Recordings of, and an anatomical explanation for, false positive loss of resistance during lumbar extradural analgesia.

Abstract:

:Loss of resistance dorsal to the ligamentum flavum was recorded in 10 of 16 patients aged 43--75 yr whilst performing extradural anaesthesia at the L2--3 interspace via the midline approach. Degeneration of the interspinous ligament with cavity formation is observed frequently in the elderly and may account for false positive loss of resistance and failure to obtain analgesia following the injection of local anaesthetic.

journal_name

Br J Anaesth

authors

Sharrock NE

doi

10.1093/bja/51.3.253

subject

Has Abstract

pub_date

1979-03-01 00:00:00

pages

253-8

issue

3

eissn

0007-0912

issn

1471-6771

pii

S0007-0912(17)45005-7

journal_volume

51

pub_type

杂志文章
  • Beta-adrenergic blockade and the metabolic response to surgery.

    abstract::The effect of the administration of propranolol 0.15 mg per kg body weight i.v. on the metabolic response to pelvic surgery was compared with results in similar patients who had not received propranolol. The only significant difference between the two groups was a lower plasma insulin concentration in the beta-blockad...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/52.12.1231

    authors: Cooper GM,Paterson JL,Mashiter K,Hall GM

    更新日期:1980-12-01 00:00:00

  • Antinociceptive effects of tetrodotoxin (TTX) in rodents.

    abstract:BACKGROUND:Tetrodotoxin (TTX) is a powerful sodium channel blocker extracted from the puffer fish. The analgesic effects of TTX were investigated in different animal pain models. METHODS:Wistar rats were submitted to the formalin test and to partial ligation of the sciatic nerve (Seltzer's model). Swiss Webster mice w...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/ael096

    authors: Marcil J,Walczak JS,Guindon J,Ngoc AH,Lu S,Beaulieu P

    更新日期:2006-06-01 00:00:00

  • Rhabdomyolysis in an obese patient after total knee arthroplasty.

    abstract::We report the case of a morbidly obese patient who developed rhabdomyolysis with acute renal failure, hepatic dysfunction, and an increase of cardiac troponin-1 after total knee arthroplasty. Postoperative rhabdomyolysis has a wide range of triggers and differential diagnoses that should be considered by the anaesthes...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/ael274

    authors: Karcher C,Dieterich HJ,Schroeder TH

    更新日期:2006-12-01 00:00:00

  • Dexmedetomidine as an adjuvant to ropivacaine prolongs peripheral nerve block: a volunteer study.

    abstract:BACKGROUND:Dexmedetomidine is an α-2-receptor agonist which might be used as an additive to local anaesthetics for various regional anaesthetic techniques. We therefore designed this prospective, double-blinded, controlled volunteer study to investigate the effects of dexmedetomidine as an adjuvant to ropivacaine on pe...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/bja/aes400

    authors: Marhofer D,Kettner SC,Marhofer P,Pils S,Weber M,Zeitlinger M

    更新日期:2013-03-01 00:00:00

  • Evaluation of postural stability after low-dose droperidol in outpatients undergoing gynaecological dilatation and curettage procedure.

    abstract:BACKGROUND:Low-dose droperidol is suggested to be cost-effective in preventing nausea and vomiting after ambulatory surgery. This clinical study evaluated patient postural stability using a computerized force platform after an i.v. dose of droperidol 0.625 mg in outpatients undergoing gynaecological dilatation and cure...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/88.6.819

    authors: Song D,Chung F,Yogendran S,Wong J

    更新日期:2002-06-01 00:00:00

  • Interference of volatile anaesthetics with infrared analysis of carbon dioxide and nitrous oxide tested in the Dräger Cicero EM using sevoflurane.

    abstract::In theory, setting an infrared multi-gas analyser to measure a volatile anaesthetic different from that in the sampled gas mixture may cause interference with carbon dioxide and nitrous oxide readings. The theory was investigated during evaluation of the Dräger Cicero EM anaesthetic workstation for the Medical Devices...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/76.5.737

    authors: Wilkes AR,Mapleson WW

    更新日期:1996-05-01 00:00:00

  • Perioperative tobacco use interventions in Japan: a survey of thoracic surgeons and anaesthesiologists.

    abstract:BACKGROUND:Tobacco use interventions in surgical patients who smoke could benefit both their short-term outcome and long-term health. Anaesthesiologists and surgeons can play key roles in delivering these interventions. This study determined the practices, attitudes, and beliefs of these physicians regarding tobacco us...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章,多中心研究

    doi:10.1093/bja/aem400

    authors: Kai T,Maki T,Takahashi S,Warner DO

    更新日期:2008-03-01 00:00:00

  • Effect of high-dose preoperative methylprednisolone on recovery after total hip arthroplasty: a randomized, double-blind, placebo-controlled trial.

    abstract:BACKGROUND:High-dose glucocorticoid may reduce postsurgical pain and improve recovery. We hypothesized that 125 mg methylprednisolone (MP) would reduce time to meet functional discharge criteria after total hip arthroplasty (THA). METHODS:Forty-eight patients undergoing unilateral THA under spinal anaesthesia were con...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/bja/aes345

    authors: Lunn TH,Andersen LØ,Kristensen BB,Husted H,Gaarn-Larsen L,Bandholm T,Ladelund S,Kehlet H

    更新日期:2013-01-01 00:00:00

  • Comparison between pressures measured from the proximal external jugular vein and a central vein.

    abstract::Mean venous pressures were measured in 20 patients in whom a catheter, inserted via the external jugular vein, failed to pass centrally. The catheter used had a rounded end and two side holes. Pressures were measured with the patient's head in three different positions. The pressures were compared with the central ven...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/58.12.1384

    authors: Shah MV,Swai EA,Latto IP

    更新日期:1986-12-01 00:00:00

  • Actions of the hypnotic anaesthetic, dexmedetomidine, on noradrenaline release and cell firing in rat locus coeruleus slices.

    abstract::We have examined the effects of the highly selective alpha 2-adrenoceptor agonist, dexmedetomidine, on noradrenaline release and cell firing in isolated, superfused slices of rat locus coeruleus. Dexmedetomidine decreased both noradrenaline release and cell firing rate in a concentration-dependent fashion, with an EC5...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/71.3.447

    authors: Jorm CM,Stamford JA

    更新日期:1993-09-01 00:00:00

  • Effects of anaesthesia method and tourniquet use on recovery following total knee arthroplasty: a randomised controlled study.

    abstract:BACKGROUND:We investigated the effects of spinal and general anaesthesia and surgical tourniquet on acute pain and early recovery after total knee arthroplasty (TKA). METHODS:Patients (n=413) were randomised to four parallel groups: spinal anaesthesia with or without tourniquet, and general anaesthesia with or without...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.bja.2020.03.036

    authors: Palanne R,Rantasalo M,Vakkuri A,Madanat R,Olkkola KT,Lahtinen K,Reponen E,Linko R,Vahlberg T,Skants N

    更新日期:2020-11-01 00:00:00

  • Impact of phenylephrine administration on cerebral tissue oxygen saturation and blood volume is modulated by carbon dioxide in anaesthetized patients.

    abstract:BACKGROUND:Multiple studies have shown that cerebral tissue oxygen saturation (Sct(O(2))) is decreased after phenylephrine treatment. We hypothesized that the negative impact of phenylephrine administration on Sct(O(2)) is affected by arterial blood carbon dioxide partial pressure (Pa(CO(2))) because CO(2) is a powerfu...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章

    doi:10.1093/bja/aes023

    authors: Meng L,Gelb AW,Alexander BS,Cerussi AE,Tromberg BJ,Yu Z,Mantulin WW

    更新日期:2012-05-01 00:00:00

  • Lumbar extradural injection pressures in pregnant women. An investigation of relationships between rate of infection, injection pressures and extent of analgesia.

    abstract::Before the induction of labour in 34 pregnant women 1.5% lignocaine 10 ml was injected into the lumbar extradural space at constant rates between 0.143 and 0.333 ml s-1. Injection pressures and residual pressures were recorded and the extent of analgesia to pinprick was assessed. No significant correlation was found b...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/52.1.55

    authors: Husemeyer RP,White DC

    更新日期:1980-01-01 00:00:00

  • Gastric emptying in pregnancy.

    abstract::The rate of gastric emptying in pregnancy was measured indirectly using the rate of paracetamol absorption in four groups of 15 patients: non-pregnant controls, first trimester patients presenting for termination of pregnancy, second trimester patients presenting for prostaglandin termination of pregnancy, and patient...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/67.1.54

    authors: Macfie AG,Magides AD,Richmond MN,Reilly CS

    更新日期:1991-07-01 00:00:00

  • Ketorolac trometamol for postoperative analgesia after orthopaedic surgery.

    abstract::We have compared the postoperative morphine requirements and analgesic efficacy of four doses of i.m. ketorolac 30 mg administered 6-hourly with placebo in a double-blind study of patients undergoing major or minor orthopaedic surgery. During the 24-h postoperative study period which began at the end of surgery, patie...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/69.1.19

    authors: Kinsella J,Moffat AC,Patrick JA,Prentice JW,McArdle CS,Kenny GN

    更新日期:1992-07-01 00:00:00

  • Effect of low and high concentrations of alfentanil administered intrathecally on A delta and C fibre mediated somatosympathetic reflexes.

    abstract::We have studied the effects of alfentanil administered intrathecally on somatosympathetic reflexes evoked by stimulation of radial and tibial nerves in 10 anaesthetized and paralysed dogs. In five animals, alfentanil was administered in doses of 100, 100, 200 and 400 micrograms in 0.8 ml and 800 micrograms in 1.6 ml p...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/68.5.503

    authors: Wang C,Chakrabarti MK,Whitwam JG

    更新日期:1992-05-01 00:00:00

  • Postoperative hypoxaemia and oxygen therapy.

    abstract::Arterial blood and expired gas samples were taken from 20 patients before operation and on the first day after upper abdominal surgery. After operation the patients were studied breathing air and also breathing 35% oxygen from a venturi-type mask. Preoperative Pao2 with age was exaggerated by operation. Pao2 after ope...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/47.4.491

    authors: Drummond GB

    更新日期:1975-04-01 00:00:00

  • Analgesic effect of aprotinin in the rat and its inhibition by naloxone.

    abstract::Experiments were performed on rats using two analgesimetric tests (tail-flick; hot-plate) before and after injection i.v. of graded doses of aprotinin (12.5, 25.0 and 50 KIU g-1). A dose-related analgesic effect was noted with both tests. Prior administration of naloxone 0.001 mg g-1 i.p. inhibited the analgesic actio...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/52.11.1107

    authors: Novelli GP,Pieraccioli E,Peduto VA,Festimanni F

    更新日期:1980-11-01 00:00:00

  • Intraoperative therapeutic suggestions in day-case surgery: are there benefits for postoperative outcome?

    abstract::To determine if improved postoperative recovery in surgical inpatients receiving intraoperative therapeutic suggestions are applicable in an outpatient population, 70 consenting, unpremedicated adults undergoing elective outpatient hernia repair under general anaesthesia were allocated randomly to either a therapeutic...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/82.6.861

    authors: Lebovits AH,Twersky R,McEwan B

    更新日期:1999-06-01 00:00:00

  • Efficacy of varying concentrations of hyaluronidase in peribulbar anaesthesia.

    abstract::We have compared the efficacy of adding varying concentrations of hyaluronidase to a standard mixture of 2% lidocaine and 1% ropivacaine to provide peribulbar anaesthesia for cataract surgery. We used (i) the time to adequate anaesthesia for surgery and (ii) ocular and eyelid movement scores at 8 min after block as cl...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/86.6.876

    authors: Mantovani C,Bryant AE,Nicholson G

    更新日期:2001-06-01 00:00:00

  • Randomized placebo-controlled trial to assess the effect of remifentanil and propofol on bispectral index and sedation.

    abstract::The effect of the combination of opiates and hypnotics on bispectral index (BIS) is unclear. This double-blind placebo-controlled trial investigated the effect on BIS and sedation of different infusion doses of remifentanil combined with a steady infusion of propofol. Forty patients initially received a target-control...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/oxfordjournals.bja.a013474

    authors: Strachan AN,Edwards ND

    更新日期:2000-04-01 00:00:00

  • A physiological model of induction of anaesthesia with propofol in sheep. 1. Structure and estimation of variables.

    abstract::We describe a six-compartment physiological model of the kinetics and dynamics of induction of anaesthesia with propofol in sheep. It includes a faithful description of initial bolus kinetics caused by accurate representations of the inter-relationships between initial vascular mixing, lung kinetics and cardiac output...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/79.4.497

    authors: Upton RN,Ludbrook GL

    更新日期:1997-10-01 00:00:00

  • Lung function after vecuronium pretreatment in young, healthy patients.

    abstract::Lung function and clinical evidence of muscle weakness were assessed in 12 ASA I patients who received vecuronium 0.01 mg kg-1 pretreatment as a part of their anaesthetic management, before and 3 min after pretreatment. Most patients demonstrated ptosis and diplopia, while five of the 12 were unable to raise the head ...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/69.3.318

    authors: Mahajan RP,Laverty J

    更新日期:1992-09-01 00:00:00

  • Electrical impedance tomography to confirm correct placement of double-lumen tube: a feasibility study.

    abstract:BACKGROUND:Double-lumen tubes (DLTs) are frequently used to establish one-lung ventilation (OLV). Their correct placement is crucial. We hypothesized that electrical impedance tomography (EIT) reliably displays distribution of ventilation between left and right lung and may thus be used to verify correct DLT placement ...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aen166

    authors: Steinmann D,Stahl CA,Minner J,Schumann S,Loop T,Kirschbaum A,Priebe HJ,Guttmann J

    更新日期:2008-09-01 00:00:00

  • Recovery and skills related to driving after intravenous sedation: dose-response relationship with diazepam.

    abstract::Skills related to driving, the ability to discriminate the fusion of flickering light, and hand and foot proprioception, were measured double-blind in 34 healthy volunteers before and after three doses of i.v. diazepam. The effects of diazepam were most harmful to co-ordination. With 0.15 mg/kg, 0.30 mg/kg and 0.45 mg...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章

    doi:10.1093/bja/47.4.457

    authors: Korttila K,Linnoila M

    更新日期:1975-04-01 00:00:00

  • Prospective study of device-related complications in intensive care unit detected by virtual autopsy.

    abstract:BACKGROUND:There has been increasing use of invasive techniques, such as extracorporeal organ support, in intensive care units (ICU), and declining autopsy rates. Thus, new measures are needed to maintain high-quality standards. We investigated the potential of computed tomography (CT)-based virtual autopsy to substitu...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1016/j.bja.2018.02.031

    authors: Wichmann D,Heinemann A,Zähler S,Vogel H,Höpker W,Püschel K,Kluge S

    更新日期:2018-06-01 00:00:00

  • Effects of inhalation anaesthetics on the release of acetylcholine in the rat cerebral cortex in vivo.

    abstract::By analysing the EEG, reticular multi-unit activity and behavioural changes, we have classified general anaesthetics into three groups: central nervous system (CNS) depressant, CNS excitant and epileptogenic agents. Changes in CNS neural activity are associated with alteration in transmitter release. We have attempted...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/80.3.365

    authors: Shichino T,Murakawa M,Adachi T,Arai T,Miyazaki Y,Mori K

    更新日期:1998-03-01 00:00:00

  • New antiplatelet drugs and new oral anticoagulants.

    abstract::In our daily anaesthetic practice, we are confronted with an increasing number of patients treated with either antiplatelet or anticoagulant agents. During the last decade, changes have occurred that make the handling of antithrombotic medication a challenging part of anaesthetic perioperative management. In this revi...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aew214

    authors: Koenig-Oberhuber V,Filipovic M

    更新日期:2016-09-01 00:00:00

  • Perioperative management of clopidogrel therapy: the effects on in-hospital cardiac morbidity in older patients with hip fractures.

    abstract:BACKGROUND:Increasing numbers of older patients prescribed clopidogrel are presenting for urgent hip fracture surgery. Best practice for the management of clopidogrel therapy is unknown, although delays to surgery are associated with increased mortality. We investigated the influence of perioperative management of clop...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aer288

    authors: Collyer TC,Reynolds HC,Truyens E,Kilshaw L,Corcoran T

    更新日期:2011-12-01 00:00:00

  • Inhibition of mitochondrial respiration by sodium nitroprusside and the mechanism of cyanide liberation.

    abstract::The influence of sodium nitroprusside (SNP) on mitochondrial respiration was examined in rat liver mitochondria. The addition of SNP 1 mmol litre-1 during state 3 respiration inhibited the oxygen uptake by 63.4%. A mixture of SNP 1 mmol litre-1 and glutathione (GSH) 1 mmol litre-1 inhibited the oxygen uptake more mark...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/49.12.1239

    authors: Nakamura S,Shin T,Hirokata Y,Shigematsu A

    更新日期:1977-12-01 00:00:00