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Showing 1 to 20 of 23 for “"Spinal anaesthesia"”.
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Haemodynamic consequences of Spinal Anaesthesia for non-emergency Caesarean section
Single shot spinal anaesthesia for caesarean section is currently accepted as the favoured method in the absence of contraindications, for reasons of safety and comfort. Firstly, there is an increased risk of failed intubation associated with general anaesthesia. Secondly, spinal anaesthesia, if …
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Documentation of spinal anaesthesia technique and block level at caesarean section
… ease of administration and relative safety of spinal anaesthesia has made this the preferred technique for elective and many emergency caesarean sections. Complications include incomplete sensory block, resulting in intraoperative breakthrough pain, which is commonly associated with a …
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Incidence of intraoperative nausea and vomiting during spinal anaesthesia for caesarean section
… of intraoperative nausea and vomiting during spinal anaesthesia for caesarean section. Background: Nausea and vomiting (IONV) during spinal anaesthesia (SA) for caesarean section (CS) is unpleasant and may interfere with surgery. We studied the incidence of IONV during elective CS, as well as …
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Maternal and cardiac output response to vasopressor therapy during spinal anaesthesia for Caesarean Section in severe preeclampsia
… haemodynamic responses to vasopressors during spinal anaesthesia for caesarean delivery in patients with severe preeclampsia, have not been accurately described. This study compared the haemodynamic effects of the vasopressors ephedrine and phenylephrine during spinal anaesthesia. Methods: …
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Knowledge of South African anaesthesia registrars of the theory and practice of spinal anaesthesia for caesarean section
… Adequate documentation of details relating to spinal anaesthesia for caesarean section is important, both to ensure a safe and pleasant experience for the parturient, and to provide evidence that an acceptable standard of care was applied in the event of subsequent medicolegal action. On the …
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Spinal anaesthesia for brachytherapy for carcinoma of the cervix a comparison of two dose regimes of hypebaric bupivacaine
… when combined with intrathecal fentanyl, for spinal anaesthesia for brachytherapy for carcinoma of the cervix. This procedure is performed as a day case at Groote Schuur Hospital.
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The influence of body mass index on sensorimotor block and vasopressor requirement during spinal anaesthesia for elective caesarean section
… has been suggested that the dose requirement for spinal anesthesia (SA) is lower in obese patients for cesarean delivery. In this prospective, observational, non-inferiority study we tested the hypothesis that obesity would not have a clinically important effect on vasopressor requirements or …
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A comparison of spinal anaesthesia with and without transversus abdominis plane block in patients undergoing elective caesarean section at Windhoek Hospital Complex
… of Transversus Abdominis Plane (TAP) block with spinal anaesthesia is emerging as a superior approach for managing postoperative pain, particularly in abdominal surgeries. While spinal anaesthesia provides effective lower body analgesia, it can result in inadequate pain control and side effects …
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Neonatal apgar score outcomes in spinal versus general anaesthesia at the university teaching hosipital (UTH) lusaka
… is still being used for maintenance of general anaesthesia despite well documented cardio-respiratory depressant effects with very limited research done on its effects on neonatal Apgar score. The Apgar score is a means of rapid evaluation of the physical condition of infants shortly after …
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Neonatal apgar score outcomes in spinal versus general anaesthesia at the university teaching hosipital (UTH) lusaka
… is still being used for maintenance of general anaesthesia despite well documented cardio-respiratory depressant effects with very limited research done on its effects on neonatal Apgar score. The Apgar score is a means of rapid evaluation of the physical condition of infants shortly after …
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Improving safety, efficiency and efficacy of neuraxial blockade through enhanced operator peformance
… accuracy of palpated landmarks for administering spinal anaesthesia in patients undergoing caesarean section. Efficacy In study 3, clinically relevant association and correlation(s) between i. ultrasound images and ii. Magnetic Resonance Imaging (MRI) of lumbar spine was studied. In study 4a and …
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The utility of occlusion of the pulse oximeter trace in the estimation of systolic blood pressure during spinal anaesthesia for caesarean section: the effect of body mass index
… the range of body mass index (BMI), during spinal anaesthesia (SA) for caesarean section (CS). Methods: Three groups of 25 parturients were recruited, with BMI of < 30- (Group 1), 30-40- (Group 2), and > 40 kg/m2 (Group 3) respectively. SBP was measured using the DASH® 3000 monitor (GE …
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The association between perioperative risk factors and the method of anaesthesia, and maternal and neonatal outcomes following caesarean delivery in Africa: a sub-study of a 7-day prospective observational cohort study
… associated with obstetric haemorrhage and anaesthesia complications. Methods A sub-study was conducted of a seven-day, international, prospective, observational cohort study of patients undergoing caesarean delivery in Africa. The aims were to determine the association between preoperative …
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Coagulation in the HIV-positive pregnant patient: A thromboelastographic study
… receiving anti-retroviral medication. Regional anaesthesia is the technique of choice for caesarean section, and is contraindicated in a hypo-coagulable state. We therefore investigated the coagulation status of term pregnant women with HIV, presenting for elective caesarean section(CS). This …
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Retrospective observational study of the choice of anaesthesia for caesarean section in patients with eclampsia
Background Anaesthesia for ceasarean section (CS) in women with eclampsia is a major clinical challenge, and there are limited data concerning the rationale for the choice of technique, and the short-term outcomes. A retrospective audit was performed on practice at a tertiary referral centre in …
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Anaesthetic method and short-term outcomes of preterm infants delivered by caesarean section in a tertiary hospital in South Africa
… Objectives. To describe indications and type of anaesthesia in preterm neonates and to describe short-term outcomes, comparing spinal anaesthesia (SA) to general anaesthesia (GA). Methods. Data were collected retrospectively on preterm babies born at 28 – 35 weeks' gestation by CS, between 1 …
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The use of phenylephrine to obtund oxytocin induced hypotension and tachycardia during elective caesarean section
… undergoing elective caesarean section under spinal anaesthesia were randomised to receive either a 50 μg bolus of phenylephrine (Group P) or saline (Group S) immediately prior to oxytocin (3 IU over 15 seconds). Systolic blood pressure [SBP], diastolic blood pressure [DBP], mean arterial …
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A comparison of intrathecal morphine or fentanyl on the duration of postoperative analgesia at Namibian teaching hospitals in Windhoek
… for femur fracture surgeries received standard spinal anaesthesia with 0.5% heavy bupivacaine 12.5 mg plus 100 mcg morphine (ITM group) or 25 mcg fentanyl (ITF group). Data was collected using a form designed for the study and analysed with the statistical package for social sciences (SPSS for …
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A retrospective audit of pain assessment and management post caesarean section at New Somerset Hospital in Cape Town, South Africa
… 52% had previously undergone a CS. In 93.3%, spinal anaesthesia was employed for CS. Pain assessment was poor, with only 55 (18%) patients having their pain assessed on the day of the operation. Analgesia was prescribed in over 98% of the patients, however, medication was only administered as …
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Anesthesia care task sharing a clinical audit for the anesthesia care provided by anesthesia technologists in Wad Medani,Central Sudan
Introduction: The bachelor's degree in anaesthesia sciences program was implemented in Sudan in 1998 to alleviate the shortage of anaesthesiologists while minimizing the anaesthesia related complications of anaesthesia technicians' practice. In the absence of a defined scope of practice and a lack …
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