Document Detail

Survey of the use of epidural analgesia in China.
MedLine Citation:
PMID:  1874028     Owner:  NLM     Status:  MEDLINE    
It is generally believed that epidural blocks are most widely used in China. However, there is yet no substantial study in this respect. A nation-wide survey appears to be necessary. Questionnaires were sent to 237 hospitals located in 6 geographically wide-scattered areas and to some military hospitals as well. 90 answers were obtained with complete data necessary for this survey. There are 1,304,214 administrations of epidural blocks documented in these 90 hospitals. Of which 38.8% are lumbar, 32% lower thoracic, 23% middle thoracic, 4.6% upper thoracic and 1.6% cervical blocks. These data showed that operations from the neck down to the lower extremities were performed under epidural block without discrimination of puncture location. 98.33% of the blocks were satisfactory to meet the need of operations. Persisting paresthesia occurred in 0.013% of these cases. The incidence of accidental puncture of dura was 0.32%. About 2/3 of these dura punctured cases received 1-4 times of repuncture. No correlation was found between repuncture and development of total spinal anesthesia. Among the complications, incidence of respiratory depression was 0.54%. However, only 5% of these depressed cases needed intubation and artificial ventilation. No signs of dura puncture were noticed, but subarachnoid block did appear in 0.04 of cases. Incidence of total spinal anesthesia was 0.013%. Not all, but a little more than half (54.6%) of the total spinal cases needed intubation and artificial ventilation.(ABSTRACT TRUNCATED AT 250 WORDS)
R Xie; Y P Liu
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Chinese medical journal     Volume:  104     ISSN:  0366-6999     ISO Abbreviation:  Chin. Med. J.     Publication Date:  1991 Jun 
Date Detail:
Created Date:  1991-09-25     Completed Date:  1991-09-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7513795     Medline TA:  Chin Med J (Engl)     Country:  CHINA    
Other Details:
Languages:  eng     Pagination:  510-5     Citation Subset:  IM    
Department of Anesthesiology, First Teaching Hospital, Beijing Medical University.
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MeSH Terms
Anesthesia, Epidural / adverse effects,  mortality,  statistics & numerical data*
China / epidemiology
Paresthesia / etiology
Respiratory Insufficiency / etiology

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

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