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Adequate Anaesthesia (adequate + anaesthesia)

Distribution by Scientific Domains

Medical Sciences	100%

Selected Abstracts

The use of low dose plain solutions of local anaesthetic agents for spinal anaesthesia in the prone position: bupivacaine compared with levobupivacaine

ANAESTHESIA, Issue 1 2009
O. Cuvas
Summary In this study, we aimed to test the hypothesis that 1-ml plain solution of 0.5% bupivacaine or 0.5% levopubivacaine administered in a subarachnoid block can provide adequate anaesthesia and operating conditions for pilonidal cyst/sinus operations performed in the prone position. There were no significant differences between the two groups in terms of patient demographic data, duration of operation, patient-surgeon satisfaction, haemodynamic changes and side effects. There were no significant differences found in the onset time, highest block level achieved, two segment regression, time to S2 regression of sensory block and the number of anaesthetised dermatomes, between the two groups (p = 0.077, 0.057, 0.091, 0.084 and 0.057 respectively). The incidence of complete motor blockade was 16% and 8% in Group B at the start and at the end of the operation. There was no complete motor blockade in Group L (p = 0.110 and 0.490 respectively). We conclude that both regimens are effective and safe for use in subarachnoid anaesthesia for pilonidal cyst/sinus operations performed in the prone position. [source]

Continuing education self-assessment quiz: Failure to obtain adequate anaesthesia associated with a bifid mandibular canal: a case report

AUSTRALIAN DENTAL JOURNAL, Issue 1 2006
Article first published online: 12 MAR 200
In the case report by Lew and Townsend on page 86 of this issue several important issues are raised about the administration of mandibular anaesthesia in dental practice. Test your knowledge here by first reading the article entitled: Failure to obtain adequate anaesthesia associated with a bifid mandibular canal: a case report, answer the following questions and then forward the completed questionnaire to the Australian Dental Journal Office and we will let you know how you scored. Please place a tick in the box alongside the option that you think provides the best answer to each question, i.e., one tick per question. The Editor's decision is final and no correspondence will be entered into. [source]

A review of peripheral nerve blockade as local anaesthesia in the treatment of palmar hyperhidrosis

BRITISH JOURNAL OF DERMATOLOGY, Issue 3 2003
M.J. Hayton
Summary Injection of botulinum toxin type A (BTX-A) is an effective method of controlling palmar hyperhidrosis. It is, however, an uncomfortable procedure without adequate anaesthesia. We outline the techniques used, the reasons for them and potential pitfalls that can be avoided, with an outline of the neural anatomy relevant to the palmar injection of BTX-A. We have been using peripheral nerve blockade as local anaesthesia during BTX-A treatment of palmar hyperhidrosis for the last few years, and have found it an effective method of providing pain relief during the procedure, giving greater anaesthesia than that given by topical anaesthetic cream under occlusion and ice. It has been our experience that patients prefer wrist blockade to topical anaesthesia and ice when receiving BTX-A injections for treatment of palmar hyperhidrosis. [source]