Document Detail


Effects of tilting in the sagittal plane on the cephalad spread of anesthesia.
MedLine Citation:
PMID:  15278519     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
The effect of tilting in the sagittal plane on the spread of anesthesia was studied in 30 healthy male patients. Two ml of 0.3% hyperbaric dibucaine was used for intrathecal injection in the lateral position. After 3 min of resting on their side, 15 patients were placed in the horizontal supine position. Other 15 patients were turned to the contralateral side at 7-8 degrees in the sagittal plane. Cephalad spread of sensory analgesia by the pin-prick method, degree of motor blockade by Bromage score, mean arterial pressure, and heart rate were assessed. Mean spread of sensory analgesia in the non-dependent side on the dural puncture was significantly higher in the sagittal-tilt group (T7.4 +/- 2.6 at 15 min) compared the horizontal group (T9.5 +/- 1.4 at 15 min). There was no significant difference in the mean cephalad spread of the analgesic level in the dependent side between the two groups. Unilateral motor anesthesia of the dependent side seemed to be canceled by the sagittal tilting maneuver. A 7 to 8 degree tilt in the sagittal plane is recommended to facilitate the cephalad spread of analgesia and to avoid unilateral anesthesia.
Authors:
S Oku; T Shimizu
Related Documents :
2317179 - Cardiovascular response to 4 hours of 6 degrees head-down tilt or of 30 degrees head-up...
9263619 - Hemodynamic strategies in blood pressure regulation during orthostatic challenge in women.
10862409 - Cardiac and peripheral vascular responses to head-up tilt during whole body thermal str...
9737759 - Female exposure to high g: chronic adaptations of cardiovascular functions.
24897649 - Vocal response of male european water frogs (rana esculenta complex) to mating and terr...
12369019 - Prevalence of orthostatic hypotension among patients presenting with syncope in the ed.
18633169 - The study of aortic stiffness in different hypertension subtypes in dialysis patients.
2450249 - Hemodynamic effects of prolonged intravenous therapy with enoximone in patients with se...
4420479 - Modified laminar flow biological safety cabinet.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of anesthesia     Volume:  6     ISSN:  0913-8668     ISO Abbreviation:  J Anesth     Publication Date:  1992 Oct 
Date Detail:
Created Date:  2004-07-27     Completed Date:  2005-02-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8905667     Medline TA:  J Anesth     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  455-60     Citation Subset:  -    
Affiliation:
Department of Anesthesia, Saiseikai-Tondabayashi Hospital, Osaka, Japan.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Effects of prostacyclin analogue, OP-2507, on function and metabolism in the ischemic working rat he...
Next Document:  Systemic administration of procaine suppresses the somato-sympathetic reflex discharges in anestheti...