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Hypotension after unilateral versus bilateral spinal anaesthesia: A Systematic review with meta-analysis. [PDF]
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Spinal anaesthesia for obstetrics
Best Practice & Research Clinical Anaesthesiology, 2003For a long time, epidural anaesthesia has been considered the method of choice for Caesarean delivery. The increased incidence of hypotension by the rapid onset of sympathetic blockade under spinal anaesthesia has been associated with a decline in uteroplacental blood flow and significant fetal acidosis, which may compromise neonatal well-being ...
Wiebke Gogarten
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Spinal anaesthesia in obstetrics
Best Practice & Research Clinical Anaesthesiology, 2023This article provides a comprehensive review of the technique, drugs of choice, and potential side effects and complications associated with the drugs used and the single-shot spinal anaesthesia (SSS) technique for caesarean delivery. Although neuraxial analgesia and anaesthesia are generally considered safe, all interventions come with potential ...
Vincent Pirenne +2 more
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Spinal anaesthesia for spinal surgery
Best Practice & Research Clinical Anaesthesiology, 2003Spinal anaesthesia for spinal surgery is becoming increasingly more popular because this anaesthetic technique allows the patient to self-position and avoid neurological injury that may occur with prone positioning under general anaesthesia. Spinal anaesthesia reduces intraoperative surgical blood loss, improves perioperative haemodynamic stability and
W Scott, Jellish, John F, Shea
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Laparoscopic cholecystectomy under segmental thoracic spinal anaesthesia: a feasibility study [PDF]
Background: Laparoscopic surgery is normally performed under general anaesthesia, but regional techniques have been found beneficial, usually in the management of patients with major medical problems.
J J Jakimowicz +2 more
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Spinal anaesthesia and dysfibrinogenaemia
International Journal of Obstetric Anesthesia, 2001We report the case of a 34-year-old woman who presented to the delivery unit at 36 weeks' gestation with spontaneous rupture of membranes. She had a triplet pregnancy following in vitro fertilisation. An elective caesarean section was performed under spinal anaesthesia 4h after admission. The patient had a massive postpartum haemorrhage in the recovery
D J, Meldrum, G, Evans, P, Popham
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SPINAL ANAESTHESIA BY THE OBSTETRICIAN
BJOG: An International Journal of Obstetrics & Gynaecology, 1971SummaryIn 12 years 2995 spinal anaesthetics were administered in one obstetric unit, 2854 of them for vaginal deliveries. In the latter the spontaneous delivery rate was 9 per cent and the operative delivery rate 89 per cent, the remainder being breech and twin deliveries.
T M, McNie, A G, Dudley, S M, Markham
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Spinal anaesthesia in the neonate
Best Practice & Research Clinical Anaesthesiology, 2010Postoperative apnoea in ex-premature infants is inversely proportional to gestational age at birth and postmenstrual age (PMA). Spinal anaesthesia is an important technique in ex-premature infants as it reduces the risk of postoperative apnoea, provided intra-operative sedation is avoided.
Frawley G, Ingelmo P
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Bupivacaine spinal anaesthesia
Acta Anaesthesiologica Scandinavica, 1991This review presents facts and controversies from the recent literature about bupivacaine in spinal anaesthesia for the benefit of clinical ...
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