Thoracic epidural anesthesia in cardiac surgical patients: A prospective audit of 2,113 cases

Chakravarthy, Murali; Thimmangowda, Patil; Krishnamoorthy, Jayaprakash; Shivananda, Nadiminti; Jawali, Vivek

doi:10.1053/j.jvca.2004.11.008

Cited by 46 publications

(28 citation statements)

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“…[1][2][3][4]6,[11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27] Case reports of spinal haematoma after epidural analgesia are rare. 28 In fact, there is no report in conjunction with anticoagulation in the obstetric population.…”

Section: Discussionmentioning

confidence: 99%

Incidence of spinal haematoma after epidural puncture

Volk

Wolf

Aken

et al. 2012

European Journal of Anaesthesiology

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Section: Discussionmentioning

confidence: 99%

Incidence of spinal haematoma after epidural puncture

Volk

Wolf

Aken

et al. 2012

European Journal of Anaesthesiology

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“…1,2 CEA as an anaesthetic for mastectomies, breast reconstruction in elderly females and in patients with pulmonary diseases has been reported for better acceptance and safety over GA. [3][4][5] In recent years successful use of CEA for thoracic/coronary artery bypass surgery is also documented. 6,7 Racemic bupivacaine is an equal mixture of R+ and S-enantiomers, where R+ isomer is mainly responsible for the systemic toxicity due to differential affinity for ion channels of Na, K+ and Ca. Ropivacaine being a pure S-enantiomer have less toxicity profile and it is 40-50% less potent than bupivacaine with stronger differentiation between sensory and motor blockade.…”

Section: Introductionmentioning

confidence: 99%

Cervical Epidural Anaesthesia with Ropivacaine for Modified Radical Mastectomy

Kulkarni

Namazi

Deshpande

et al. 2015

Kathmandu Univ. Med. J.

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BackgroudCervical epidural anaesthesia (CEA) using local anesthetics (LA) is a well established technique for the surgeries in the neck, chest and upper arms. Recently ropivacaine is introduced with better safety profile. ObjectivesThe aim was to observe the safety of Cervical epidural anaesthesia as an anaesthetic technique and to compare the efficacy of epidural 0.25% bupivacaine with 0.375% ropivacaine for radical mastectomies. MethodsA double blind study was conducted on 40 ASA grade I / II females who received CEA with 10 ml of 0.25% of bupivacaine +25µg of fentanyl in group B (n=20) and 10 ml of 0.375% of ropivacaine +25µg of fentanyl in group R (n=20) epidurally. Assessment of the block, vital monitoring and complications noted. ResultsNo significant differences observed in the onset of sensory block (5.05min and 5.4min in group B and R respectively, P>0.05).The mean motor blockade score, time to achieve complete blockade and time to grade I motor recovery was significantly longer in group B (2.3, 22.5 and 79.5 minutes respectively) as compared to group R (1.5, 18.3 and 66.3 minutes respectively, P<0.05). Respiratory distress developed in two patients of group B that required general anaesthesia (GA) with intubation. ConclusionUse of 0.37% ropivacaine is safer than 0.25% bupivacaine for CEA for radical mastectomy. It provides good surgical anaesthesia with lesser degree of motor blockade and the respiratory effects.

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“…Birincisi heparine bağlı epidural hematom riskidir; açık kalp cerrahisi hastalarında bildirilen epidural hematom sayısı çok azdır ve olasılığı non-kardiyak cerrahi girişimlerinkinden daha fazla değildir (4). İkincisi uyanık hastalarda ekstrakorporeal dolaşım sırasında ne kadarlık bir kan akımı gerektiğidir; kardiyopulmoner baypas ile sağlanan standart kan akımları HTEA yön-temi için de yeterlidir (3,5).…”

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