The breaking of an intrathecally-placed epidural catheter during extraction.


IMPLICATIONS:Misplacement of an epidural catheter into the subarachnoid space is a recognized complication. However, breakage of an intrathecal epidural catheter during removal presents a dilemma. Appropriate imaging, a neurosurgical consultation, and aggressive surgical exploration and extraction of the retained piece are warranted, even in the asymptomatic patient.


Anesth Analg


Anesthesia and analgesia


Ugboma S,Au-Truong X,Kranzler LI,Rifai SH,Joseph NJ,Salem MR




Has Abstract


2002-10-01 00:00:00


1087-9, table of contents










  • Alterations in spinal, but not cerebral, cerebrospinal fluid Na+ concentrations affect the isoflurane minimum alveolar concentration in rats.

    abstract:BACKGROUND:Previous studies demonstrated that MAC (the minimum alveolar concentration of an inhaled anesthetic that produces immobility in 50% of subjects exposed to noxious stimulation) for halothane directly correlates with the central nervous system concentration of Na+. However, those studies globally altered Na+ c...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


    authors: Laster MJ,Zhang Y,Eger EI 2nd,Shnayderman D,Sonner JM

    更新日期:2007-09-01 00:00:00

  • A thromboelastometric evaluation of the effects of hypothermia on the coagulation system.

    abstract:BACKGROUND:Hypothermia may be accidental or therapeutic. Therapeutic hypothermia is increasingly used as treatment for various conditions, e.g., neuroprotection after cardiac arrest. Hypothermia leads to an impairment of the coagulation system, but the degree of impairment has been difficult to determine. Most studies ...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


    authors: Rundgren M,Engström M

    更新日期:2008-11-01 00:00:00

  • Response of left ventricular ejection fraction to recovery from general anesthesia: measurement by gated radionuclide angiography.

    abstract::To test the hypothesis that, after anesthesia for noncardiac surgical procedures, the increased cardiac work during recovery induces wall motion and ejection fraction (EF) abnormalities in patients with mild angina pectoris, gated radionuclide angiography was performed in patients undergoing simple cholecystectomy und...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


    authors: Coriat P,Mundler O,Bousseau D,Fauchet M,Rous AC,Echter E,Viars P

    更新日期:1986-06-01 00:00:00

  • Effect of enflurane on contractile reactivity in isolated canine mesenteric arteries and veins.

    abstract::The effects of enflurane on responses of isolated canine mesenteric arteries and veins to transmural nerve stimulation and to exogenously administered norepinephrine (a mixed alpha 1- and alpha 2-adrenoceptor agonist), phenylephrine (a selective alpha 1-adrenoceptor agonist), and tyramine were studied. The contractile...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


    authors: Kobayashi Y,Yoshida K,Noguchi M,Wakasugi Y,Ito H,Okabe E

    更新日期:1990-05-01 00:00:00

  • Effects of end-tidal gas monitoring and flow rates on hemodynamic stability and recovery profiles.

    abstract::This study was designed to evaluate the impact of routine end-tidal anesthetic gas monitoring on the intraoperative hemodynamic stability and early recovery profile in 253 consenting ASA physical status I-III patients undergoing elective otolaryngologic procedures with isoflurane or enflurane anesthesia. Patients were...

    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Wang J,Liu J,White PF,Klein KW,Browne RH

    更新日期:1994-09-01 00:00:00

  • Propofol attenuates lung endothelial injury induced by ischemia-reperfusion and oxidative stress.

    abstract::Lung dysfunction after cardiopulmonary bypass and lung transplantation results from oxidant-mediated cellular damage. Previously, we observed the shedding of angiotensin-converting enzyme (ACE) from the endothelial cell surface to be a more sensitive and earlier marker of oxidative lung endothelial injury than lung we...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


    authors: Balyasnikova IV,Visintine DJ,Gunnerson HB,Paisansathan C,Baughman VL,Minshall RD,Danilov SM

    更新日期:2005-04-01 00:00:00

  • R(+)-, Rac-, and S(-)-bupivacaine stereostructure-specifically interact with membrane lipids at cardiotoxically relevant concentrations.

    abstract::It remains questionable whether local anesthetics can interact with membrane lipids at clinically relevant concentrations to show the difference between enantiomers. We compared the effects of bupivacaine stereoisomers on biomimetic membranes containing cardiolipin and cholesterol. Bupivacaine interacted with the memb...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


    authors: Tsuchiya H,Mizogami M

    更新日期:2012-02-01 00:00:00

  • Small-dose hypobaric lidocaine-fentanyl spinal anesthesia for short duration outpatient laparoscopy. I. A randomized comparison with conventional dose hyperbaric lidocaine.

    abstract::A randomized, single-blind trial of two spinal anesthetic solutions for outpatient laparoscopy was conducted to compare intraoperative conditions and postoperative recovery. Thirty women (ASA physical status I and II) were assigned to one of two groups. Group I patients received a small-dose hypobaric solution of 1% l...

    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Vaghadia H,McLeod DH,Mitchell GW,Merrick PM,Chilvers CR

    更新日期:1997-01-01 00:00:00

  • Reflex responses to sodium nitroprusside and their control by cryptenamine.

    abstract::In chloralose-anesthetized dogs the hypotensive and reflex cardiovascular responses to infusions of sodium nitroprusside were studied before and during halothane and enflurane, and before after divided doses of cryptenamine. The latter drug, a mixture of hypotensive veratrum alkaloids, lowers blood pressure reflexly b...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


    authors: Flacke JW,Flacke WE,Cant JW

    更新日期:1980-12-01 00:00:00

  • Changes in cerebral blood flow velocity after release of intraoperative tourniquets in humans: a transcranial Doppler study.

    abstract::The effect of release of intraoperative thigh tourniquets on velocity of blood flow in the middle cerebral artery was examined in five patients given general anesthesia with controlled ventilation for lower extremity orthopedic procedures using transcranial Doppler sonography. Middle cerebral artery blood flow velocit...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


    authors: Hirst RP,Slee TA,Lam AM

    更新日期:1990-11-01 00:00:00

  • Thiopental and epinephrine-induced dysrhythmias in dogs anesthetized with enflurane or isoflurane.

    abstract::Epinephrine-induced dysrhythmias were studied in 19 dogs anesthetized with 1.25 MAC enflurane or isoflurane, or the same preceded by thiopental (20 mg/kg). In 11 (group 1) dogs, thiopental reduced the dose of epinephrine required for production of ventricular ectopy, bigeminy and tachycardia with enflurane, and only v...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


    authors: Atlee JL 3rd,Roberts FL

    更新日期:1986-05-01 00:00:00

  • Local anesthetics induce apoptosis in human breast tumor cells.

    abstract:BACKGROUND:Previous studies have shown that local anesthetics may induce apoptosis in some cell types. In this study, we investigated the apoptotic effects of local anesthetics in human breast tumor cells. METHODS:Human breast cancer (MCF-7) and mammary epithelial (MCF-10A) cell lines were treated with lidocaine and/o...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


    authors: Chang YC,Liu CL,Chen MJ,Hsu YW,Chen SN,Lin CH,Chen CM,Yang FM,Hu MC

    更新日期:2014-01-01 00:00:00

  • Radiologic assessment of potential sites for needle decompression of a tension pneumothorax.

    abstract:BACKGROUND:The recommended treatment of suspected tension pneumothorax is immediate needle decompression. Recommended sites and needle sizes for this procedure vary, and there are published reports of failed decompression as well as iatrogenic hemothorax. We investigated the optimal needle length and relative safety of...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


    authors: Wax DB,Leibowitz AB

    更新日期:2007-11-01 00:00:00

  • The young: neuroapoptosis induced by anesthetics and what to do about it.

    abstract::Millions of human fetuses, infants, and children are exposed to anesthetic drugs every year in the United States and throughout the world. Anesthesia administered during critical stages of neurodevelopment has been considered safe and without adverse long-term consequences. However, recent reports provide mounting evi...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


    authors: Creeley CE,Olney JW

    更新日期:2010-02-01 00:00:00

  • A randomized controlled trial of the efficacy and respiratory effects of patient-controlled intravenous remifentanil analgesia and patient-controlled epidural analgesia in laboring women.

    abstract:BACKGROUND:Safe and effective alternatives are required in labor when epidural analgesia is not appropriate. We hypothesized that patient-controlled IV remifentanil labor analgesia would not be inferior to patient-controlled epidural labor analgesia. METHODS:This randomized nonblinded controlled noninferiority study i...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章,随机对照试验


    authors: Stocki D,Matot I,Einav S,Eventov-Friedman S,Ginosar Y,Weiniger CF

    更新日期:2014-03-01 00:00:00

  • The importance of intraoperative transesophageal echocardiography in endovascular repair of thoracic aortic aneurysms.

    abstract:UNLABELLED:Endovascular repair of the aorta (EVAR) is a promising alternative to open repair. Transesophageal echocardiography (TEE) is a sensitive imaging modality for aortic disease. We reviewed our experience with TEE in thoracic EVAR. Seven patients underwent thoracic EVAR under general anesthesia. Intraoperative a...

    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章


    authors: Swaminathan M,Lineberger CK,McCann RL,Mathew JP

    更新日期:2003-12-01 00:00:00

  • Mivacurium and bronchospasm.

    abstract:IMPLICATIONS:Because of case reports of severe bronchospasm after the use of mivacurium, we used the Food and Drug Administration MedWatch database to determine the frequency of bronchospasm as an adverse event after the use of nondepolarizing muscle relaxants. ...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


    authors: Bishop MJ,O'Donnell JT,Salemi JR

    更新日期:2003-08-01 00:00:00

  • Adenosine triphosphate-sensitive potassium channel blockers attenuate the antiallodynic effect of R-PIA in neuropathic rats.

    abstract:BACKGROUND:Nerve injury can generate neuropathic pain. The accompanying mechanical allodynia may be reduced by the intrathecal administration of adenosine. The neuroprotective effects of adenosine are mediated by the adenosine triphosphate (ATP)-sensitive potassium (K(ATP)) channel. We assessed the relationship between...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


    authors: Song JG,Hahm KD,Kim YK,Leem JG,Lee C,Jeong SM,Park PH,Shin JW

    更新日期:2011-06-01 00:00:00

  • CB1 and CB2 cannabinoid receptor agonists induce peripheral antinociception by activation of the endogenous noradrenergic system.

    abstract:BACKGROUND:Cannabinoid agonists induce norepinephrine release in central, spinal, and peripheral sites. Previous studies suggest an interaction between the cannabinoid and adrenergic systems on antinociception. In this study, we sought to verify whether the CB1 and CB2 cannabinoid receptor agonists anandamide and N-pal...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


    authors: Romero TR,Resende LC,Guzzo LS,Duarte ID

    更新日期:2013-02-01 00:00:00

  • A comparison of micropore membrane inlet mass spectrometry-derived pulmonary shunt measurement with Riley shunt in a porcine model.

    abstract:BACKGROUND:The multiple inert gas elimination technique was developed to measure shunt and the ratio of alveolar ventilation to simultaneous alveolar capillary blood flow in any part of the lung (V(A)'/Q') distributions. Micropore membrane inlet mass spectrometry (MMIMS), instead of gas chromatography, has been introdu...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


    authors: Duenges B,Vogt A,Bodenstein M,Wang H,Böhme S,Röhrig B,Baumgardner JE,Markstaller K

    更新日期:2009-12-01 00:00:00

  • Performance of certified registered nurse anesthetists and anesthesiologists in a simulation-based skills assessment.

    abstract:BACKGROUND:Anesthesiologists and certified registered nurse anesthetists (CRNAs) must acquire the skills to recognize and manage a variety of acute intraoperative emergencies. A simulation-based assessment provides a useful and efficient means to evaluate these skills. In this study, we evaluated and compared the perfo...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章,随机对照试验


    authors: Henrichs BM,Avidan MS,Murray DJ,Boulet JR,Kras J,Krause B,Snider R,Evers AS

    更新日期:2009-01-01 00:00:00

  • A comparison of glidescope videolaryngoscopy to direct laryngoscopy for nasotracheal intubation.

    abstract:BACKGROUND:In this study, we compared the effectiveness of direct laryngoscopy (DL) and the GlideScope videolaryngoscope (GVL) for nasotracheal intubation, as judged by the time to intubation (TTI-the primary outcome) and the ease of intubation. METHODS:Seventy patients requiring nasotracheal intubation for elective s...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章,随机对照试验


    authors: Jones PM,Armstrong KP,Armstrong PM,Cherry RA,Harle CC,Hoogstra J,Turkstra TP

    更新日期:2008-07-01 00:00:00

  • The dynamics and implications of bacterial transmission events arising from the anesthesia work area.

    abstract::Health care-associated infections are a hospital-wide concern associated with a significant increase in patient morbidity, mortality, and health care costs. Bacterial transmission in the anesthesia work area of the operating room environment is a root cause of 30-day postoperative infections affecting as many as 16% o...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


    authors: Loftus RW,Koff MD,Birnbach DJ

    更新日期:2015-04-01 00:00:00

  • Joint hypothesis testing and gatekeeping procedures for studies with multiple endpoints.

    abstract::A claim of superiority of one intervention over another often depends naturally on results from several outcomes of interest. For such studies the common practice of making conclusions about individual outcomes in isolation can be problematic. For example, an intervention might be shown to improve one outcome (e.g., p...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


    authors: Mascha EJ,Turan A

    更新日期:2012-06-01 00:00:00

  • Hemodynamic effects of intravenous isoproterenol versus epinephrine in the chronic maternal-fetal sheep preparation.

    abstract::Isoproterenol 5 micrograms may be an effective marker of accidental intravascular injection in women in labor; however, before isoproterenol can be incorporated in routinely used epidural test doses, the safety and usefulness should be determined in an animal model. This study was designed to examine the hemodynamic e...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


    authors: Marcus MA,Vertommen JD,Van Aken H,Wouters PF

    更新日期:1996-05-01 00:00:00

  • The role of the anesthesiologist in fast-track surgery: from multimodal analgesia to perioperative medical care.

    abstract:BACKGROUND:Improving perioperative efficiency and throughput has become increasingly important in the modern practice of anesthesiology. Fast-track surgery represents a multidisciplinary approach to improving perioperative efficiency by facilitating recovery after both minor (i.e., outpatient) and major (inpatient) sur...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章,评审


    authors: White PF,Kehlet H,Neal JM,Schricker T,Carr DB,Carli F,Fast-Track Surgery Study Group.

    更新日期:2007-06-01 00:00:00

  • A comparison of oral clonidine and oral midazolam as preanesthetic medications in the pediatric tonsillectomy patient.

    abstract:UNLABELLED:We compared the effects of oral clonidine (4 microg/kg) and midazolam (0.5 mg/kg) on the preanesthetic sedation and postoperative recovery profile in children during tonsillectomy with or without adenoidectomy. In a double-blinded, double-dummy study design, 134 ASA physical status I-II children aged 4-12 yr...

    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Fazi L,Jantzen EC,Rose JB,Kurth CD,Watcha MF

    更新日期:2001-01-01 00:00:00

  • Drug infusion system manifold dead-volume impacts the delivery response time to changes in infused medication doses in vitro and also in vivo in anesthetized swine.

    abstract:BACKGROUND:IV infusion systems can be configured with manifolds connecting multiple drug infusion lines to transcutaneous catheters. Prior in vitro studies suggest that there may be significant lag times for drug delivery to reflect changes in infusion rates set at the pump, especially with low drug and carrier flows a...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


    authors: Lovich MA,Wakim MG,Wei A,Parker MJ,Maslov MY,Pezone MJ,Tsukada H,Peterfreund RA

    更新日期:2013-12-01 00:00:00

  • Receptor specificity defines algogenic properties of propofol and fospropofol.

    abstract:BACKGROUND:Propofol-evoked injection site pain is not observed with fospropofol. We hypothesized that unlike propofol, fospropofol does not activate the irritant receptor, transient receptor potential 1 (TRPA1). METHODS:We tested the hypothesis using electrophysiology and behavioral studies. RESULTS:Our data demonstr...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章


    authors: Patwardhan A,Edelmayer R,Annabi E,Price T,Malan P,Dussor G

    更新日期:2012-10-01 00:00:00

  • Intraoperative patient-controlled analgesia: an alternative to physician administration during outpatient monitored anesthesia care.

    abstract::Outpatients undergoing minor diagnostic and therapeutic procedures associated with intermittent discomfort are frequently given bolus injections of intravenous opioid analgesics. In a group of 80 healthy women undergoing vaginal ovum pickup procedures, we evaluated patient-controlled administration of alfentanil using...

    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章


    authors: Zelcer J,White PF,Chester S,Paull JD,Molnar R

    更新日期:1992-07-01 00:00:00