خط مشی دسترسی
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Isfahan University of Medical Sciences
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A comparison study about efficiency of intrathecal catheter and normal saline injection on reducing post dural puncture headache (PDPH) and cauda equina syndrome (CES) incidence in continuous spinal anesthesia (CSA)/زهرا غفرانی
14 p.: Diag, tab.
This thesis is a research project with project ID: 185023
continuous spinal anesthesia (CSA) offers considerable advantages over single shot spinal or epidural anesthesia since it allows administration of well-controlled anesthesia using small doses of local anesthetics and a definite end point with less failure rate. there are described neurologic complications with introduction of spinal micro catheters and hence this study was undertaken by using spinal catheters. a few litrature available about normal saline injection and catheter effect on reducing PDPH and neurologic complication incidence but non of them studied both of them so we decided to challenge the effect of both, the effect of intrathecal slline injection and catheter maintenance for longer period in the treatment of PDPH and probable neurologic complication and determine each method priority. sixty patients of ASA grade I to II were selected and undertaken CSA (continuous spinal anesthesia) and post operatively were divided in three groups with: long standing (24h) catheter in place, intrathecal normal saline injection and catheter withdrawal and third group with normal saline injection and catheter sustain for 24h. anesthetic duration, the use of sympathomimetic dreugs. the appearence of PDPH (post durla puncture headache), CES (cauda equina syndrom) and other side effects were recorded. data were analyzed by SPSS ver.22 software using Chi square and one way ANOVA. the post-operative compliction rate in 3 groups was 3 (15 percent) mild cases in group A, group B=1 (5 percent) mild headache and for group c=0 (0 percent) PDPH cases were recorded. all cases were under observation and symptoms were relieved on third day after the treatment. about the consensus, group A=17 (85 percent), group B=19 (95 percent), group C=18 90 percent) were satistied with procedure and the SD difference between groups were insignificance, CES symptoms or other serious neurologic complications did not observed. CSA is an reliable anesthetic technique with less neurologic side effect and normal saline injection and 24h catheter in place presumably did not have any preference to one another in PDPG redution.
1. Anesthesia, Spinal.- Descriptors: Anesthesia, Spinal
Post-Dural Puncture Headache
Saryazdi, Hamid, Supervisor
Aghadavoudi, Omid, Supervisor
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بررسی مقایسه انسیدانس سردرد پس از سوراخ شدن دورا و عوارض نرولوژیک در سه روش بیحسی نخاعی مداوم
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A comparison study about efficiency of intrathecal cathet...
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