesthesia in young patients: a comparative analysis of two needle bevels.

Abstract:

BACKGROUND AND OBJECTIVES:This prospective, randomized, double-blind study compares the efficacy of two spinal needles in terms of their performance characteristics and associated perioperative complaints in young patients. METHODS:ASA I and II patients aged from 20 to 40 years undergoing lower limb orthopedic surgery were included during a 12-month period. After application of the protocol, 158 patients were recruited. The patients were randomized to two groups: group I: 26-gauge Atraucan (n = 79) and Group II: 27-gauge Whitacre (n = 79). A study was made of the demographic parameters, technical characteristics, and peri- and postoperative complications. RESULTS:No significant differences were found in the technical handling of the needles, number of attempts made to achieve the puncture, or the time required to perform the technique. No technical failures (spinal anesthesia inadequate for the planned surgery) were reported, and the frequency of complications during the procedure was identical in both groups. Frequency of postdural puncture headache (3.8%) or severity and duration showed no difference between the two groups. The overall assessment of postoperative complications revealed similar scores for both needles. CONCLUSIONS:Technical handling (ease with which block was performed) of the needles analyzed was extremely easy, showing a high success rate which associated with the similar incidence of complications. Type of bevel does not appear to be a determining factor in the quality or morbidity associated with subarachnoid block when fine-gauge needles are used in young patients.

journal_name

Reg Anesth Pain Med

authors

De Andrés J,Valia JC,Errando C,Rico G,Lopez-Alarcon MD

doi

10.1016/s1098-7339(99)90047-0

subject

Has Abstract

pub_date

1999-11-01 00:00:00

pages

547-52

issue

6

eissn

1098-7339

issn

1532-8651

pii

S1098-7339(99)90047-0

journal_volume

24

pub_type

临床试验,杂志文章,随机对照试验
  • Prevention of intrathecal baclofen withdrawal syndrome: successful use of a temporary intrathecal catheter.

    abstract::Abrupt cessation of intrathecal baclofen (ITB) administration can cause a life-threatening withdrawal syndrome that requires prompt diagnosis and urgent treatment. The current therapy for this condition is administration of propofol, benzodiazepines, paralytics and supportive care. This study reports a 53-year-old pat...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1097/AAP.0b013e3181b4cc6b

    authors: Bellinger A,Siriwetchadarak R,Rosenquist R,Greenlee JD

    更新日期:2009-11-01 00:00:00

  • Perioperative research fellowship: planning, implementation, experience.

    abstract::Perioperative outcomes research has gained widespread interest and is viewed as increasingly important among different specialties, including anesthesiology. Outcomes research studies serve to help in the adjustment of risk, allocation of resources, and formulation of hypotheses to guide future research. Pursuing high...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章,评审

    doi:10.1097/AAP.0000000000000110

    authors: Memtsoudis SG,Mazumdar M,Stundner O,Hargett MJ

    更新日期:2014-09-01 00:00:00

  • Neurologic Evaluation and Management of Perioperative Nerve Injury.

    abstract:UNLABELLED:Neurologic injury after regional anesthesia or pain medicine procedures is rare. Postprocedural neurologic deficits may create high levels of anxiety for the patient and practitioner, although most deficits are limited in severity and can be expected to fully resolve with time. Postoperative anesthesia-relat...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章,评审

    doi:10.1097/AAP.0000000000000185

    authors: Watson JC,Huntoon MA

    更新日期:2015-09-01 00:00:00

  • The effect of intrathecal epinephrine on epidural infused analgesics during labor.

    abstract:BACKGROUND AND OBJECTIVES:In order to prolong labor analgesia, one may add intrathecal epinephrine to the combination of bupivacaine and fentanyl. In this study, we tested the hypothesis that the addition of intrathecal epinephrine would lessen the requirement for a rescue dose of epidural analgesia during labor. METH...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1053/rapm.2003.50026

    authors: Okutomi T,Mochizuki J,Amano K,Datta S

    更新日期:2003-03-01 00:00:00

  • Continuous versus single-injection sciatic nerve block added to continuous femoral nerve block for analgesia after total knee arthroplasty: a prospective, randomized, double-blind study.

    abstract:BACKGROUND AND OBJECTIVES:The benefit of adding sciatic nerve block (SNB) to femoral nerve block to improve analgesia after total knee arthroplasty (TKA) is uncertain. We hypothesized that the effective duration of single-injection SNB is too short to improve postoperative analgesia and that this contributes to conflic...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/AAP.0000000000000076

    authors: Sato K,Adachi T,Shirai N,Naoi N

    更新日期:2014-05-01 00:00:00

  • Epidural clonidine relieves intractable neuropathic itch associated with herpes zoster-related pain.

    abstract:OBJECTIVE:We present a case of intense herpes zoster-related pain and itching in the ophthalmic division of the trigeminal nerve (V1). Successful pain and itch management was achieved after insertion of a high thoracic epidural catheter with a continuous infusion of bupivacaine and clonidine. CASE REPORT:A 73-year-old...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1016/s1098-7339(03)00182-2

    authors: Elkersh MA,Simopoulos TT,Malik AB,Cho EH,Bajwa ZH

    更新日期:2003-07-01 00:00:00

  • Spinal anesthesia for postpartum tubal ligation after pregnancy complicated by preeclampsia or gestational hypertension.

    abstract:BACKGROUND AND OBJECTIVES:The American College of Obstetricians & Gynecologists has opposed postpartum tubal ligation (PPTL) in patients whose pregnancies have been complicated by a medical condition, including hypertension. A prospective study was conducted to assess the appropriateness of spinal anesthesia for PPTL i...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1053/rapm.2000.0250170

    authors: Suelto MD,Vincent RD Jr,Larmon JE,Norman PF,Werhan CF

    更新日期:2000-03-01 00:00:00

  • Systemic Lidocaine Fails to Improve Postoperative Pain, But Reduces Time to Discharge Readiness in Patients Undergoing Laparoscopic Sterilization in Day-Case Surgery: A Double-Blind, Randomized, Placebo-Controlled Trial.

    abstract:BACKGROUND AND OBJECTIVES:Perioperative systemic lidocaine provides postoperative analgesia, decreases opioid consumption, and facilitates rehabilitation in abdominal surgery. We hypothesized that systemic lidocaine has analgesic effects in women undergoing day-case laparoscopic sterilization. METHODS:Eighty women wer...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/AAP.0000000000000398

    authors: Dewinter GB,Teunkens A,Vermeulen K,Al Tmimi L,Van de Velde M,Rex S

    更新日期:2016-05-01 00:00:00

  • Spinal anesthesia for orthopedic surgery: a detailed video assessment of quality.

    abstract:BACKGROUND:Subarachnoid blocks are considered routine anesthetic procedures important in the daily practices of most anesthesiologists. However, few data exist regarding modern failure rates or quality-compromising behaviors. METHODS:Sixty adult patients having orthopedic surgery under spinal anesthesia were enrolled ...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1097/AAP.0b013e3182030863

    authors: Weed J,Finkel K,Beach ML,Granger CB,Gallagher JD,Sites BD

    更新日期:2011-01-01 00:00:00

  • The Importance of the Saphenous Nerve Block for Analgesia Following Major Ankle Surgery: A Randomized, Controlled, Double-Blind Study.

    abstract:BACKGROUND AND OBJECTIVES:Major ankle surgery causes intense postoperative pain, and whereas the importance of a sciatic nerve block is well established, the clinical significance of a supplemental saphenous nerve block has never been determined in a prospective, randomized, double-blind, placebo-controlled trial. We h...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1097/AAP.0000000000000764

    authors: Bjørn S,Wong WY,Baas J,Nielsen KK,Børglum J,Hauritz RW,Bendtsen TF

    更新日期:2018-07-01 00:00:00

  • The middle interscalene block: cadaver study and clinical assessment.

    abstract:BACKGROUND AND OBJECTIVES:A variety of brachial plexus block techniques via the interscalene approach have been proposed. We describe here a new middle interscalene perivascular approach to the brachial plexus. To verify its effectiveness, we studied 719 patients scheduled for shoulder arthroscopy. Furthermore, to veri...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.rapm.2006.05.015

    authors: Alemanno F,Capozzoli G,Egarter-Vigl E,Gottin L,Alberto B

    更新日期:2006-11-01 00:00:00

  • Functional deficits after intraneural injection during interscalene block.

    abstract:OBJECTIVE:We present an occurrence of a severe but transient neurologic complication after intraneural injection during an ultrasound-guided interscalene block. CASE REPORT:A 36-year-old man underwent ultrasound-guided interscalene nerve blockade before shoulder incision and drainage. On postoperative day 1, he exhibi...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1097/aap.0b013e3181e8a35f

    authors: Cohen JM,Gray AT

    更新日期:2010-07-01 00:00:00

  • Modulating pain in the periphery: gene-based therapies to enhance peripheral opioid analgesia: Bonica lecture, ASRA 2010.

    abstract::This article provides a brief overview of earlier work of our group on the peripheral signaling of pain, summarizes more recent studies on the role of opioids in chronic neuropathic pain, and speculates on the future of gene-based therapies as novel strategies to enhance the peripheral modulation of pain. Neurophysiol...

    journal_title:Regional anesthesia and pain medicine

    pub_type:

    doi:10.1097/AAP.0b013e31823b145f

    authors: Raja SN

    更新日期:2012-03-01 00:00:00

  • Sex-dependent prolongation of sciatic nerve blockade in diabetes patients: a prospective cohort study.

    abstract:INTRODUCTION:Diabetes may affect the duration of nerve block after regional anesthesia. This study aimed to compare the durations of sensory and motor block in diabetes versus non-diabetes patients after lower limb nerve block and delineate any sex-based differences in the duration of sensory and motor blocks of both d...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1136/rapm-2019-100609

    authors: Tang S,Wang J,Tian Y,Li X,Cui Q,Xu M,Song X,Zheng Y,Yang H,Ma C,Zhan L,Zhu C,Zhang Y,Yao M,Huang Y

    更新日期:2019-07-12 00:00:00

  • Clinical trial methodology of pain treatment studies: selection and measurement of self-report primary outcomes for efficacy.

    abstract::The past century has seen immense progress in the advancement of methodology to evaluate efficacy of treatment interventions for acute and chronic pain. Continuing challenges revolve around how to best select and measure primary efficacy outcomes for a given analgesic trial. Recognizing the complex, multidimensional, ...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章,评审

    doi:10.1097/AAP.0b013e318217a635

    authors: Gilron I,Jensen MP

    更新日期:2011-07-01 00:00:00

  • Local anesthetics have different mechanisms and sites of action at recombinant 5-HT3 receptors.

    abstract:BACKGROUND AND OBJECTIVES:In addition to their blockade of voltage-dependent sodium channels, the action of local anesthetics at 5-hydroxytryptamine-3 (5-HT3) receptors may be clinically relevant. Because local anesthetics have different clinical properties, we have tested the hypothesis that differences in interaction...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1016/j.rapm.2007.06.391

    authors: Ueta K,Suzuki T,Sugimoto M,Uchida I,Mashimo T

    更新日期:2007-11-01 00:00:00

  • Epidemiology and outcome of postural headache management in spontaneous intracranial hypotension.

    abstract:BACKGROUND AND OBJECTIVES:Spontaneous intracranial hypotension is a postural headache syndrome unrelated to dural puncture. Due to the apparent failure of epidural blood patch to relieve headache in spontaneous intracranial hypotension, we investigated the epidemiologic features and treatment outcomes of this condition...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1053/rapm.2001.28275

    authors: Diaz JH

    更新日期:2001-11-01 00:00:00

  • Anesthesia of the anterior femoral cutaneous nerves for total knee arthroplasty incision: randomized volunteer trial.

    abstract:BACKGROUND AND OBJECTIVES:For pain relief after total knee arthroplasty (TKA), an injection at the midthigh level may produce analgesia inferior to that of a femoral nerve block as the anterior femoral cutaneous nerves (intermediate femoral cutaneous nerve (IFCN) and medial femoral cutaneous nerve (MFCN)) are not anest...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1136/rapm-2019-100904

    authors: Bjørn S,Nielsen TD,Moriggl B,Hoermann R,Bendtsen TF

    更新日期:2019-12-10 00:00:00

  • Postoperative pain guidelines.

    abstract:BACKGROUND AND OBJECTIVES:Postoperative pain is the expected but nonetheless undesirable byproduct of all surgical procedures. Humanitarian concerns and recent quasi-governmental regulations have heightened awareness about the importance of treating postoperative pain. This guideline builds upon the foundation created ...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 指南,杂志文章

    doi:10.1016/s1098-7339(03)00035-x

    authors: Rosenquist RW,Rosenberg J,United States Veterans Administration.

    更新日期:2003-07-01 00:00:00

  • The peripheral analgesic effect of meperidine in reducing propofol injection pain is not naloxone-reversible.

    abstract:BACKGROUND AND OBJECTIVES:Meperidine is frequently used in general anesthesia and perioperative analgesia. In addition to its opioid action, meperidine possesses some local anesthetic properties. A preliminary study using the tourniquet venous retention technique found meperidine to be more effective in reducing propof...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00115550-199823020-00014

    authors: Pang WW,Mok MS,Huang S,Chung YT,Hwang MH

    更新日期:1998-03-01 00:00:00

  • Chloroprocaine versus prilocaine for spinal anesthesia in ambulatory knee arthroscopy: a double-blind randomized trial.

    abstract:BACKGROUND:In ambulatory lower limb surgery, spinal anesthesia with rapid onset and a short duration of block is preferable. We hypothesized that the use of 2-chloroprocaine would be associated with a faster motor block recovery compared with prilocaine in knee arthroscopy. A difference of 15 min was considered clinica...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1136/rapm-2019-100673

    authors: Wesselink E,Hurk GJD,Vegt RV,Slagt C,Aa JV,Franssen E,Ven PV,Swart N,Boer C,Leeuw M

    更新日期:2019-08-21 00:00:00

  • Electron-microscopic imaging of endothoracic fascia in the thoracic paravertebral space in rats.

    abstract:BACKGROUND AND OBJECTIVES:Anesthesia and analgesia with paravertebral block are reportedly variable. Existence of an endothoracic fascia has been proposed as one of the possible mechanisms leading to variability. We undertook an electron-microscopy imaging study to investigate the endothoracic fascia in the thoracic pa...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1097/AAP.0b013e31824451cb

    authors: Stopar Pintaric T,Veranic P,Hadzic A,Karmakar M,Cvetko E

    更新日期:2012-03-01 00:00:00

  • Cyclooxygenase-2 inhibition potentiates morphine antinociception at the spinal level in a postoperative pain model.

    abstract:BACKGROUND AND OBJECTIVES:After peripheral inflammatory stimuli, spinal cord cyclooyxgenase-2 (COX-2) mRNA and protein levels increase, whereas COX-1 is unchanged. In animal models of inflammatory pain, intrathecal COX-2 selective inhibitors suppress hyperalgesia. However, the role of spinal COX-2 inhibition in postope...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1053/rapm.2002.35521

    authors: Kroin JS,Buvanendran A,McCarthy RJ,Hemmati H,Tuman KJ

    更新日期:2002-09-01 00:00:00

  • Epinephrine Deteriorates Pulmonary Gas Exchange in a Rat Model of Bupivacaine-Induced Cardiotoxicity: A Threshold Dose of Epinephrine.

    abstract:BACKGROUND AND OBJECTIVE:The study goal was to compare the effect of epinephrine in different doses on pulmonary gas exchange in a rat model of bupivacaine-induced cardiac depression. METHODS:Twenty-four adult male Sprague-Dawley rats were divided into 4 groups (n = 6), and each group received a bupivacaine infusion (...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1097/AAP.0000000000000541

    authors: Wang QG,Wu C,Xia Y,Dong JJ,Lin TT,Liu QY,Papadimos TJ,Xu XZ

    更新日期:2017-05-01 00:00:00

  • Pain on intramuscular injection of bupivacaine, ropivacaine, with and without dexamethasone.

    abstract:BACKGROUND AND OBJECTIVES:We wished to determine which long-acting local anesthetic would produce the least pain on injection for treatment of myofascial pain disorders. We compared the pain on intramuscular injection of bupivacaine, ropivacaine, bupivacaine with dexamethasone, ropivacaine with dexamethasone, and needl...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1053/rapm.2000.8933

    authors: Krishnan SK,Benzon HT,Siddiqui T,Canlas B

    更新日期:2000-11-01 00:00:00

  • Determination of epidural catheter placement using nerve stimulation in obstetric patients.

    abstract:BACKGROUND AND OBJECTIVES:Peripheral nerve and spinal cord stimulation techniques have been used for many years. However, electrical stimulation methods rarely have been used to confirm epidural catheter placement. This study examines the practicality of this technique to confirm epidural catheter placement in obstetri...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 临床试验,杂志文章

    doi:10.1016/s1098-7339(99)90160-8

    authors: Tsui BC,Gupta S,Finucane B

    更新日期:1999-01-01 00:00:00

  • HTX-011 reduced pain intensity and opioid consumption versus bupivacaine HCl in bunionectomy: phase III results from the randomized EPOCH 1 study.

    abstract:BACKGROUND AND OBJECTIVES:There is a need for local anesthetics that provide consistent analgesia through 72 hours after surgery. This study evaluates the use of HTX-011 (bupivacaine and meloxicam in Biochronomerpolymer technology), an extended-release, dual-acting local anesthetic, in reducing both postoperative pain ...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1136/rapm-2019-100531

    authors: Viscusi E,Gimbel JS,Pollack RA,Hu J,Lee GC

    更新日期:2019-05-21 00:00:00

  • Subparaneural versus circumferential extraneural injection at the bifurcation level in ultrasound-guided popliteal sciatic nerve blocks: a prospective, randomized, double-blind study.

    abstract:BACKGROUND:The ideal spread of local anesthetic for effective, rapid, and safe sciatic nerve block is debated. We hypothesized that subparaneural ultrasound-guided injection results in faster onset and has a better success rate than extraneural circumferential spread. METHODS:Patients undergoing elective tibial, foot,...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/AAP.0000000000000095

    authors: Choquet O,Noble GB,Abbal B,Morau D,Bringuier S,Capdevila X

    更新日期:2014-07-01 00:00:00

  • Chronic pain and psychedelics: a review and proposed mechanism of action.

    abstract::The development of chronic pain is a complex mechanism that is still not fully understood. Multiple somatic and visceral afferent pain signals, when experienced over time, cause a strengthening of certain neural circuitry through peripheral and central sensitization, resulting in the physical and emotional perceptual ...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章,评审

    doi:10.1136/rapm-2020-101273

    authors: Castellanos JP,Woolley C,Bruno KA,Zeidan F,Halberstadt A,Furnish T

    更新日期:2020-07-01 00:00:00

  • Intrathecal baclofen: a useful agent in the treatment of well-established complex regional pain syndrome.

    abstract:BACKGROUND AND OBJECTIVES:We present 2 case reports that illustrate that chronic intrathecal (IT) baclofen administration may be efficacious in treating patients with long-standing complex regional pain syndrome, type I (CRPS I) who have failed treatment with multiple drugs and procedures. CASE REPORTS:Both cases pres...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1053/rapm.2002.29244

    authors: Zuniga RE,Perera S,Abram SE

    更新日期:2002-01-01 00:00:00