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

Author: Grafiati

Published: 4 June 2021

Last updated: 16 February 2022

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1

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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2

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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3

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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4

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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5

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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6

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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7

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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8

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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10

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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11

Lee, Allison J., Ruth Landau, James L. Mattingly, et al. "Left Lateral Table Tilt for Elective Cesarean Delivery under Spinal Anesthesia Has No Effect on Neonatal Acid–Base Status." Anesthesiology 127, no. 2 (2017): 241–49. http://dx.doi.org/10.1097/aln.0000000000001737.

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Abstract Background Current recommendations for women undergoing cesarean delivery include 15° left tilt for uterine displacement to prevent aortocaval compression, although this degree of tilt is practically never achieved. We hypothesized that under contemporary clinical practice, including a crystalloid coload and phenylephrine infusion targeted at maintaining baseline systolic blood pressure, there would be no effect of maternal position on neonatal acid base status in women undergoing elective cesarean delivery with spinal anesthesia. Methods Healthy women undergoing elective cesarean del

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12

YUMRU, C. "The effects of graduated compression stockings (GCS) on haemodynamic parameters and postdural puncture headache (PDPH) in spinal anaesthesia." Regional Anesthesia and Pain Medicine 28 (September 2003): 25. http://dx.doi.org/10.1016/s1098-7339(03)00415-2.

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13

Hennen, G., W. Neukäter, C. A. Haensch, and J. Jörg. "Focal conduction block of the proximal sciatic nerve in compression-neuropathy after spinal anaesthesia, proved by magnetic stimulation." Electroencephalography and Clinical Neurophysiology 102, no. 4 (1997): P47. http://dx.doi.org/10.1016/s0013-4694(97)85278-9.

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14

Yumru, C., N. Ocal, G. Kesriklioglu, and U. Uslu. "The effects of graduated compression stockings (GCS) on haemodynamic parameters and postdural puncture headache (PDPH) in spinal anaesthesia." Regional Anesthesia and Pain Medicine 28, Sup 1 (2003): 25. http://dx.doi.org/10.1097/00115550-200309001-00043.

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15

Samama, C. M., F. Clergue, J. Barre, A. Montefiore, P. Ill, and K. Samii. "Low molecular weight heparin associated with spinal anaesthesia and gradual compression stockings in total hip replacement surgery. Arar Study Group." British Journal of Anaesthesia 78, no. 6 (1997): 660–65. http://dx.doi.org/10.1093/bja/78.6.660.

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16

Thiele, Clare E. "Ruptured Spinal Arteriovenous Malformation: A Rare Cause of Paraplegia in Pregnancy." Case Reports in Obstetrics and Gynecology 2018 (August 9, 2018): 1–4. http://dx.doi.org/10.1155/2018/6096483.

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Background. Ruptured spinal arteriovenous malformation (AVM) is a rare cause of paraplegia in pregnancy, with only a few case reports describing complications from spinal AVMs during pregnancy in the literature. Case. A 32-year-old woman presented at 37 weeks gestation with back pain and rapidly progressive lower limb neurological symptoms. MRI showed a previously undiagnosed spinal AVM at T8. A healthy girl was delivered by caesarean under general anaesthesia to facilitate further investigation. After spinal angiography, it was concluded the most likely aetiology was acute rupture of an intra

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17

Šulla, Igor, Ladislav Bačiak, Ivo Juránek, et al. "Assessment of motor recovery and MRI correlates in a porcine spinal cord injury model." Acta Veterinaria Brno 83, no. 4 (2014): 393–97. http://dx.doi.org/10.2754/avb201483040393.

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The study concentrated on behavioral and magnetic resonance imaging (MRI) characteristics in a porcine spinal cord injury model. Six adult minipigs weighing 32–35 kg were narcotized by thiopental, intubated, and placed on a volume-cycled ventilator. Anaesthesia was maintained by 1.5% sevoflurane with oxygen. Following location of the 1st lumbar vertebra animals were fastened in an immobilization frame. The spinal cord, exposed through a laminectomy, was compressed by a 5 mm thick circular rod with a peak force of 0.8 kg at a velocity of 3 cm·s-1. The next day the minipigs were paraplegic but i

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18

Colli, Benedicto Oscar, João Alberto Assirati Jr, Hélio Rubens Machado, et al. "Intramedullary spinal cord paracoccidioidomycosis: report of two cases." Arquivos de Neuro-Psiquiatria 54, no. 3 (1996): 466–73. http://dx.doi.org/10.1590/s0004-282x1996000300017.

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Two cases of intramedullary paracoccidioidomycosis are reported. Paracoccidioidomycosis is a systemic disease that involves the buccopharyngeal mucosa, lungs, lymph nodes and viscera and infrequently the central nervous system. Localization in the spinal cord is rare. Case 1: a 55-year old male admitted with crural pararesis, tactile/painful hypesthesia and sphincter disturbances of 15 days duration. Cutaneous-pulmonary blastomycosis was diagnosed 17 years ago. Myelotomography showed a blockade of T3-T4 (intramedullary lesion). The lesion surgically removed was a Paracoccidioides brasiliensis

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19

Kumari, Pradeep, Sifna Tahir, Haveena Kumari, and Altaf Ahmad Mir. "Comparison of commonly used vasopressors for treating hypotension after spinal anaesthesia in elective lower abdominal surgery: a randomized, observational, case-control study." International Journal of Research in Medical Sciences 7, no. 5 (2019): 1479. http://dx.doi.org/10.18203/2320-6012.ijrms20191546.

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Background: During caesarean section hypotension due to spinal block is secondary to the sympathetic blockade and aorto-caval compression by the uterus. It can have important consequences for the mother and may affect neonatal outcome. The present study was aimed to compare intravenous bolus doses of phenylephrine and ephedrine to treat maternal hypotension during spinal block for elective caesarean section.Methods: After fulfilling the inclusion criteria, 100 parturient were randomly allocated into two groups of fifty each. For spinal anesthesia lumber puncture was done and 12.5mg, 0.5% hyper

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20

Puyo, M., M. Garcia-Orellana, M. González-Núñez, S. Manrique, M. C. Suescun, and L. Trillo. "Prevention of maternal hypotension during elective caesarean section under spinal anaesthesia with an intermittent pneumatic compression system in lower extremities: preliminary study." European Journal of Anaesthesiology 31 (June 2014): 191. http://dx.doi.org/10.1097/00003643-201406001-00542.

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21

Piontkovskyi, V. K., and I. V. Fishchenko. "Endoscopic transforaminal lumbar microdiscectomy. A retrospective analysis of 180 clinical cases." Pain medicine 3, no. 3 (2018): 51–56. http://dx.doi.org/10.31636/pmjua.v3i3.6.

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The authors performed retrospective analysis of 180 clinical cases of surgical treatment of lumbar herniated discs in patients who underwent endoscopic transforaminal microdiscectomy. This technique allows minimally invasive insertion of the endoscope into the spinal canal under local anaesthesia to decompress the nerve root by removing hernial protrusion under visual control. However, this technique is not universal and cannot be applied to all patients. Considerable practical experience has shown that the surgeon may encounter certain technical difficulties in cases of cranial or caudal sequ

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22

Spadola, F., G. Barillaro, M. Morici, A. Nocera, and Z. Knotek. "The practical use of computed tomography in evaluation of shell lesions in six loggerhead turtles (Caretta caretta)." Veterinární Medicína 61, No. 7 (2016): 394–98. http://dx.doi.org/10.17221/68/2015-vetmed.

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Six adult loggerhead turtles were found stranded and were rescued near Sicily within a period of 12 months. Macroscopically apparent lesions of the shell were present. After thorough physical examination, ketamine-dexmedetomidine-atipamezole induction and tracheal tube insertion all six patients underwent computed tomographic examination under inhalant anaesthesia with isoflurane. A vertebral lesion at the level of the 3<sup>rd</sup> thoracic-lumbar vertebra with vertebral lamina and the vertebral body being involved without compression of the spinal cord, a vertebral lesion at the

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23

Sreeram, Sai Charitha, Talari Sampurna, and P. Lakshmi. "A rare case report on cauda equina syndrome." International Journal of Basic & Clinical Pharmacology 6, no. 7 (2017): 1820. http://dx.doi.org/10.18203/2319-2003.ijbcp20172755.

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Cauda Equina Syndrome (CES) is a rare but serious neurologic condition in which neurological dysfunction affects the lumbar and sacral nerve roots within the vertebral canal. CES is a clinical entity consisting of low back ache, bilateral leg pain with motor and sensory deficits, genitourinary dysfunction, saddle anaesthesia and faecal incontinence. It is a rare condition with a prevalence in the general population estimated between 1:100000 and 1:33000. The presentation of CES may vary, especially in the early stages of compression. Magnetic Resonance Imaging (MRI) is the accepted gold standa

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24

Grubor, Predrag, Milan Grubor, and Rade Tanjga. "Dilemmas in the treatment of tibial diaphyseal fractures." Acta chirurgica Iugoslavica 60, no. 2 (2013): 33–39. http://dx.doi.org/10.2298/aci1302033g.

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Introduction: Tibial fractures accompanied by radius fractures at typical sites are the most common type of fractures. Objective: The study is aimed at using the examined sample to make an efficient and economically acceptable choice in the treatment of tibial diaphyseal fractures. Material and methods: The series comprises a retrospective and prospective study of the treatment of 131 fresh tibial fractures: 31 in women (23.66%) and 100 in men (76.34%) of the average age of 37.89. Nineteen patients (14.50%) were treated conservatively and 112 (85.50%) surgically: 22 (16.79%) with anti-rotation

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25

Kyriakou, Charalampia, Anthony Athanasiov, Preetha Prasad, Nicki Panoskaltsis, and Sean Molloy. "Balloon Kyphoplasty in the Management of Myeloma Spinal Disease." Blood 120, no. 21 (2012): 4080. http://dx.doi.org/10.1182/blood.v120.21.4080.4080.

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Abstract Abstract 4080 The introduction of new targeted therapeutics agents together with stem cell transplantation have led to a remarkable evolution in the management of Multiple Myeloma (MM) over the last 15 years. Osteolytic disease is the major complication of MM that may lead to devastating skeletal-related events. Up to 90% of the MM patients develop osteolytic lesions during the course of their disease and 70% of patients are affected at some stage with painful progressive vertebral compression fractures (VCFs). Patients with myeloma are living a lot longer and it is thus especially im

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26

Kandel, Prakriti Raj, Laxmi Pathak, Gyaneshwar Prasad Singh, and Rajiv Baral. "Minimal Invasive Dynamic Hip Screw Fixation for Intertrochanteric Fractures of Femur." Journal of Universal College of Medical Sciences 4, no. 1 (2018): 26–31. http://dx.doi.org/10.3126/jucms.v4i1.19076.

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INTRODUCTION: Good results have been achieved consistently with compression hip screw fixation for stable intertrochanteric femur fractures by conventional method. Thus, this present study was conducted to find out the outcomes for such hip fracture fixation with minimal invasive technique. MATERIALS AND METHOD: This retrospective study was carried out by collecting the records of 66 adult patients with stable intertrochanteric femur fracture managed by Dynamic Hip Screw (DHS) fixation with minimal invasive technique under Spinal Anaesthesia and Epidural Analgesia in Universal College of Medic

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27

"Successful Outcome of Cardiac Arrest Management in a Morbidly Obese Parturient Woman During Caesarean Section Delivery: A Case Report." EMJ Reproductive Health, June 12, 2020. http://dx.doi.org/10.33590/emjreprohealth/19-00040.

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During a caesarean section (CS), severe hypotension following spinal anaesthesia, aortocaval compression, and morbid obesity may cause a decrease in cardiac output resulting in cardiac arrest. Cardiopulmonary resuscitation during CS is stressful for all the attending team, which mandates the importance of a high level of skill and readiness to perform perimortem CS. Reported here is a case of 36-year-old, full-term, morbidly obese parturient female who developed cardiac arrest during an emergency CS under spinal anaesthesia before delivery of the baby. Cardiopulmonary resuscitation was perform

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28

Muthiah, Jeya Pratheef, and Senthil Kumar. N. "A COMPARISON OF LEFT UTERINE DISPLACEMENT USING CLINOMETER GUIDED TABLE TILT VS CONVENTIONAL CRAWFORD WEDGE DURING SPINAL ANAESTHESIA IN CESAREAN SECTION- A PROSPECTIVE RANDOMIZED STUDY." GLOBAL JOURNAL FOR RESEARCH ANALYSIS, June 15, 2021, 7–9. http://dx.doi.org/10.36106/gjra/4803269.

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INTRODUCTION: Enlarged gravid uterus causing aortocaval compression may decrease the venous return and cause maternal hypotension. Maternal position after neuraxial blockade may exacerbate the impact of aortocaval compression and consequences on cardiovascular instability. Left uterine displacement (LUD) after spinal anaesthesia in lower segment cesarean section is essential in preventing supine hypotension syndrome. Decreased cardiac output secondary to vena cava obstruction by the gravid uterus can be prevented by lateral tilt position. AIM OF THE STUDY: This study is therefore designed to e

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29

Mishra, Manoj Kumar, and Sunny Eapen. "COMPARISON OF TWO LOW DOSE REGIMENS OF SUBARACHNOID BLOCK ANESTHESIA FOR LOWER SEGMENT CAESARIAN SECTION." PARIPEX INDIAN JOURNAL OF RESEARCH, December 15, 2020, 1–4. http://dx.doi.org/10.36106/paripex/8301849.

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Hypotension and bradycardia due to sympathetic blockade are two commonest complications of spinal anesthesia leading to maternal and neonatal morbidity and mortality. Aorto caval compression due to gravid uterus also contributes to the development of hypotension. Wedge under right buttock to provide 250 sideways tilt is used to prevent aortocaval compression by gravid uterus.Low dose bupivacaine heavy with intrathecal fentanyl is recommended as strategy to prevent spinal anesthesia induced hypotension and related complications. The present study was done in our tertiary care centre to compare

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30

Erbas, Yahya Cem, Serhat Pusat, Erdal Yilmaz, Zuleyha Kazak Bengisun, and Ersin Erdogan. "Posterior lumbar stabilization surgery under spinal anaesthesia for patients with degenerative spondylolisthesis, spinal stenosis and lumbar compression fracture." Turkish Neurosurgery, 2015. http://dx.doi.org/10.5137/1019-5149.jtn.14772-15.1.

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