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Continuous spinal anaesthesia for kidney transplantation in a lupus patient with severe mitral regurgitation: A case report.
Rev Esp Anestesiol Reanim (Engl Ed)
November 2024
Departamento de Cardiologia, Hospital Dr. Nélio Mendonça, Funchal, Portugal.
Anaesthesia for kidney transplant in a patient with severe mitral regurgitation is a real challenge given the need for judicious haemodynamic management to avoid pulmonary oedema and maximise reperfusion of the transplanted organ. This is the first experience described in the literature of continuous spinal anaesthesia in a patient with chronic severe mitral regurgitation undergoing cadaver donor kidney transplant. Transthoracic echocardiography monitoring was used during the procedure to avoid aggravating the patient's mitral regurgitation.
View Article and Find Full Text PDFNRFit connectors in regional anaesthesia: avoiding medication errors.
Rev Esp Anestesiol Reanim (Engl Ed)
August 2024
Departamento de Medicina, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, Spain. Electronic address:
The continuous development of medicine in most fields requires physicians to apply the latest methods and technology to ensure patients' safety. In the field of anesthesiology we are pioneers in the application of measures that guarantee the security of our patients, making possible the greatest reduction in mortality seen among all other specialties. This objective has been achieved thanks to the introduction of changes such as the one presented in this review article.
View Article and Find Full Text PDFPathways of dye spread after injections in the paraspinal spaces-A cadaveric study.
Saudi J Anaesth
March 2024
Department of Anaesthesiology, Pain Medicine and Critical Care, AIIMS, New Delhi, India.
Article Synopsis
- The erector spinae plane (ESP) block has become popular but its diffusion toward the paravertebral area is unpredictable; researchers evaluated dye diffusion patterns in human cadavers to clarify this.
- In an experiment with six cadavers, different dyes were injected using an ultrasound technique at the thoracic vertebrae, with evaluations conducted to see how far the dye spread in surrounding areas.
- Results showed that dye from the ESP injection spread only to the dorsal area and not to the paravertebral space, while the inter-ligament space injection allowed for extensive dye spread both anteriorly and posteriorly, suggesting it could be a more effective approach.
Transversus Abdominis Plane Block versus Epidural Anesthesia for Pain Management Post-Caesarean Delivery: A Pilot Study.
Local Reg Anesth
April 2024
Department of Medicine, San Martín University Foundation, Sabaneta, Antioquia, Colombia.
Article Synopsis
- - The study explored whether the Transversus Abdominis Plane (TAP) block provided better post-operative pain relief than epidural analgesia for patients after caesarean delivery.
- - Participants were divided into two groups: one received the TAP block while the other received epidural analgesia, and pain levels were measured at various intervals using a Visual Analog Scale (VAS).
- - Results showed the TAP block group had significantly lower pain scores at 0 and 6 hours post-surgery, supporting its effectiveness as a pain relief method with greater impact compared to epidural analgesia.
[Old and New Regional Anesthesia Procedures Under Review - Abdomen to Toe].
Anasthesiol Intensivmed Notfallmed Schmerzther
March 2024
Ultrasound (US) technology has significantly expanded the spectrum of regional anesthesiological procedures in recent years. Abdominal wall blocks are becoming an increasingly integral part of a multimodal postoperative pain concept after abdominal surgery, gynecological or urological interventions. Thoracic epidural analgesia remains the gold standard for extensive surgery.
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