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Pro-Con Debate: Single-Shot Spinal Anesthesia in the Morbidly Obese

https://www.youtube.com/watch?v=HhbDj1tvtw0
Pro-Con Debate: Single-Shot Spinal Anesthesia in the Morbidly Obese PrimigravidaPro: Brendan Carvalho, MDCon: Robert Gaiser, MDSol Shnider ConferenceSan Fran

Anesthetic management of obese and morbidly obese parturients

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8828627/
Neuraxial blocks are the ideal anesthetic method and gold standard technique for cesarean section in obese pregnant women. There are three anesthetic techniques: spinal, epidural, and combined spinal-epidural (CSE). Single-shot spinal anesthesia is the most common type of anesthesia used for cesarean sections.

A randomized controlled comparison between combined spinal ... - PubMed

https://pubmed.ncbi.nlm.nih.gov/24356166/
Background: There is no current consensus on the optimal technique for subarachnoid anesthesia in morbidly obese parturients even though some providers prefer the combined spinal-epidural (CSE) over single-shot spinal (SSS) technique. In this randomized controlled study, we compared the time required for initiation of subarachnoid anesthesia between SSS and CSE techniques in morbidly obese

A Randomized Controlled Comparison Between Combined Spinal-E

https://journals.lww.com/anesthesia-analgesia/Fulltext/2014/01000/A_Randomized_Controlled_Comparison_Between.19.aspx
BACKGROUND: There is no current consensus on the optimal technique for subarachnoid anesthesia in morbidly obese parturients even though some providers prefer the combined spinal-epidural (CSE) over single-shot spinal (SSS) technique. In this randomized controlled study, we compared the time required for initiation of subarachnoid anesthesia between SSS and CSE techniques in morbidly obese

A Randomized Controlled Comparison Between Combined Spinal-Epidural and

https://www.researchgate.net/publication/259394433_A_Randomized_Controlled_Comparison_Between_Combined_Spinal-Epidural_and_Single-Shot_Spinal_Techniques_in_Morbidly_Obese_Parturients_Undergoing_Cesarean_Delivery
In fact, a recent study reported that fewer attempts were needed to establish spinal anesthesia in the morbidly obese parturients with a CSE technique compared with a single-shot spinal technique

Pro-Con Debate: Interdisciplinary Perspectives on... : Anesthesia

https://journals.lww.com/anesthesia-analgesia/Fulltext/2023/06000/Pro_Con_Debate__Interdisciplinary_Perspectives_on.8.aspx
In this Pro-Con commentary article, we discuss the role of industry in sponsoring research and advancing knowledge and innovation . By design, the authors of this commentary represent 2 specialties, anesthesiology and orthopedics, and this article and the accompanying editorial will be published both in Anesthesia & Analgesia and the Journal of

Haemodynamic effects of continuous spinal anaesthesia versus single

https://www.bjanaesthesia.org/article/S0007-0912(23)00728-6/fulltext
Editor—In 2016, more than 70 000 patients aged ≥60 yr suffered hip fractures in the UK.1-3 After hip fracture, 1-yr mortality is 20-40% and life expectancy is reduced by an average of 1.8 yr.3,4 Hip fractures also impair activities of daily living and quality of life: in a 2003 study 26% of patients required support services at home and 12% moved to a nursing facility 1 yr after hip

Single Shot Spinal | SpringerLink

https://link.springer.com/chapter/10.1007/978-3-030-65732-1_30
Abstract. Neuraxial blockade is a common anesthetic for labor and delivery and orthopedic surgeries. Single shot spinals are a type of neuraxial blockade involving a single administration of intrathecal local anesthetic possibly paired with adjuncts. This chapter reviews techniques for placing a single shot spinal, including positioning, dosing

Combined spinal‐epidural vs. spinal anaesthesia for caesarean section

https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.14210
Caesarean section should whenever possible be performed under neuraxial anaesthesia. Combined spinal-epidural and single-shot spinal anaesthesia are both used. Combined spinal-epidural has gained some popularity in recent years as intra-operative anaesthesia can be continued postoperatively by giving drugs through the epidural catheter 1.

The Current Practice of Spinal Anesthesia in Anesthetists at a

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8020134/
Introduction. Spinal anesthesia is a type of regional anesthesia in which a local anesthetic is injected directly into the cerebrospinal fluid that surrounds the spinal cord and nerve roots. 1, 2 It blocks pain from an entire region of the body, such as the hips, the belly, the pelvis, and the legs. 2 Spinal anesthesia is part of the modern practice of anesthesia because of its proven success

Factors Determining the Choice of Spinal Versus General Anesthesia in

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6979445/
Results. Among 592 patients enrolled, 309 received spinal anesthesia and 283 underwent general anesthesia. In both study arms, the most frequently performed surgical procedures were orthopedic and urologic (43.3% and 30.7%, respectively); 66.1% of patients were free to choose their type of anesthesia, 21.8% chose one of the techniques because they were afraid of the other, 16.8% based their

The lumbar subcutaneous fat gradient in spinal anesthesia seen for

https://www.semanticscholar.org/paper/The-lumbar-subcutaneous-fat-gradient-in-spinal-seen-Nakamura-Hisago/c854bb350992b000cc3caf1a9fd52dcad5537f5c
The pre-procedure ultrasonography is effective even in morbidly obese patients, and it is important to recognize the lumbar subcutaneous fat gradient, the so-called back fat slope, for spinal anesthesia in obese patients. It has been reported that pre-procedure ultrasonography rises the success rate of spinal anesthesia in obese patients. In this article, we performed spinal anesthesia for

Pro Con debate - rapm.bmj.com

https://rapm.bmj.com/content/rapm/48/Suppl_1/A380.2.full.pdf
#36911 SEGMENTAL THORACIC SPINAL ANESTHESIA André Van Zundert*. Department of Anaesthesia and Perioperative Medicine, Royal Brisbane and Women's Hospital and The University of Queensland, Herston-Brisbane, Australia 10.1136/rapm-2023-ESRA.686 F20 - Segmental Thoracic Spinal Anesthesia Professor Dr. André van Zundert, Royal Brisbane and Wom-

Pro-Con Debate | Peer-review: Is it an Unnecessary, Dispensable Process

https://www.asra.com/news-publications/asra-newsletter/newsletter-item/asra-news/2024/02/08/pro-con-debate-peer-review-is-it-an-unnecessary-dispensable-process-with-alternative-options-or-fortifying-scientific-rigor
Pro Fortifying Scientific Rigor: The Crucial Role of Peer Review in Advancing Knowledge. by Ashlyn V. Brown, MD, MBA, MS. Peer review in scientific journals constitutes a pivotal cornerstone in the realm of academic research, playing a crucial role in the advancement and validation of scientific knowledge.

Spinal anaesthesia in obstetrics - ScienceDirect

https://www.sciencedirect.com/science/article/pii/S1521689623000186
Single-shot spinal (SSS) anaesthesia is a simple, cheap, and reliable technique used by many anaesthetists as their first option to provide effective anaesthesia during operative delivery of the neonate, especially during planned CS. In the present state-of-the-art review, we will discuss the technique and side effects of SSS during obstetric

Combining Spinal-Epidural Anesthesia versus Single-Shot Spinal

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6484872/
Ross VH, Dean LS, Thomas JA, et al. A randomized controlled comparison between combined spinal-epidural and single-shot spinal techniques in morbidly obese parturients undergoing cesarean delivery: Time for initiation of anesthesia. Anesth Analg. 2014; 118:168-72. [Google Scholar]

Optimal intrathecal hyperbaric bupivacaine dose with opioids for

https://www.obstetanesthesia.com/article/S0959-289X(16)30182-0/fulltext
Spinal anesthesia is commonly used for cesarean delivery. For single-shot techniques, important considerations include the risks of inadequate anesthesia and adverse events such as hypotension. The incidence and severity of hypotension is influenced by the dose of intrathecal local anesthetic administered.1-3 Several studies have examined the use of low-dose intrathecal bupivacaine.4-7

Pro-Con Debate: Should All General Anesthesia Be Done Using

https://journals.lww.com/anesthesia-analgesia/fulltext/2023/09000/pro_con_debate__should_all_general_anesthesia_be.14.aspx
Abstract. In this Pro-Con commentary article, we discuss whether all general anesthesia should be done using target-controlled propofol anesthesia guided by monitoring of depth of anesthesia. This is an ongoing debate since more than 25 years, representing a scientific, cultural as well as geographical divide in the anesthesia community.

Continuous spinal anesthesia/analgesia vs. single‐shot spinal

https://onlinelibrary.wiley.com/doi/full/10.1034/j.1399-6576.2003.00173.x
In this study we compared continuous spinal anesthesia (CSA) and postoperative analgesia vs. single-shot spinal anesthesia (SPA) and postoperative patient-controlled intravenous analgesia with morphine (SPA). Methods: In a prospective randomized study, 68 patients, ASA I-III, between 50 and 85 years of age were allocated to these two groups

Continuous Spinal Anesthesia for Obstetric Anesthesia and Analgesia - PMC

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5559441/
Keywords: obstetric anesthesia, labor analgesia, intrathecal catheters, neuraxial blockade, post-dural puncture headache, spinal catheters. Continuous spinal anesthesia (CSA) is an anesthetic technique that offers several clinical advantages for anesthesia and analgesia in obstetric patients. The level of sensory blockade can be titrated to the

Pro-Con Debate: Electroencephalography-Guided Anesthesia

https://journals.lww.com/anesthesia-analgesia/fulltext/2023/11000/pro_con_debate__electroencephalography_guided.13.aspx
This Pro-Con debate will provide 2 perspectives on the evidence and rationales for using EEG to mitigate POD. See Article, page 973. In this Pro-Con commentary article, the authors have been asked to support or refute a position regarding the use of processed electroencephalography (pEEG) during anesthesia to reduce postoperative delirium (POD).

[PDF] Pro-Con Debate: Monitored Anesthesia Care Versus General

https://www.semanticscholar.org/paper/Pro-Con-Debate%3A-Monitored-Anesthesia-Care-Versus-Janik-Stamper/28d1d9efd94271916d969443afb7f75a5a0ef8b5
In this Pro-Con commentary article, the authors have been asked to refute or support a position regarding anesthesia for endoscopic retrograde cholangiopancreatography (ERCP) versus those who rely on general endotracheal anesthesia (GEA). In this Pro-Con commentary article, the authors have been asked to refute or support a position regarding anesthesia for endoscopic retrograde

Efficacy of ShotBlocker device versus vapocoolant spray for spinal

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10993942/
Methods: We enroled 144 primigravida women undergoing elective LSCS and were randomised to Group SB (the ShotBlocker device was firmly pressed over the skin, and the spinal needle was inserted through its slit), Group V (the vapocoolant spray was applied at the puncture site before spinal needle insertion), and Group C (received local infiltration before spinal anaesthesia (SA)).