A prospective evaluation of the failure rate of spinal anaesthesia for transurethral prostatic resection.

Abstract:

:The rate of failed spinal anaesthesia, defined as the need for unplanned general anaesthesia, was evaluated in a prospective study involving 137 patients undergoing transurethral resection of the prostate (TURP). The incidence of sensations at the operative site which did not require general anaesthesia was also evaluated. Attention to details was emphasized in the technique. Patients randomly received either hyperbaric Niphanoid tetracaine (n = 74; 6 or 10 mg) or hyperbaric bupivacaine (n = 61; 6 mg), with or without adrenaline. General anaesthesia was necessary in one patient (0.72%). Twelve additional patients reported sensations at the operative site which were rapidly relieved by light intravenous supplementation with low doses of fentanyl and/or thiopentone. The patients reporting sensations did not differ in demographic characteristics, spinal technique, local anaesthetic, or degree of sensory or motor blockade. Addition of adrenaline to the 6-mg doses of both tetracaine and bupivacaine decreased the incidence of sensations at the operative site.

journal_name

Eur J Anaesthesiol

authors

Guinard JP,Carpenter RL,Smith HS

subject

Has Abstract

pub_date

1992-01-01 00:00:00

pages

7-13

issue

1

eissn

0265-0215

issn

1365-2346

journal_volume

9

pub_type

临床试验,杂志文章,随机对照试验
  • Regional cerebral saturation versus transcranial Doppler during carotid endarterectomy under regional anaesthesia.

    abstract:BACKGROUND AND OBJECTIVE:The aim of this study was to compare a cerebral oximeter with transcranial Doppler (TCD) as a neurological monitor in patients undergoing carotid endarterectomy under regional anaesthesia. METHODS:Forty patients were enrolled for this prospective study. We recorded every adverse neurological e...

    journal_title:European journal of anaesthesiology

    pub_type: 杂志文章

    doi:10.1097/EJA.0b013e32832b89c2

    authors: Pugliese F,Ruberto F,Tosi A,Martelli S,Bruno K,Summonti D,D'Alio A,Diana B,Anile M,Panico A,Speziale F,Pietropaoli P

    更新日期:2009-08-01 00:00:00

  • A comparison of two sedation techniques for neuroradiology.

    abstract::Two groups of 25 patients were sedated during neuroradiological investigation. The first group was sedated with fentanyl and midazolam while the other was given fentanyl and a two-stage infusion of propofol in a subanaesthetic dose. Both techniques resulted in satisfactory sedation and recovery, although those who rec...

    journal_title:European journal of anaesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Allan MW,Laurence AS,Gunawardena WJ

    更新日期:1989-09-01 00:00:00

  • The displacement of the tracheal tube during robot-assisted radical prostatectomy.

    abstract:BACKGROUND AND OBJECTIVE:Robot-assisted prostatectomy requires pneumoperitoneum in a steep Trendelenburg position, which may induce endobronchial intubation or accidental extubation. The aim of the study was to evaluate the effect of pneumoperitoneum in 30 degrees Trendelenburg position on the displacement of the trach...

    journal_title:European journal of anaesthesiology

    pub_type: 杂志文章

    doi:10.1097/EJA.0b013e328333d587

    authors: Chang CH,Lee HK,Nam SH

    更新日期:2010-05-01 00:00:00

  • Elimination of sevoflurane is reduced in plasma-tight compared to conventional membrane oxygenators.

    abstract:BACKGROUND AND OBJECTIVE:It has been demonstrated that volatile anaesthetics have cardioprotective properties during open-heart procedures, especially when administered continuously. European Council Directive 93/42/EEC concerning medical devices bans the supplementary incorporation of anaesthetic vaporizers in the byp...

    journal_title:European journal of anaesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1017/S0265021507001330

    authors: Prasser C,Zelenka M,Gruber M,Philipp A,Keyser A,Wiesenack C

    更新日期:2008-02-01 00:00:00

  • Predicted end-tidal sevoflurane concentration for insertion of a Laryngeal Mask Supreme: a prospective observational study.

    abstract:CONTEXT:The single-use Laryngeal Mask Airway (LMA) Supreme is a new supraglottic airway device. It has been reported to be reliable and easy-to-use in clinical practice; however, the anaesthetic techniques for its insertion are not standardised. OBJECTIVES:The purpose of this study was to determine the ED50 of end-tid...

    journal_title:European journal of anaesthesiology

    pub_type: 杂志文章

    doi:10.1097/EJA.0b013e32835c5512

    authors: Zaballos M,Bastida E,Jiménez C,Agustí S,López-Gil MT

    更新日期:2013-04-01 00:00:00

  • Post-operative sore throat: effect of lignocaine jelly and spray with endotracheal intubation.

    abstract::The effects of laryngeal lignocaine spray and/or lignocaine jelly as lubricants were studied on the incidence of sore throat, hoarseness, or tracheal irritability as evidenced by either a tendency to cough or frank coughing after intubation with a Sensiv tube (Searle Medical Products). Pressure in the medium-volume, l...

    journal_title:European journal of anaesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Klemola UM,Saarnivaara L,Yrjölä H

    更新日期:1988-11-01 00:00:00

  • Changes in resistances of endotracheal tubes with reductions in the cross-sectional area.

    abstract:BACKGROUND AND OBJECTIVES:Partial obstruction of endotracheal tubes due to accumulation of secretions and mucus plugs can increase the tube resistance and subsequently impose increased resistive load on the patient. This study was performed to determine the changes in the resistance of endotracheal tubes of sizes 7.5, ...

    journal_title:European journal of anaesthesiology

    pub_type: 杂志文章

    doi:10.1017/S0265021507003134

    authors: El-Khatib MF,Husari A,Jamaleddine GW,Ayoub CM,Bou-Khalil P

    更新日期:2008-04-01 00:00:00

  • Cardiovascular responses and airway complications following awake nasal intubation with blind intubation device and fibreoptic bronchoscope: a randomized controlled study.

    abstract:BACKGROUND AND OBJECTIVE:The blind intubation device (BID) was introduced for awake nasotracheal intubation recently. The aim of this study was to compare the cardiovascular responses and associated airway complications of fibreoptic bronchoscope (FOB) with those of BID. The intubation attempts and intubation time were...

    journal_title:European journal of anaesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/EJA.0b013e328332845a

    authors: Sun Y,Liu JX,Jiang H,Zhu YS,Xu H,Huang Y

    更新日期:2010-05-01 00:00:00

  • A rational approach to the control of sedation in intensive care unit patients based on closed-loop control.

    abstract::Optimal control of long-term sedation during therapy in the intensive care unit is difficult to achieve in a number of patients when based on commonly used clinical sedation scores alone. We therefore used the median frequency of the EEG power spectrum as a quantitative measure for closed-loop administration of propof...

    journal_title:European journal of anaesthesiology

    pub_type: 杂志文章

    doi:10.1046/j.1365-2346.1999.00557.x

    authors: Albrecht S,Frenkel C,Ihmsen H,Schüttler J

    更新日期:1999-10-01 00:00:00

  • Survival after long-term isoflurane sedation as opposed to intravenous sedation in critically ill surgical patients: Retrospective analysis.

    abstract:BACKGROUND:Isoflurane has shown better control of intensive care sedation than propofol or midazolam and seems to be a useful alternative. However, its effect on survival remains unclear. OBJECTIVE:The objective of this study is to compare mortality after sedation with either isoflurane or propofol/midazolam. DESIGN:...

    journal_title:European journal of anaesthesiology

    pub_type: 杂志文章

    doi:10.1097/EJA.0000000000000252

    authors: Bellgardt M,Bomberg H,Herzog-Niescery J,Dasch B,Vogelsang H,Weber TP,Steinfort C,Uhl W,Wagenpfeil S,Volk T,Meiser A

    更新日期:2016-01-01 00:00:00

  • Swan Ganz catheter--all in a knot.

    abstract::In this case report an unusual complication is described following insertion of a Swan Ganz catheter. A 79-year-old male patient experienced knotting of the catheter. Methods of avoiding this problem and removal of a knotted catheter are discussed. ...

    journal_title:European journal of anaesthesiology

    pub_type: 杂志文章

    doi:10.1046/j.1365-2346.1997.00201.x

    authors: Colbert S,O'Hanlon DM,Quill DS,Keane P

    更新日期:1997-09-01 00:00:00

  • Safety and efficacy of sugammadex for the reversal of rocuronium-induced neuromuscular blockade in cardiac patients undergoing noncardiac surgery.

    abstract:BACKGROUND AND OBJECTIVE:The present randomized, safety-assessor blinded, placebo-controlled trial was designed to assess safety and efficacy of sugammadex, a novel selective relaxant-binding agent, in patients with underlying cardiovascular disease undergoing noncardiac surgery. METHODS:Overall, 116 patients (New Yor...

    journal_title:European journal of anaesthesiology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/EJA.0b013e32832c605b

    authors: Dahl V,Pendeville PE,Hollmann MW,Heier T,Abels EA,Blobner M

    更新日期:2009-10-01 00:00:00

  • Pressure-regulated volume control vs. volume control ventilation in healthy and injured rabbit lung: An experimental study.

    abstract:BACKGROUND:It is not well understood how different ventilation modes affect the regional distribution of ventilation, particularly within the injured lung. OBJECTIVES:We compared respiratory mechanics, lung aeration and regional specific ventilation ((Equation is included in full-text article.)) distributions in healt...

    journal_title:European journal of anaesthesiology

    pub_type: 杂志文章

    doi:10.1097/EJA.0000000000000485

    authors: Porra L,Bayat S,Malaspinas I,Albu G,Doras C,Broche L,Strengell S,Peták F,Habre W

    更新日期:2016-10-01 00:00:00

  • Comparison of clonidine 1 microgram kg-1 with morphine 30 micrograms kg-1 for post-operative caudal analgesia in children.

    abstract::In a prospective randomized study in children, we compared caudal bupivacaine-clonidine with bupivacaine-morphine to evaluate whether clonidine can be used as an alternative to morphine in caudal anaesthesia. Caudal anaesthesia was administered in 36 children undergoing orchidopexy, hernia repair or circumcision, usin...

    journal_title:European journal of anaesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1046/j.1365-2346.1999.00430.x

    authors: Luz G,Innerhofer P,Oswald E,Salner E,Hager J,Sparr H

    更新日期:1999-01-01 00:00:00

  • Flurbiprofen does not change the bispectral index and 95% spectral edge frequency during total intravenous anaesthesia with propofol and fentanyl.

    abstract:BACKGROUND AND OBJECTIVE:Previous studies have shown that general anaesthetic agents modulate the production of hypothalamic prostaglandins (PG) D2 and E2, which are mediators of sleep and wakefulness respectively. Although flurbiprofen, a cyclo-oxygenase inhibitor, is used clinically as a non-steroidal anti-inflammato...

    journal_title:European journal of anaesthesiology

    pub_type: 杂志文章

    doi:10.1017/s0265021502000790

    authors: Hirota K,Fukushi S,Baba S,Matsuki A

    更新日期:2002-07-01 00:00:00

  • Thrombogenicity of central venous catheters: prospective study of polyethylene, silicone and polyurethane catheters with phlebography or post-mortem examination.

    abstract::The thrombogenicity of polyethylene, silicone and polyurethane central venous catheters was compared in a prospective clinical, phlebographic and post-mortem study in 52 patients. The incidence of central venous thrombosis was high with polyethylene catheters (70%), but much lower with silicone (20%) and with polyuret...

    journal_title:European journal of anaesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Pottecher T,Forrler M,Picardat P,Krause D,Bellocq JP,Otteni JC

    更新日期:1984-12-01 00:00:00

  • Isoflurane reduces synaptic glutamate release without changing cytosolic free calcium in isolated nerve terminals.

    abstract::The molecular mechanism of volatile anaesthetic action on presynaptic glutamate release is not clear. An inhibitory effect on voltage-gated calcium channels has been proposed. The present study examines the effect of isoflurane on cytosolic free calcium and synaptic glutamate release from isolated nerve terminals. Syn...

    journal_title:European journal of anaesthesiology

    pub_type: 杂志文章

    doi:

    authors: Larsen M,Valø ET,Berg-Johnsen J,Langmoen IA

    更新日期:1998-03-01 00:00:00

  • Ketamine does not affect suxamethonium-induced neuromuscular blockade in man.

    abstract::The effect of ketamine on the onset time, the duration of action and the recovery characteristics of suxamethonium-induced neuromuscular blockade was examined in a double-blind randomized study comprising 30 patients anaesthetized with thiopentone, fentanyl, midazolam and nitrous oxide. The ulnar nerve was stimulated ...

    journal_title:European journal of anaesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Helbo-Hansen HS,Toft P,Nielsen HK

    更新日期:1989-11-01 00:00:00

  • Lorazepam fast-dissolving drug formulation (FDDF) and intravenous administrations as anaesthetic premedicants: a pharmacokinetic analysis.

    abstract::The pharmacokinetics of lorazepam premedication were studied in 16 patients using two different formulations (intravenous and FDDF oral administrations). Arterial blood samples were taken at intervals for up to 600 min after administration of 4 mg of each formulation, and plasma lorazepam concentrations were determine...

    journal_title:European journal of anaesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Camu F,Maes V,Van de Velde A,Sevens C

    更新日期:1988-07-01 00:00:00

  • Intrathecal hydromorphone added to hyperbaric bupivacaine for postoperative pain relief after knee arthroscopic surgery: a prospective, randomised, controlled trial.

    abstract:BACKGROUND AND OBJECTIVE:Adding opioid to spinal anaesthetic provides additional analgesia during the postoperative period. The purpose of this study was to determine the dose of intrathecal hydromorphone necessary to achieve postoperative pain relief after arthroscopic knee surgery. METHODS:In a prospective, double-b...

    journal_title:European journal of anaesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/EJA.0b013e3283476055

    authors: Lee YS,Park YC,Kim JH,Kim WY,Yoon SZ,Moon MG,Min TJ

    更新日期:2012-01-01 00:00:00

  • Tramadol-induced hyperalgesia and its prevention by ketamine in rats: A randomised experimental study.

    abstract:BACKGROUND:Opioid analgesia not only reduces inhalational anaesthetic requirements but may also induce delayed hyperalgesia, with potential effects on the minimum alveolar concentration (MAC) of inhalational anaesthetics. OBJECTIVES:The objective of this study was to evaluate the development of tramadol-induced hypera...

    journal_title:European journal of anaesthesiology

    pub_type: 杂志文章

    doi:10.1097/EJA.0000000000000296

    authors: Abreu M,Aguado D,Benito J,García-Fernández J,Gómez de Segura IA

    更新日期:2015-10-01 00:00:00

  • Cerebral state index vs. bispectral index during sevoflurane-nitrous oxide anaesthesia.

    abstract:BACKGROUND AND OBJECTIVE:The cerebral state index (CSI) is a low-cost and compact electroencephalographic monitor alternative to the bispectral index (BIS). Although both indices are shown as the number between 0 and 100, owing to the different calculation algorithms, both indices might be different during anaesthesia....

    journal_title:European journal of anaesthesiology

    pub_type: 杂志文章

    doi:10.1097/EJA.0b013e328324e946

    authors: Nishiyama T

    更新日期:2009-08-01 00:00:00

  • Mode of blood pressure monitoring and morbidity after noncardiac surgery: A prospective multicentre observational cohort study.

    abstract:BACKGROUND:Control of blood pressure remains a key goal of peri-operative care, because hypotension is associated with adverse outcomes after surgery. OBJECTIVES:We explored whether increased vigilance afforded by intra-arterial blood pressure monitoring may be associated with less morbidity after surgery. DESIGN:A p...

    journal_title:European journal of anaesthesiology

    pub_type: 杂志文章

    doi:10.1097/EJA.0000000000001443

    authors: Abbott TEF,Howell S,Pearse RM,Ackland GL,VISION-UK Investigators.

    更新日期:2021-01-12 00:00:00

  • Effects of continuous epidural administration of bupivacaine through a catheter in pigs.

    abstract::We studied whether long-term epidural catheter (nylon) placement for bupivacaine administration (morphine in 2 pigs) would cause any pathological changes in the epidural space and spinal cord of pigs. There were similar kinds of slight inflammatory changes in ligamentum flavum and dura mater in bupivacaine-treated (4 ...

    journal_title:European journal of anaesthesiology

    pub_type: 杂志文章

    doi:

    authors: Kyttä J,Rosenberg PH,Wahlström TR

    更新日期:1986-11-01 00:00:00

  • Arterial pressure waveform analysis versus thermodilution cardiac output measurement during open abdominal aortic aneurysm repair: a prospective observational study.

    abstract:BACKGROUND:Arterial pressure waveform analysis enables continuous, minimally invasive measurement of cardiac output. Haemodynamic instability compromises the reliability of the technique and a means of maintaining accurate measurement in this circumstance would be useful. OBJECTIVES:To investigate the accuracy, precis...

    journal_title:European journal of anaesthesiology

    pub_type: 杂志文章

    doi:10.1097/EJA.0000000000000160

    authors: Montenij LJ,Buhre WF,de Jong SA,Harms JH,van Herwaarden JA,Kruitwagen CL,de Waal EE

    更新日期:2015-01-01 00:00:00

  • Effects of nicardipine and diltiazem on the bispectral index and 95% spectral edge frequency.

    abstract:BACKGROUND AND OBJECTIVE:Previous studies have shown that L-type voltage-sensitive Ca2+ channel blocking agents increased and the L-type Ca2+ channel activator Bay K 8644 reduced the general anaesthetic potency in animals. As the bispectral index correlates with the depth of sedation, we examined whether L-type Ca2+ ch...

    journal_title:European journal of anaesthesiology

    pub_type: 临床试验,杂志文章

    doi:10.1017/s0265021503001303

    authors: Hirota K,Kabara S,Kushikata T,Kitayama M,Ishihara H,Matsuki A

    更新日期:2003-10-01 00:00:00

  • Effects of sequential changes from conventional ventilation to high-frequency oscillatory ventilation at increasing mean airway pressures in an ovine model of combined lung and head injury.

    abstract:BACKGROUND:The objective of this study was to determine the intracranial, cardiovascular and respiratory changes induced by conversion to high-frequency oscillator ventilation from conventional mechanical ventilation at increasing airway pressures. METHODS:In this study, 11 anaesthetized sheep had invasive cardiovascu...

    journal_title:European journal of anaesthesiology

    pub_type: 杂志文章

    doi:10.1017/S0265021506002006

    authors: O'Rourke J,Sheeran P,Heaney M,Talbot R,Geraghty M,Costello J,McDonnell C,Newell J,Mannion D

    更新日期:2007-05-01 00:00:00

  • Morphine administration at reperfusion fails to improve postischaemic cardiac function but limits myocardial injury probably via heat-shock protein 27 phosphorylation.

    abstract:BACKGROUND AND OBJECTIVES:We explored the effects of morphine administration during reperfusion period after an index ischaemia as well as potential molecular mechanisms underlying this response. This is of important clinical value, as morphine is used routinely in cardiovascular anaesthesia and in the emergency manage...

    journal_title:European journal of anaesthesiology

    pub_type: 杂志文章

    doi:10.1097/EJA.0b013e32832a225a

    authors: Mourouzis I,Saranteas T,Perimenis P,Tesseromatis C,Kostopanagiotou G,Pantos C,Cokkinos DV

    更新日期:2009-07-01 00:00:00

  • Use of EEG spectral edge as index of equipotency in a comparison of propofol and isoflurane for maintenance of general anaesthesia.

    abstract::Propofol and isoflurane were compared for haemodynamic stability and recovery time as main anaesthetic agents for maintenance in a total of 43 ASA I and II patients in uncomplicated operations lasting at least 30 min. The premedication (oral diazepam), induction (thiopentone-fentanyl-suxamethonium) and maintenance pro...

    journal_title:European journal of anaesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Gurman GM,Fajer S,Porat A,Schily M,Pearlman A

    更新日期:1994-11-01 00:00:00

  • Factors independently associated with increased risk of pain development after ophthalmic surgery.

    abstract:BACKGROUND AND OBJECTIVE:Little has been documented about the development of pain after ophthalmic surgery. This study was designed to assess the incidence and severity of postoperative pain following ophthalmic surgery, and to identify key factors independently associated with development of such pain. METHODS:In a p...

    journal_title:European journal of anaesthesiology

    pub_type: 杂志文章

    doi:10.1017/s0265021504002042

    authors: Henzler D,Kramer R,Steinhorst UH,Piepenbrock S,Rossaint R,Kuhlen R

    更新日期:2004-02-01 00:00:00