2011
DOI: 10.1177/0310057x1103900518
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Cerebrospinal Fluid Cytology in Patients Undergoing Combined Spinal Epidural versus Spinal Anaesthesia without an Introducer

Abstract: The problem of tissue coring exists despite the availability of smaller gauge spinal needles with special tip designs. The aim of the study was to test the hypotheses that a) subarachnoid block given as a part of a combined spinal epidural intervention by needle-through-needle technique introduces a lesser number of epithelial cells into the subarachnoid space compared to isolated subarachnoid block, and b) after lumbar puncture, the initial few drops of cerebrospinal fluid from the spinal needle will have a h… Show more

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Cited by 6 publications
(5 citation statements)
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References 20 publications
(37 reference statements)
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“…A tissue coring phenomenon may also be responsible for spreading cancer cells from extramedullary blast infiltrates (skin, ligaments, or muscles) to the epidural or dural spaces when advancing the needle ( Table 1 ) [ 8 , 9 , 18 , 20 , 21 ]. This last issue persists whether or not an introducer is used [ 22 ]. Hence, many authors believe that, in the presence of ≥5% of circulating blasts, general anesthesia is the safer choice for cesarean delivery [ 11 , 18 ].…”
Section: Commentsmentioning
confidence: 99%
“…A tissue coring phenomenon may also be responsible for spreading cancer cells from extramedullary blast infiltrates (skin, ligaments, or muscles) to the epidural or dural spaces when advancing the needle ( Table 1 ) [ 8 , 9 , 18 , 20 , 21 ]. This last issue persists whether or not an introducer is used [ 22 ]. Hence, many authors believe that, in the presence of ≥5% of circulating blasts, general anesthesia is the safer choice for cesarean delivery [ 11 , 18 ].…”
Section: Commentsmentioning
confidence: 99%
“…As a result, it can increase the patient's acceptance of regional anaesthetic technique. 6 Ketofol, a combination of the drugs ketamine and propofol has good analgesic and sedative properties in addition to fast onset of action. Sedation with Ketofol decreases the side effects of both ketamine and propofol as they potentiate each other and thus smaller doses are used.…”
Section: Introductionmentioning
confidence: 99%
“…As a result, it can increase the patient's acceptance of regional anaesthetic technique. 6 Fentanyl is a potent narcotic analgesic with rapid onset and short duration of effect following a single intravenous dose. It provides analgesia with sedation but it has the propensity of respiratory depression when used in higher doses.…”
Section: Introductionmentioning
confidence: 99%