Pub Date : 2019-05-02DOI: 10.1017/9781108684729.028
M. F. Mulroy
I read with interest the letter from Drs. Hodgkinson and Husain (1) in which they suggest that the routine injection of a test dose of local anesthetic solution through a needle in the epidural space be abandoned during induction of epidural anesthesia. The practice in Brazil supports their suggestion. Although a good number of epidural anesthetics are administered here, I know of no anesthesiologist who uses or advises test doses routinely in his daily practice. In 1977 a study dealing with 13,872 epidural anesthetics for various surgical procedures was presented at the Brazilian Congress of Anesthesiology (a society with a membership of more than 4000 physicians). Major findings included the absence of neurologic sequelae, a 1/2000 incidence of total spinal anesthesia, and a l/4000 incidence of convulsions. These results compare well with statistics that have been published in the world literature From departments in which the test dose is a must in every epidural anesthetic. In my opinion test doses routinely injected through epidural needles are a waste of time. 1 believe test doses should be reserved for those occasions when the anesthesiologist has doubt about the possibility of either dural puncture or vascular injection.
{"title":"Epidural test doses","authors":"M. F. Mulroy","doi":"10.1017/9781108684729.028","DOIUrl":"https://doi.org/10.1017/9781108684729.028","url":null,"abstract":"I read with interest the letter from Drs. Hodgkinson and Husain (1) in which they suggest that the routine injection of a test dose of local anesthetic solution through a needle in the epidural space be abandoned during induction of epidural anesthesia. The practice in Brazil supports their suggestion. Although a good number of epidural anesthetics are administered here, I know of no anesthesiologist who uses or advises test doses routinely in his daily practice. In 1977 a study dealing with 13,872 epidural anesthetics for various surgical procedures was presented at the Brazilian Congress of Anesthesiology (a society with a membership of more than 4000 physicians). Major findings included the absence of neurologic sequelae, a 1/2000 incidence of total spinal anesthesia, and a l/4000 incidence of convulsions. These results compare well with statistics that have been published in the world literature From departments in which the test dose is a must in every epidural anesthetic. In my opinion test doses routinely injected through epidural needles are a waste of time. 1 believe test doses should be reserved for those occasions when the anesthesiologist has doubt about the possibility of either dural puncture or vascular injection.","PeriodicalId":373558,"journal":{"name":"Analgesia, Anaesthesia and Pregnancy","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122585425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-05-02DOI: 10.1017/9781108684729.032
Kristin Strothman
Book file PDF easily for everyone and every device. You can download and read online Preoperative Assessment file PDF Book only if you are registered here. And also you can download or read online all Book PDF file that related with Preoperative Assessment book. Happy reading Preoperative Assessment Bookeveryone. Download file Free Book PDF Preoperative Assessment at Complete PDF Library. This Book have some digital formats such us :paperbook, ebook, kindle, epub, fb2 and another formats. Here is The Complete PDF Book Library. It's free to register here to get Book file PDF Preoperative Assessment.
{"title":"Preoperative assessment","authors":"Kristin Strothman","doi":"10.1017/9781108684729.032","DOIUrl":"https://doi.org/10.1017/9781108684729.032","url":null,"abstract":"Book file PDF easily for everyone and every device. You can download and read online Preoperative Assessment file PDF Book only if you are registered here. And also you can download or read online all Book PDF file that related with Preoperative Assessment book. Happy reading Preoperative Assessment Bookeveryone. Download file Free Book PDF Preoperative Assessment at Complete PDF Library. This Book have some digital formats such us :paperbook, ebook, kindle, epub, fb2 and another formats. Here is The Complete PDF Book Library. It's free to register here to get Book file PDF Preoperative Assessment.","PeriodicalId":373558,"journal":{"name":"Analgesia, Anaesthesia and Pregnancy","volume":"161 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122700196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-05-02DOI: 10.1017/9781108684729.146
{"title":"Migrants and other disadvantaged women","authors":"","doi":"10.1017/9781108684729.146","DOIUrl":"https://doi.org/10.1017/9781108684729.146","url":null,"abstract":"","PeriodicalId":373558,"journal":{"name":"Analgesia, Anaesthesia and Pregnancy","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131103545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-05-02DOI: 10.1017/9781108684729.112
Haemoglobinopathies are inherited disorders, usually autosomal recessive. Carriers (heterozygotes), with just one abnormal gene, are usually asymptomatic, whereas people who inherit an abnormal gene from both parents (homozygotes) express the disease. In most parts of the UK there is a programme of antenatal and neonatal screening for the most serious variants. Haemoglobinopathies fall into two main categories:
{"title":"Haemoglobinopathies","authors":"","doi":"10.1017/9781108684729.112","DOIUrl":"https://doi.org/10.1017/9781108684729.112","url":null,"abstract":"Haemoglobinopathies are inherited disorders, usually autosomal recessive. Carriers (heterozygotes), with just one abnormal gene, are usually asymptomatic, whereas people who inherit an abnormal gene from both parents (homozygotes) express the disease. In most parts of the UK there is a programme of antenatal and neonatal screening for the most serious variants. Haemoglobinopathies fall into two main categories:","PeriodicalId":373558,"journal":{"name":"Analgesia, Anaesthesia and Pregnancy","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124018119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-05-02DOI: 10.1017/9781108684729.145
{"title":"Pyrexia during labour","authors":"","doi":"10.1017/9781108684729.145","DOIUrl":"https://doi.org/10.1017/9781108684729.145","url":null,"abstract":"","PeriodicalId":373558,"journal":{"name":"Analgesia, Anaesthesia and Pregnancy","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127953060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}