Academic literature on the topic 'Aortocaval compression and spinal anaesthesia'

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Journal articles on the topic "Aortocaval compression and spinal anaesthesia"

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Mitra, J. K. "Prevention of Hypotension following Spinal Anaesthesia in Caesarean Section - then and now." Kathmandu University Medical Journal 8, no. 4 (2012): 415–19. http://dx.doi.org/10.3126/kumj.v8i4.6242.

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Hypotension during spinal anaesthesia for caesarean section remains a common scenario in our clinical practice. Certain risk factors play a role in altering the incidence of hypotension. Aortocaval compression counteraction does not help to prevent hypotension. Intravenous crystalloid prehydration has poor efficacy; thus, the focus has changed toward co-hydration and use of colloids. Phenylephrine is established as a first- line vasopressor, although there are limited data from high-risk patients. Ephedrine crosses the placenta more than phenylephrine and cause possible alterations in the foet
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Zhou, Z. Q., Q. Shao, Q. Zeng, J. Song, and J. J. Yang. "Lumbar Wedge versus Pelvic Wedge in Preventing Hypotension following Combined Spinal Epidural Anaesthesia for Caesarean Delivery." Anaesthesia and Intensive Care 36, no. 6 (2008): 835–39. http://dx.doi.org/10.1177/0310057x0803600613.

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Aortocaval compression is a major cause of maternal hypotension. A randomised controlled clinical trial was designed to compare two wedged supine positions for prevention of hypotension following combined spinal epidural anaesthesia for caesarean delivery. Sixty parturients undergoing elective caesarean delivery were randomly assigned to two different wedged supine positions. After the completion of subarachnoid injection, parturients were placed with either a wedge under the right pelvis (group P, pelvic wedge) or under the right lumbar region (group L, lumbar wedge). Systolic blood pressure
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Iwama, Hiroshi. "Graduated compression stocking prevents hypotension during spinal anaesthesia." Canadian Journal of Anaesthesia 43, no. 9 (1996): 984–85. http://dx.doi.org/10.1007/bf03011819.

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Kurian, J. "Spinal anaesthesia for caesarean section in a patient with cervical cord compression." International Journal of Obstetric Anesthesia 11, no. 1 (2002): 61–64. http://dx.doi.org/10.1054/ijoa.2001.0913.

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Zhang, Ke, and Mingshuai Yu. "A case study of spinal nerve compression caused by a small amount of epidural pneumatosis." European Journal of Inflammation 16 (January 1, 2018): 205873921879127. http://dx.doi.org/10.1177/2058739218791270.

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This case describes a patient with painless childbirth in anaesthesia recovery, who suffered from spinal nerve dysfunction because of the presence of a small amount of epidural gas. Although the patient eventually recovered, this reminds us that timely observation and treatment is important in clinical epidural anaesthesia.
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Goudie, T. A., A. W. Winter, and D. J. M. Ferguson. "Lower limb compression using inflatable splints to prevent hypotension during spinal anaesthesia for caeserean section." Acta Anaesthesiologica Scandinavica 32, no. 7 (1988): 541–44. http://dx.doi.org/10.1111/j.1399-6576.1988.tb02782.x.

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Šulla, I., V. Balik, D. Maženský, and V. Danielisová. "A Histopathological Study of Ischemic and Compressive Paraplegia in Dogs." Folia Veterinaria 61, no. 2 (2017): 27–34. http://dx.doi.org/10.1515/fv-2017-0015.

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AbstractIt is well known that neuronal death, clinically manifested as paresis or plegia, is the end result of many pathological events affecting the central nervous system. However, several aspects of pathophysiological mechanisms involved in the development of tetra- or paraplegia caused by spinal cord traumatic or ischemic damage are only insufficiently understood and their histopathological manifestations remain poorly documented. That is why the authors decided to report on light-microscopic changes observed in 30 μm thick spinal cord sections cut from L3-S1 segments processed by the Naut
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Šulla, I., V. Balik, J. Petrovičová, V. Almášiová, K. Holovská, and Z. Oroszová. "Rat Spinal Cord Injury Experimental Model." Folia Veterinaria 60, no. 2 (2016): 41–46. http://dx.doi.org/10.1515/fv-2016-0017.

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Abstract Spinal cord injuries (SCI) with their tragic consequences belong to the most serious pathological conditions. That is why they have stimulated basic research workers, as well as health care practitioners, to search for an effective treatment for decades. Animal experimental models have been essential in these efforts. We have jointly decided to test and standardize one of the spinal cord injury compression models in rats. Twentythree adult female Wistar rats weighing 250-320 g were utilized. Employing general anaesthesia along with a mixture of sevoflurane with O2, 2 rats (sham contro
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&NA;, &NA;. "Sequential Compression Device with Thigh-High Sleeves Supports Mean Arterial Pressure during Caesarean Section under Spinal Anaesthesia." Obstetric Anesthesia Digest 24, no. 1 (2004): 40–41. http://dx.doi.org/10.1097/00132582-200403000-00016.

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Adsumelli, R. S. N., E. S. Steinberg, J. E. Schabel, T. A. Saunders, and P. J. Poppers. "Sequential compression device with thigh-high sleeves supports mean arterial pressure during Caesarean section under spinal anaesthesia." British Journal of Anaesthesia 91, no. 5 (2003): 695–98. http://dx.doi.org/10.1093/bja/aeg248.

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Dissertations / Theses on the topic "Aortocaval compression and spinal anaesthesia"

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Sharwood-Smith, Geoffrey H. "The inferior vena caval compression theory of hypotension in obstetric spinal anaesthesia : studies in normal and preeclamptic pregnancy : a literature review and revision of fundamental concepts." Thesis, University of St Andrews, 2011. http://hdl.handle.net/10023/1815.

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Three clinical investigations together with a combined editorial and review of the cardiovascular physiology of spinal anaesthesia in normal and preeclamptic pregnancy form the basis of a thesis to be submitted for the degree of Doctor of Medicine at the University of St Andrews. First, the longstanding consensus that spinal anaesthesia could cause severe hypotension in severe preeclampsia was examined using three approaches. The doses of ephedrine required to maintain systolic blood pressure above predetermined limits were first compared in spinal versus epidural anaesthesia. The doses of eph
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Books on the topic "Aortocaval compression and spinal anaesthesia"

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Dyer, Robert A., Michelle J. Arcache, and Eldrid Langesaeter. The aetiology and management of hypotension during spinal anaesthesia for caesarean delivery. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198713333.003.0023.

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The management of hypotension during spinal anaesthesia for caesarean delivery remains a challenge for anaesthesiologists. Close control of maternal haemodynamics is of great importance for maternal and fetal safety, as well as maternal comfort. Haemodynamic responses to spinal anaesthesia are influenced by aortocaval compression, the baricity and dose of local anaesthetic and opioid employed, the rational use of fluids, and the goal-directed use of vasopressors. The most common response to spinal anaesthesia is hypotension and an increased heart rate, which reflects a decreased systemic vascu
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Levy, David M., and Ieva Saule. General anaesthesia for caesarean delivery. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198713333.003.0022.

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General anaesthesia (GA) is most often indicated for category 1 (immediate threat to life of mother or baby) caesarean delivery (CD) or when neuraxial anaesthesia has failed or is contraindicated. Secure intravenous access is essential. Jugular venous cannulation (with ultrasound guidance) is required if peripheral access is inadequate. A World Health Organization surgical safety checklist must be used. The shoulders and upper back should be ramped. Left lateral table tilt or other means of uterine displacement are essential to minimize aortocaval compression, and a head-up position is recomme
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Book chapters on the topic "Aortocaval compression and spinal anaesthesia"

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"Aortocaval compression." In Analgesia, Anaesthesia and Pregnancy. Cambridge University Press, 2019. http://dx.doi.org/10.1017/9781108684729.014.

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Farag, Ehab, and Zeyd Ebrahim. "Anaesthesia for Complex Spine Surgeries." In Oxford Textbook of Neuroscience and Anaesthesiology, edited by George A. Mashour and Kristin Engelhard. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780198746645.003.0020.

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This chapter discusses the pre-operative evaluation of the patient scheduled for complex spine surgery, and focuses on functional capacity, neurological assessment, and upper airway examination. In patients undergoing cervical spine surgery, awake fibreoptic intubation may be the safest technique for upper airway management, especially in patients with significant spinal cord compression or unstable cervical spine. Increased intra-ocular pressure during spine surgery in the prone position may compromise the ocular perfusion pressure. Maintaining proper ocular perfusion pressure is crucial to avoid postoperative vision loss or impairment. Avoiding muscle relaxants and high concentrations of inhalation anaesthetics are important for the anaesthetic management during intra-operative electrophysiological monitoring. Avoiding hypervolaemia is important to avoid endothelial glycocalyx damage.
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McHugh, Kieran, and Thierry A. G. M. Huisman. "Imaging in Paediatric Oncology." In Oxford Textbook of Cancer in Children. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780198797210.003.0002.

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All superficial and abdominal masses in children should be first evaluated with ultrasound including Doppler assessment for lesion vascularity. Many benign and all malignant masses will need further evaluation with CT or MRI. For non-CNS tumours, MRI is preferred over CT, if feasible, bearing in mind anaesthesia may be needed for children under seven years of age. MRI is preferable to CT because of a lack of ionizing radiation, better soft-tissue evaluation in general, improved depiction of possible bone marrow disease, and, where present, better demonstration of spinal cord compression. Most non-CNS tumours, with the exception of neuroblastoma, would merit a routine CT of the chest for disease staging. Characteristics of individual tumour types, and the emerging role of nuclear medicine in staging and response assessment, will be mentioned in the chapter.
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