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| | Spinal Anesthesia |
 | | A few patients may experience shivering or nausea during spinal anesthesia, though chances of both are less than with general anesthesia. | | | For some surgeries and for patients with certain special medical problems, spinal anesthesia is clearly a safer choice. | | | The spinal needle is inserted below where the spine ends. |
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http://www.mindspring.com/~rhc1/ptguide/spinal.htm
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| | Spinal & Epidural Anesthesia |
| | Unlike Spinal this technique may also be accomplished in the mid-back(thoracic region) for surgery in the area of the chest. | | | The needle for Epidural passes between the vertebrae of the Spinal column to the Epidural space. | | | In surgery on the blood vessels, the chest and for post-operative pain control Spinal or Epidural may be used along with general anesthesia. |
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http://www.reddinganesthesia.com/spinal.htm
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| | Health Library - |
| | Anesthesia is used to relax (sedate) you, block pain sensations (analgesia and anesthesia), induce sleepiness or forgetfulness (amnesia), or make you unconscious for your surgery. | | | Anesthesia is the use of medications and close monitoring to provide comfort and maintain vital life functions during surgery or other medical procedures. | | | Your anesthesia specialist, whether it is an anesthesiologist or a nurse anesthetist, is responsible for your comfort and safety during your surgery. |
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http://yourhealth.goodshepherdhealth.org/library/healthguide/en-us/illnessconditions/topic.asp?hwid=tp17798
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| | Gertie Marx Needle for Spinal Anesthesia in Obstetrics |
| | Gertie Marx Needle for Spinal Anesthesia in Obstetrics | | | Gertie Marx needle is a new pencil point spinal needle that has a special design. | | | Parameters recorded during the study included time and number of attempts for spinal needle placement, rate of CSF flow (time elapsed from removal of stylet till CSF appearance at the hub of the needle), failure rate and the incidence of PDPH. |
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http://www.imd-inc.com/w_obstetrics.html
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| | Nursing: Getting to the root of pain: Spinal anesthesia and analgesia |
| | Disadvantages to spinal anesthesia include the extra time and expertise needed to position the patient and insert the needle, and possible pain from needle placement and medication administration. | | | Because the patient remains conscious (with the option of sedation) during procedures performed under spinal anesthesia, the anesthesiologist or certified registered nurse anesthetist can monitor his mental status and watch for such problems as chest discomfort or breathing difficulties (with high spinal blockade). | | | Indicated for surgical procedures below the diaphragm, spinal anesthesia is commonly used for surgeries such as total joint replacement, prostatectomy, and knee arthroscopy. |
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http://www.findarticles.com/p/articles/mi_qa3689/is_200106/ai_n8954098
(1363 words)
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| | Spinal Anesthesia in the Post-delivery Period |
| | Spinal Anesthesia: Spinal anesthesia is the simplest and safest technique. | | | The types of regional anesthesia techniques available for PPTL are spinal, epidural, combined spinal and epidural, continuous spinal, or local (Chapter 68). | | | The cardiotoxicity and neurotoxicity of local anesthetic drugs arising from inadvertent intravascular or subarachnoid injection associated with epidural anesthesia are eliminated with spinal anesthesia. |
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http://www.manbit.com/OA/c67.htm
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| | Emory Healthcare: 43847 |
| | Spinal and epidural anesthesia are techniques that numb surgical patients from the chest on down the legs. | | | Needle insertion for either spinal or epidural anesthesia may be painful. | | | After the injection of spinal or epidural anesthesia has been completed, or after the epidural catheter has been removed, a small bandage will be placed over the area where the needle was withdrawn. |
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http://www.emoryhealthcare.org/healthgate/43847.html
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| | Spinal Anaesthesia - a Practical Guide (page 1) |
| | If a spinal anaesthetic and the ensuing surgery are performed skilfully, the majority of patients are very happy with the technique and appreciate the rapid recovery and absence of side effects. | | | In the event of an inadequate spinal anaesthetic it is much better to electively administer a light general anaesthetic and safeguard the airway, then to over-sedate a patient with benzodiazepines or narcotics. | | | However, special considerations apply to managing spinal anaesthesia in pregnant patients (see later) and it is best to become experienced in its use in the non-pregnant patient before using it for obstetrics. |
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http://www.nda.ox.ac.uk/wfsa/html/u12/u1208_01.htm
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| | Cesarean delivery |
| | The procedure for spinal anesthesia is similar to epidural anesthesia for labor or for cesarean delivery (see picture). The difference is that medicine is injected directly into the spinal sac. A thin needle is used to reduce the chances of a spinal headache. | | | With a spinal or epidural anesthetic, you should not feel any pain with the operation. Being awake, you will still be aware of movements occurring in your lower body. | | | The legs, the torso and part of the chest are the areas that become numb. |
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http://www.brighamandwomens.org/painfreebirthing/csreg.asp
(683 words)
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| | Patients' Guide to Local and Regional Anaesthesia |
| | For spinals and epidurals, narcotic painkillers such as morphine and fentanyl can be used, usually in addition to a local anaesthetic. | | | The major disadvantage of a spinal anaesthetic is a drop in blood pressure, caused by temporary blockage of the nerves that control blood flow into the legs, so that blood collects in them. | | | Headaches after spinal anaesthesia used to be a major problem. |
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http://www.oyston.com/anaes/local.html
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| | combined spinal-epidural anesthesia |
| | Generally it is desirable to insert the spinal needle just about to the hub of the epidural needle. | | | Lower is preferred since a spinal is done as part of the technique. | | | Some resistance will be felt as the spinal needle passes the bend at the end of the Touhy. |
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http://www.dzemdibu-nams.lv/raksti/csea.htm
(644 words)
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| | Spinal Surgery - First Off - More Spinal Surgery |
| | Lumbar spinal surgery is used to correct problems with the spinal bones (vertebrae), disks, or nerves of... | | | Lumbar spinal surgery is done while the patient is under general anesthesia... | | | chordomas, spinal chondrosarcomas, other spine tumors, and surgery for spinal stenosis... |
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http://surgery.perldiscuss.com/spinal-surgery.html
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| | Spinal Headache Prevention |
| | The "few percentage points" may be of comfort the to patient before anesthesia, but is no comfort afterwards if he or she is one of the hundreds of thousands who have fallen into that "few percent". | | | Ask him what technique he will use, and what the likelihood of spinal headache is. | | | But, if spinal fluid leaks out through a needle hole, the pressures become imbalanced, and the cushioning effect of the fluid disappears and tension is applied directly to these nerves. |
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http://www.geocities.com/HotSprings/Villa/5422/index.html
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| | Core List of Anesthesia Books and Journals |
| | Anesthesia and Pain Control in the Geriatric Patient. | | | The Use of Hypnosis in Surgery and Anesthesiology: Psychological Preparation of the Surgical Patient. | | | Principles and Practice of Obstetric Analgesia and Anesthesia. |
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http://www.anes.uab.edu/corelist.htm
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| | Ask an Expert: Spinal anesthesia for hip surgery - safe? |
| | Although a “spinal headache” is troublesome, it is not life-threatening. | | | Not all patients are candidates for spinal anesthesia. | | | Studies that have looked at the overall outcome of spinal and general anesthesia for hip surgery have not found a completely convincing advantage of one over the other, and therefore both types of anesthesia are commonly used. |
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http://www.netwellness.org/question.cfm/26588.htm
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| | Spinal Anesthesia Increases In-Vitro Fertilization Success |
| | The patients having spinal anesthesia also required less pain medication after the operation than the patients receiving general anesthesia. | | | While both groups reported high levels of satisfaction rates with their anesthesia, the patients choosing spinal anesthesia all said that they would repeat that choice in the future. | | | On the other hand, spinal anesthesia leads to very low levels of medication in the bloodstream - and these levels are achieved very slowly. |
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http://anesthesiologyinfo.com/articles/01172002.php
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| | PharmaCare - Headline News Last Updated: 2000-10-16 18:16:55 EDT : Spinal anesthesia associated with higher pregnancy ... |
| | Fewer spinal anesthesia patients (3 of 16) required postoperative pain therapy compared with the general anesthesia group (3 of 9). | | | Sweitzer's team reported an average operating room time of 50 minutes with spinal anesthesia and 35 minutes with general anesthesia, and an average recovery room times of 91 minutes with spinal anesthesia and 100 minutes with general anesthesia. | | | Post-IVF fetal heart rates were detected in eight of the patients who received spinal anesthesia versus three of those who received general anesthesia. |
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http://www.stadtlander.com/reuters/repro/261717910043.html
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| | Re: Transient radicular irritation after spinal anesthesia induced with hyperbaric solutions of cerebrospinal, ... |
| | Characteristics of the patients and details of the surgical procedures and spinal anesthesias were similar in all groups except for the intensity of motor block. | | | The purpose of this study was to determine the incidence of TRI after spinal anesthesia with hyperbaric lidocaine 50 mg/ml diluted with cerebrospinal fluid (CSF) 1:1 and hyperbaric mepivacaine 40 mg/ml and hyperbaric bupivacaine 5 mg/ml. | | | METHODS: Ninety ASA class I-IV patients undergoing mostly brief urological procedures under spinal anesthesia were randomly allocated to receive either hyperbaric lidocaine 50 mg/ml diluted with CSF 1:1 (Group L), hyperbaric mepivacaine 40 mg/ml (Group M) or hyperbaric bupivacaine 5 mg/ml (Group B). |
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http://www.i-depth.com/P/r/ry03191.frm.forum1.msg/669.html
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| | Saturday Program, Spinal and Epidural Workshop 2005 |
| | Demonstrate technique of proper needle insertion and drug instillation for spinal anesthesia. | | | Demonstrate technique of proper needle insertion and drug instillation for epidural anesthesia. | | | Demonstrate knowledge of regional anesthesia for both spinal and epidural techniques. |
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http://www.aana.com/meetings/spinal_oct/saturday.aspx
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| | “In the News”“Transient restless legs syndrome after spinal anesthesia: A prospective study. Neurology” |
| | This study examines the possible relationship between RLS and spinal anesthesia and assesses the incidence and time course of new onset RLS in 202 patients undergoing spinal anesthesia for a variety of surgical procedures. | | | The occurrence of new-onset RLS after spinal anesthesia was associated with low mean corpuscular volume and mean corpuscular hemoglobin, suggesting that iron deficiency may influence susceptibility. | | | The researchers concluded that transient RLS can indeed be induced by spinal anesthesia, although the mechanism by which this occurs is not clear. |
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http://www.rls.org/nwalkers/article_32c327f449.html
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| | CSE Combined Spinal Epidural Anesthesia |
| | By eliminating friction during the spinal needle's passage through the Tuohy, the important tactile sensation of dura puncture is unobscured. | | | A Sprotte spinal needle is inserted coaxially into an Epidural Special Sprotte or Tuohy and emerges through the lateral opening of the Epidural needle. | | | Spinal needle offers the clinician the instruments of choice to perform Combined Spinal/Epidural Anaesthesia through a single puncture. |
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http://www.dynamedical.com/pg2i.html
(236 words)
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| | Anesthesia Options for Labor and Delivery |
| | This anesthetic is similar to an epidural, but because it is administered with a needle into the spinal canal, its effects are felt much faster. | | | The purpose of anesthesia during labor and childbirth is to help you have the most positive birth experience possible. | | | Anesthesia should not hinder you from enjoying your baby as soon as possible after delivery. |
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http://www.aana.com/patients/options.asp
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| | [No title] |
| | Temporal measurements included time to onset of spinal anesthesia, duration of anesthesia and surgery, times to return of motor and sensory function, recovery to ambulatory readiness, PACU discharge, and discharge home. | | | At 150 min after spinal injection, 96% of patients had fully recovered their ability to walk steadily without assistance, and their balance scores achieved preanesthesia values (within ± 20% ranges). | | | As concluded by the authors, these results suggest that the ability to walk without assistance after spinal anesthesia requires a longer recovery period than predicted solely by gross motor recovery, making its return inadequate as a sole marker of ambulatory ability and readiness for discharge. |
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http://www.asra.com/newsletters/2003august/litreview3.iphtml?print
(810 words)
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| | Basics of Spinal Anesthesia for Non-Anesthesiologists |
| | This brief review considers the current state-of-the-art of spinal anesthesia and its use in obstetric pain relief. | | | This is fairly basic review of spinal anesthesia in obstetrics. | | | Spinal Anesthesia in Obstetrics -- New Concepts and Developments |
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http://home.earthlink.net/~cpalma/C1185893429/E871127319
(86 words)
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| | ICN Message Boards - Spinal anesthesia question - please help |
| | During the spinal I didn't like the pins and needles tingling in my legs, I found that to be painful. | | | I don't know the statistics about spinal versus general, as far as risk, but my anesthesiologist told me, before my hydro last week, that they much preferred to do a spinal rather than general because the risks were lower with a spinal. | | | I prefer spinal anesthesia, but some don't want to be awake. |
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http://www.ic-network.com/forum/printthread.php?t=8564
(1880 words)
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| | Anesthesia, local |
| | Local anesthesia involves the injection into the skin or muscle or application to the skin of an anesthetic directly where pain will occur. | | | There is a small risk of developing a severe headache called a spinal headache following a spinal or epidural block. | | | Other medications may be given in conjunction with the anesthetic, however, to relieve anxiety and help the patient relax. |
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http://www.healthatoz.com/healthatoz/Atoz/ency/anesthesia_local.jsp
(2185 words)
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| | Links - VA GLAHS Regional Anesthesia Education |
| | Choosing a Local Anesthetic: Spinal Anesthesia (SAB), Epidural Anesthesia - From the Cleveland Clinic. | | | Epidural Anesthesia: Technique - Another monograph on Andrew Elizaga's site. | | | Spinal Headache Prevention - the answer to the problem of spinal headaches? |
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http://www.wso.net/hoshizaki/regional/reglinks.htm
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| | News - Unilateral Spinal Anaesthesia Can Shorten Time to Discharge in Outpatient Knee Arthroscopy |
| | Patients who received unilateral spinal anaesthesia prior to knee arthroscopy spent less time in hospital and were as satisfied with their management as were patients who received bilateral anaesthesia, according to a prospective randomised study. | | | The authors conclude that unilateral anaesthesia for outpatient arthroscopic knee surgery is preferable to bilateral spinal anaesthesia in regards to the incidence of complications, time to discharge, and patient acceptance. | | | One patient in the unilateral group (2.8%) compared with 4 in the bilateral group (11.4%) said if they needed surgery in the future they would prefer a different anaesthetic method. |
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http://www.docguide.com/news/content.nsf/news/8525697700573E1885256E5B003FF635
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| | The Body: Cesarean Section Under Spinal Anesthesia OK During Antiretroviral Therapy |
| | All of the study participants received spinal anesthesia, according to the report "Low Complication Rate Associated with Cesarean Section Under Spinal Anesthesia for HIV-1-Infected Women on Antiretroviral Therapy," published in Anesthesiology (2002;97:320-324). | | | "Elective cesarean section under spinal anesthesia for women infected with HIV-1 taking antiretroviral therapy was not associated with intraoperative or postoperative complications," Avidan and colleagues concluded. | | | Cesarean Section Under Spinal Anesthesia OK During Antiretroviral Therapy |
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http://www.thebody.com/cdc/news_updates_archive/oct24_02/caesarean_hiv.html
(315 words)
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| | DACC Complications |
| | Unblocked segments,usually one sided in an otherwise satisfactory field of anesthesia,, are encountered more often in obstetrical patients than in the general surgical population. | | | A review in 1985 by Verner of spinal epidural abscess indicated that the incidence of epidural abscess has not risen in the last two decades, despite the increased use of epidural anesthesia during this period. | | | When the dura is pierced the most valuable advantage of epidural anesthesia is lost : The freedom of postdural puncture headache.The large bore epidural 16-18 gauge needle has an incidence of 76% of headache (Crawford 1972, Craft 1973) from leakage of CSF through the dural hole. |
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http://daccx.bsd.uchicago.edu/manuals/epidural.html
(2614 words)
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| | spinal anesthesia - definition of spinal anesthesia by the Free Online Dictionary, Thesaurus and Encyclopedia. |
| | spinal anesthesia - anesthesia of the lower half of the body; caused by injury to the spinal cord or by injecting an anesthetic beneath the arachnoid membrane that surrounds the spinal cord | | | saddle block anaesthesia, saddle block anesthesia - the parts of a patient's body that would touch a saddle if the patient were sitting in one are anesthetized by injecting a local anesthetic into the spinal cord | | | This information should not be considered complete, up to date, and is not intended to be used in place of a visit, consultation, or advice of a legal, medical, or any other professional. |
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http://www.thefreedictionary.com/spinal+anesthesia
(189 words)
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| | SPINAL ANESTHESIA FOR COPD PATIENTS |
| | Spinal anesthesia is useful for surgical procedures involving the extremities, pelvis or lower abdominal incisions. | | | Chronic obstructive pulmonary disease does not dictate the technique of anesthesia used (i.e. | | | More importantly, recognize that these patients may develop acute respiratory failure in the postoperative period. |
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http://www.mednet.odessa.ua/med/anes/1/57.htm
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| | Amazon.com: Books: Miller's Anesthesia: 2-Volume Set |
| | But we couldn't see any comment in the textbook about the management of cerebrospinal fluid fistula from inthratecal space to skin due to postdural puncture for purpose of spinal (intrathecal) anesthesia. | | | From fundamental principles to advanced subspecialty procedures, this masterwork covers the full scope of contemporary anesthesia practice in just two volumes. |
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http://www.amazon.com/exec/obidos/ASIN/0443066183/gemotrack12-20/ref=nosim
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| | Pain Relief During Labor |
| | Complications of spinal anesthesia can include: a drop in blood pressure, and a 'spinal headache' that can last up to one week. | | | A fine needle is placed between the bones of the back into the spinal fluid, the fluid that surrounds the spinal cord. | | | Spinal anesthesia is local anesthesia placed into the back into the spinal fluid. |
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http://www.mjbovo.com/LaborPainRelief.htm
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| | Reported Side Effects of Epidural Anesthesia - Childbirth.org |
| | Many mothers find it helpful to reconceptualize "pain" as "intensity," to prepare well, to choose their midwife/doctor with care, to arrange for loving support, and to cultivate an awareness of their own courage and beauty. | | | While some of the following effects are rare and others are common, it is important for every mother to be aware of these risks, to explore the many natural forms of pain management, and to decide carefully whether the benefits of epidural anesthesia outweigh the risks. | | | Reported Side Effects of Epidural Anesthesia - Childbirth.org |
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http://www.childbirth.org/articles/sideeppi.html
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| | Anesthesia and Analgesia |
| | Minimally invasive anesthesia for minimally invasive surgery [BL Friedberg] | | | About Pain relief during childbirth (Obstetric Anesthesia) - Brigham and Women's Hosp. | | | About Relieving Pain - Part I and Part II [bone marrow transplant patients] - BMT Newsletter '93 |
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http://micf.mic.ki.se/Diseases/E03.html
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| | Back Pain and Neck Pain for Spine Patients |
| | Various radiographic procedures are used to explore the characteristics of pyogenic spinal infection and spinal tuberculosis. | | | An investigation into pedicle screw placement in the cervical spine revealed a sufficient three-dimensional understanding of pedicle anatomy is required. | | | Spinal tuberculosis is the most common form of skeletal tuberculosis. |
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http://www.spineuniverse.com
(314 words)
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| | Homepage: AnesthesiaNow |
| | With what percentage of patients in your practice do you use a depth of anesthesia monitor? | | | Fetuses unlikely to feel pain before the third trimester | | | US scientists claim that fetuses cannot feel pain in the first 6 months of gestation, bringing into question the need for fetal anesthesia. |
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http://www.AnesthesiaNow.com
(307 words)
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| | VAT - Local and Regional Anaesthesia |
| | Low Spinal Anaesthesia for Caesarean Section describes 100 cases using this technique. | | | I have written a "Guide to Spinal Anaesthesia for Caesarean Section", and adapted an article by Dr Muir on "Epidural Misadventures". | | | Axillary Brachial Plexus Block, in "Update in Anaesthesia" is a good description of this useful technique. |
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http://www.oyston.com/vat/ra.html
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| | Anesthesia History Files |
| | A selected "Anesthesia and Pain in the News" page is available. | | | [Source: Robert H. Curtis, Triumph Over Pain: Story of Anesthesia. | | | *Alice McNeal, M.D. *Anesthesia History in Alabama: A Brief Literature Review |
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http://www.anes.uab.edu/aneshist/aneshist.htm
(352 words)
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| | TJU/Education/Anesthesiology/Digital Library/Spinal Anesthesia |
| | Delivery - epidural analgesia can be rapidly extended through an epidural catheter to ameliorate the pain of delivery c). | | | Labor - patient in active labor with severe pain. | | | Epidural anesthesia can be given safely in most patients with pre-eclampsia, diabetes, or history of previous cesarean section b). |
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http://jeffline.tju.edu/Education/courses/anesth/docs/library/spinal9.html
(239 words)
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