| 000 | 02511nam a22003617a 4500 | ||
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_c12023 _d12023 |
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| 001 | ANES 2019 0005 | ||
| 003 | PILC | ||
| 005 | 20240720153217.0 | ||
| 008 | 211027b xxu||||| |||| 00| 0 eng d | ||
| 040 |
_beng _cFEU-NRMF MEDICAL LIBRARY _erda |
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| 041 | _aenglish | ||
| 050 | _aANES 2019 0005 | ||
| 245 |
_aComparison 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 / _cThera Janick L. Ramirez and Arnold O. Bautista. |
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| 260 |
_aFairview, Quezon City: _bDepartment of Anesthesiology, FEU-NRMF, _c2019. |
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| 300 |
_btables; _c(in folder) _ewith CD (soft copy). |
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| 336 |
_2rdacontent _atext |
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| 337 |
_2rdamedia _aunmediated |
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| 338 |
_2rdacarrier _avolume |
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| 504 | _aIncludes appendices and bibliographical references. | ||
| 520 | _aAbstract: 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. | ||
| 521 | _aRESDA | ||
| 650 | _aregional anesthesia | ||
| 650 | _aspinal anesthesia | ||
| 650 | _abarbotage | ||
| 650 | _aspinal block failure | ||
| 650 | _aflap valve | ||
| 650 | _aneedle displacement | ||
| 650 | _asubdura | ||
| 650 | _aepidura | ||
| 700 |
_aRamirez, Thera Janick L., MD. _eprincipal investigator |
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| 700 |
_aBautista, Arnold O., MD. _esupervising consultant |
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| 942 |
_2lcc _cRU |
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