Sir,We have read the article by Camponovo et al. 1 with much interest, which describes a study with two intrathecal local anaesthetics. It is an interesting study and it offers further information about both local anaesthetics. We have also finished a study but with intrathecal levobupivacaine and bupivacaine in ambulatory surgery and we would like to comment on some common features that are also related to our research. 2 The patient's position during the intrathecal local anaesthetic injection is a factor that influences the spread of the block. 3 We would like to ask authors in what position they performed spinal puncture, and if the same position was adopted in all the patients.Furthermore, it would be interesting to know whether Camponovo et al. used constant speed with spinal injection. It is important because it could affect the sensory and motor blockade onset and the extension of sensory blockade. 4 Moreover, the authors have used different size of needles (25 or 27G), and the size of needle chosen for spinal injection may also influence the spread of the spinal block. 5 In our research, the position of all the patients during spinal injection was the same -a sitting position. Moreover, our intrathecal injections were carried out slowly for 15 s without barbotage or aspiration with the same size of needle (29G).The authors can certainly enlighten the readers and ourselves with these aspects.
Traitement par pompe à insuline : pour qui et comment le mettre en place en ambulatoire ? L'insulinothérapie par pompe existe depuis plus de 40 ans et permet une délivrance plus flexible de l'insuline. À ce jour, près de 25 % des patients diabétiques de type 1 ont choisi cette option thérapeutique. Depuis quelques années, elle est aussi proposée aux patients diabétiques de type 2 insulino-requérants. Le choix de la pompe à insuline repose sur son indication, la préférence du patient, son style de vie et ses connaissances de la maladie. Un risque de survenue d'acidocétose en cas d'interruption de la délivrance d'insuline existe. Sa mise en place nécessite donc une équipe de soins interdisciplinaire spécialisée et disponible en cas d'urgence. Insulin pump treatment : For whom and how to set it up on an outpatient ?Pump therapy has existed for over 40 years and provides a more flexible delivery of insulin. To date, almost 25 % of type 1 diabetic patients have chosen this therapeutic option. In recent years, it has also been offered to patients with type 2 insulin-requiring diabetes. The choice of insulin pump is based on its indication, the patient's preference, lifestyle and knowledge of the disease. A risk of developing ketoacidosis in case of interruption of insulin delivery exists. Its implementation therefore requires a specialized interdisciplinary care team available in case of emergency.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.