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Peripheral nerve stimulator-induced electrostimulation at the P6 point reduces the incidence of post-spinal hypotension in patients undergoing post-trauma orthopaedic surgery
Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: KS Al Rawahi RM Khan N Kaul --- Department of Anaesthesia and Intensive Care Unit, National Trauma Centre, Sultanate of Oman M Azharuddin --- Department of Medicine, IndiaObjectives: Sympathetic block following spinal anaesthesia is often associated with a fall in blood pressure. This fall has been shown to be attenuated by using transcutaneous nerve stimulation at the P6 point in patients receiving spinal anaesthesia for Caesarean section... -
Anaesthetic management of endoscopic resection of juvenile nasopharyngeal angiofibroma: our experience and a review of the literature
Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: P Khanna --- Department of Anaesthesia and Intensive Care, India BR Ray --- Department of Anaesthesia and Intensive Care, India R Sinha --- Department of Anaesthesia and Intensive Care, India R Kumar --- Department of Ear, Nose and Throat, India K Sikka --- Department of Ear, Nose and Throat, India AC Singh --- Department of Ear, Nose and Throat, IndiaBackground: Juvenile nasopharyngeal angiofibroma (JNA) is a rare, benign, vascular tumour in adolescent males with potential life-threatening complications. Advances in endoscopic surgery, invasive monitoring and hypotensive anaesthesia have made JNAs amenable to endoscopic surgical resection. We present the anaesthetic management... -
Predicting spinal hypotension during Caesarean section
Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: David G Bishop --- Pietermaritzburg Metropolitan Department of Anaesthesia, Critical Care and Pain Management, South AfricaHypotension under spinal anaesthesia for Caesarean section remains a common problem, with attendant maternal and foetal morbidity. This review examines some of the issues surrounding the prediction of spinal hypotension, including concerns about current evidence, the debate on the mechanism... -
Nor-epinephrine versus vasopressin infusion for prevention of spinal-induced hypotension: a placebo-controlled study
Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: Ahmed Abdalla Mohamed --- Department of Anesthesia & ICU and Pain Clinic, Egypt Tamer Fayez Safan --- Department of Anesthesia & ICU and Pain Clinic, EgyptObjectives: To evaluate the prophylactic effect of norepinephrine (NE) and vasopressin (VP) infusion on frequency and severity of spinal anaesthesia-induced hypotension (SAIH). -
Hypotension during spinal anaesthesia for Caesarean section in a resource-limited setting: towards a consensus definition
Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: SF Zwane --- Discipline of Anaesthesia and Critical Care, South Africa DG Bishop --- Department of Anaesthetics, Critical Care and Pain Management, South Africa RN Rodseth --- Department of Anaesthetics, Critical Care and Pain Management, South AfricaBackground: Intraoperative hypotension following spinal anaesthesia for Caesarean section is associated with maternal morbidity and mortality. Because of inconsistent definitions the reported incidence of hypotension varies between 7% and 74%, making it almost impossible to set standard targets. Developing and...