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Comparison on the incidence of spinal block failure by a modification in technique, using 0.5% bupivacaine with barbotage versus without barbotage in patients who underwent abdominal surgeries / Thera Janick L. Ramirez and Arnold O. Bautista.

Contributor(s): Language: english Publication details: Fairview, Quezon City: Department of Anesthesiology, FEU-NRMF, 2019.Description: tables; (in folder) with CD (soft copy)Content type:
  • text
Media type:
  • unmediated
Carrier type:
  • volume
Subject(s): LOC classification:
  • ANES 2019 0005
Summary: Abstract: A failed spinal block can be very frustrating for the anesthesiologist and patient. The incidence of high or total spinal block is highr after a repeat spinal tap, along with the additional pain, and anxiety for the patient. This study aims to find out whether a subarachnoid block without barbotage will lessen the incidence of failed block. One hundred twenty subjects for abdominal surgery under subarachnoid block were enrolled in this randomized double-blinded study. They were divided into Group A (Barbotage), and Group B (without Barbotage). The block was assessed using the Modified Bromage scale, and the pin prick test. Failure to achieve Bromage 0, and T4 level block by pin prick test was deemed as failed block. Group A had a 6% failure rate, and Group B had no failure. There was a significant difference in the incidence of spinal block failure between the group with barbotage, compared with the group without barbotage (p=0.013). The incidence of failure rate was higher in the Barbotage group. Needle tip displacement, and the arachnoid mater acting as flap valve could have caused the spread of the anesthetic into the subdural space instead of the subarachnoid space.
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Item type Current library Call number Status Notes Date due Barcode
Room Use Far Eastern University - Nicanor Reyes Medical Foundation Research ANES 2019 0005 (Browse shelf(Opens below)) Available with CD (soft copy) R000943
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ANES 2019 0002 Comparative evaluation of the effects of Ketamine and Fentanyl on recovery of cognitive function and memory in patients undergoing colonoscopy / ANES 2019 0003 A Comparative study between video presentation and verbal explanation on the reduction of level of anxiety and depression of patients who underwent elective upper gastrointestinal endoscopy / ANES 2019 0004 A Comparative study on the occurrence of postoperative nausea and vomiting between open and laparoscopic gynecological procedures / ANES 2019 0005 Comparison on the incidence of spinal block failure by a modification in technique, using 0.5% bupivacaine with barbotage versus without barbotage in patients who underwent abdominal surgeries / ANES 2019 0006 The Effects of sugammadex on emergence agitation on patients undergoing abdominal surgeries under general anesthesia / ANES 2019 0007 A Comparative study on the effects of regional versus general anesthesia on outcomes after hip arthroplasty among patients admitted at a tertiary Medical Center from 2014 to 2018 / ANES 2020 0001 When routine becomes the unexpected : a case report on an unexpected difficult intubation on an 49-year-old male patient for elective cholecystectomy /

Includes appendices and bibliographical references.

Abstract: A failed spinal block can be very frustrating for the anesthesiologist and patient. The incidence of high or total spinal block is highr after a repeat spinal tap, along with the additional pain, and anxiety for the patient. This study aims to find out whether a subarachnoid block without barbotage will lessen the incidence of failed block. One hundred twenty subjects for abdominal surgery under subarachnoid block were enrolled in this randomized double-blinded study. They were divided into Group A (Barbotage), and Group B (without Barbotage). The block was assessed using the Modified Bromage scale, and the pin prick test. Failure to achieve Bromage 0, and T4 level block by pin prick test was deemed as failed block. Group A had a 6% failure rate, and Group B had no failure. There was a significant difference in the incidence of spinal block failure between the group with barbotage, compared with the group without barbotage (p=0.013). The incidence of failure rate was higher in the Barbotage group. Needle tip displacement, and the arachnoid mater acting as flap valve could have caused the spread of the anesthetic into the subdural space instead of the subarachnoid space.

Research - Department of Anesthesiology

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