Linked Life Data

3061327

Source:http://linkedlifedata.com/resource/pubmed/id/3061327

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
1989-1-27
pubmed:abstractText
There is little data concerning failures in spinal anaesthesia. A retrospective analysis of 337 spinal anaesthesias performed in a teaching hospital gave a 9.8% failure rate. A failure was defined as the need to carry out part or all of a surgical act under general anaesthesia when spinal anaesthesia had been carried out. The main causes of failure were insufficiently or excessively extended neural blockade, insufficient duration or a poor quality sensory blockade with the patient feeling surgical or tourniquet pain. The local anaesthetics used were hyperbaric 0.5% tetracaine with and without 0.1 mg metaraminol, hyperbaric 0.5% prilocaine and isobaric 0.5% bupivacaine. The failure rate was 19.4% with plain hyperbaric tetracaine, 7.6% with tetracaine with metaraminol, 5% with prilocaine and 2.9% with isobaric bupivacaine. This rate was related neither to the experience of the anaesthetist, nor to the clinical features of the patients, nor to the position nor to the needle size. Although there were more failures during orthopaedic procedures, probably because of tourniquet pain, this was not significant. These results confirmed that spinal anaesthesia was a reliable technique. Hyperbaric plain tetracaine did not always guarantee a successful anaesthesia and isobaric bupivacaine should be more commonly used.
pubmed:language
fre
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
0750-7658
pubmed:author
pubmed:issnType
Print
pubmed:volume
7
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
383-6
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed:year
1988
pubmed:articleTitle
[Failure of spinal anesthesia. Evaluation of the practice at a university hospital].
pubmed:affiliation
Département d'Anesthésie-Réanimation II, Hôpital Henri-Mondor, Créteil.
pubmed:publicationType
Journal Article, English Abstract, Review