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Caudal Anaesthesia
Caudal anaesthesia (or caudal anesthesia), is a form of neuraxial regional anaesthesia conducted by accessing the epidural space via the sacral hiatus. It is typically used in paediatrics to provide peri- and post-operative analgesia for surgeries below the umbilicus. In adults it is used for chronic low back pain management. It can be used as an alternative to general anaesthesia or as adjunct to it. Indications Caudal anaesthesia is a relatively low-risk technique commonly used, either on its own or in combination with sedation or general anaesthesia. Caudal anesthesia may be favored for sub-umbilical region surgeries in the pediatric population, such as inguinal hernia repair, circumcision, hypospadias repair, anal atresia, or to immobilise newborns with hip dysplasia. Success rate is limited when used for mid-abdominal interventions such as umbilical hernia repair. This is due to the unpredictable cephalad spread of the local anesthetics. It may also be used in p ...
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Regional Anaesthesia
Local anesthesia is any technique to induce the absence of sensation in a specific part of the body, generally for the aim of inducing local analgesia, that is, local insensitivity to pain, although other local senses may be affected as well. It allows patients to undergo surgical and dental procedures with reduced pain and distress. In many situations, such as cesarean section, it is safer and therefore superior to general anesthesia. The following terms are often used interchangeably: * ''Local anesthesia'', in a strict sense, is anesthesia of a small part of the body such as a tooth or an area of skin. * ''Regional anesthesia'' is aimed at anesthetizing a larger part of the body such as a leg or arm. * ''Conduction anesthesia'' encompasses a great variety of local and regional anesthetic techniques. Medical A local anesthetic is a drug that causes reversible local anesthesia and a loss of nociception. When it is used on specific nerve pathways (nerve block), effects such as ...
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Intravascular
The blood vessels are the components of the circulatory system that transport blood throughout the human body. These vessels transport blood cells, nutrients, and oxygen to the tissues of the body. They also take waste and carbon dioxide away from the tissues. Blood vessels are needed to sustain life, because all of the body's tissues rely on their functionality. There are five types of blood vessels: the arteries, which carry the blood away from the heart; the arterioles; the capillaries, where the exchange of water and chemicals between the blood and the tissues occurs; the venules; and the veins, which carry blood from the capillaries back towards the heart. The word ''vascular'', meaning relating to the blood vessels, is derived from the Latin ''vas'', meaning vessel. Some structures – such as cartilage, the epithelium, and the lens and cornea of the eye – do not contain blood vessels and are labeled ''avascular''. Etymology * artery: late Middle English; from Latin ' ...
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Lumbar Puncture
Lumbar puncture (LP), also known as a spinal tap, is a medical procedure in which a needle is inserted into the spinal canal, most commonly to collect cerebrospinal fluid (CSF) for diagnostic testing. The main reason for a lumbar puncture is to help diagnose diseases of the central nervous system, including the brain and spine. Examples of these conditions include meningitis and subarachnoid hemorrhage. It may also be used therapeutically in some conditions. Increased intracranial pressure (pressure in the skull) is a contraindication, due to risk of brain matter being compressed and pushed toward the spine. Sometimes, lumbar puncture cannot be performed safely (for example due to a bleeding diathesis, severe bleeding tendency). It is regarded as a safe procedure, but post-dural-puncture headache is a common side effect if a small atraumatic needle is not used. The procedure is typically performed under local anesthesia using a aseptic technique, sterile technique. A hypodermic ...
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Intrathecal Administration
Intrathecal administration is a route of administration for drugs via an injection into the spinal canal, or into the subarachnoid space so that it reaches the cerebrospinal fluid (CSF) and is useful in spinal anesthesia, chemotherapy, or pain management applications. This route is also used to introduce drugs that fight certain infections, particularly post-neurosurgical. The drug needs to be given this way to avoid being stopped by the blood–brain barrier. The same drug given orally must enter the blood stream and may not be able to pass out and into the brain. Drugs given by the intrathecal route often have to be compounded specially by a pharmacist or technician because they cannot contain any preservative or other potentially harmful inactive ingredients that are sometimes found in standard injectable drug preparations. The route of administration is sometimes simply referred to as "intrathecal"; however, the term is also an adjective that refers to something occurring in or ...
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Epidural
Epidural administration (from Ancient Greek ἐπί, , upon" + ''dura mater'') is a method of medication administration in which a medicine is injected into the epidural space around the spinal cord. The epidural route is used by physicians and nurse anesthetists to administer local anesthetic agents, analgesics, diagnostic medicines such as radiocontrast agents, and other medicines such as glucocorticoids. Epidural administration involves the placement of a catheter into the epidural space, which may remain in place for the duration of the treatment. The technique of intentional epidural administration of medication was first described in 1921 by Spanish military surgeon Fidel Pagés. In the United States, over 50% of childbirths involve the use of epidural anesthesia. Epidural anaesthesia causes a loss of sensation, including pain, by blocking the transmission of signals through nerve fibres in or near the spinal cord. For this reason, epidurals are commonly used for pain cont ...
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Combined Spinal And Epidural Anaesthesia
Combined spinal and epidural anaesthesia (CSE) is a regional anaesthetic technique, which combines the benefits of both spinal anaesthesia and epidural anaesthesia and analgesia. The spinal component gives a rapid onset of a predictable block. The indwelling epidural catheter gives the ability to provide long lasting analgesia and to titrate the dose given to the desired effect. Indications This technique also allows for better post operative pain relief. The epidural catheter may be left in place for up to 72 hours if required. In labouring women, the onset of analgesia is more rapid with CSE compared with epidural analgesia.Simmons SW, Cyna AM, Dennis AT et al. Combined spinal-epidural versus epidural analgesia in labour. pdate of Cochrane Database of Systematic Reviews 2003; 4. CD003401 Cochrane Database of Systematic Reviews 2007; 4. CD003401 CSE in labour was formerly thought to enable women to mobilise for longer compared with epidural analgesia, but this is not supporte ...
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Fidel Pagés
Fidel most commonly refers to: * Fidel Castro (1926–2016), Cuban communist revolutionary and politician * Fidel Ramos (1928–2022), Filipino politician and former president Fidel may also refer to: Other persons * Fidel (given name) Film * ''Fidel'' (2002 film), a 2002 mini-series by David Attwood about Castro * ''Fidel'' (2009 film), a 2009 Filipino indie film * '' Fidel: The Untold Story'', a 2001 a documentary about Castro Other uses * Fidel, a writing system used in Ethiopia and Eritrea, see Ge'ez script * Vielle, a musical instrument and forerunner of the fiddle * Fidel (imprint), an imprint of VDM Publishing devoted to the reproduction of Wikipedia content See also * Fidèle (other) Fidèle or Fidele may refer to: * Fidèle (album), ''Fidèle'' (album), a 1981 album by Julio Iglesias * Fidèle (dog) (2003–2016), a yellow Labrador and tourist attraction in Bruges, Belgium * Bourg-Fidèle, a commune in the Ardennes department ...
{{disambiguation ...
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Jean-Athanase Sicard
Jean-Athanase Sicard (23 June 1872 – 28 January 1929) was a French neurologist and radiologist born in Marseille. He studied medicine in Marseille and Paris, where he studied with Charles Emile Troisier (1844-1919), Édouard Brissaud (1852-1909), Henri-Alexandre Danlos (1844-1912), Fulgence Raymond (1844-1910) and Georges-Fernand-Isidore Widal (1862-1929). With Widal he performed serodiagnostic studies in immunology. In 1899 he obtained his medical doctorate, and in 1910 was appointed ''chef de service'' at the Hôpital Necker. In 1923 he became a professor of internal pathology. With Jacques Forestier (1890-1978), he introduced lipiodol (radio-opaque iodized poppyseed oil) for use in radiological investigations. Lipiodol was injected into a patients' cerebrospinal fluid for myelographic diagnosis and localization of intraspinal cysts and tumors. Sicard is also credited for introducing injections of sodium salicylate for treatment of varicose veins, as well as alcohol injec ...
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Fernand Cathelin
Fernand is a masculine given name of French origin. The feminine form is Fernande. Fernand may refer to: People Given name * Fernand Augereau (1882–1958), French cyclist * Fernand Auwera (1929–2015), Belgian writer * Fernand Baldet (1885–1964), French astronomer * Fernand Berckelaers (1901– 1999), Belgian artist * Fernand Besnier (1894–1977), French cyclist * Fernand Boden (born 1943), Luxembourg politician * Fernand Bouisson (1874–1959), French politician * Fernand Braudel (1902–1985), French historian * Fernand Brouez (1861–1900), Belgian publisher * Fernand Buyle (1918–1992), Belgian footballer * Fernand Canelle (1882–1951), French footballer * Fernand Charpin (1887–1944), French actor * Fernand Collin (1897–1990), Belgian businessman * Fernand Cormon (1845–1924), French painter * Fernand Crommelynck (1886–1970), Belgian dramatist * Fernand David (1869–1935), French Minister of Agriculture * Fernand Decanali (1925–2017), French cyclist * F ...
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Intrathecal
Intrathecal administration is a route of administration for drugs via an injection into the spinal canal, or into the subarachnoid space so that it reaches the cerebrospinal fluid (CSF) and is useful in spinal anesthesia, chemotherapy, or pain management applications. This route is also used to introduce drugs that fight certain infections, particularly post-neurosurgical. The drug needs to be given this way to avoid being stopped by the blood–brain barrier. The same drug given orally must enter the blood stream and may not be able to pass out and into the brain. Drugs given by the intrathecal route often have to be compounded specially by a pharmacist or technician because they cannot contain any preservative or other potentially harmful inactive ingredients that are sometimes found in standard injectable drug preparations. The route of administration is sometimes simply referred to as "intrathecal"; however, the term is also an adjective that refers to something occurring in or ...
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Sedation
Sedation is the reduction of irritability or agitation by administration of sedative drugs, generally to facilitate a medical procedure or diagnostic procedure. Examples of drugs which can be used for sedation include isoflurane, diethyl ether, propofol, etomidate, ketamine, pentobarbital, lorazepam and midazolam. Medical uses Sedation is typically used in minor surgical procedures such as endoscopy, vasectomy, or dentistry and for reconstructive surgery, some cosmetic surgeries, removal of wisdom teeth, or for high-anxiety patients. Sedation methods in dentistry include inhalation sedation (using nitrous oxide), oral sedation, and intravenous (IV) sedation. Inhalation sedation is also sometimes referred to as ''relative analgesia''. Sedation is also used extensively in the intensive care unit so that patients who are being ventilated tolerate having an endotracheal tube in their trachea. It can also be used during a long term brain EEG to help patient relax. Risks There are ...
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Local Anesthetic Toxicity
A local anesthetic (LA) is a medication that causes absence of pain sensation. In the context of surgery, a local anesthetic creates an absence of pain in a specific location of the body without a loss of consciousness, as opposed to a general anesthetic. When it is used on specific nerve pathways (local anesthetic nerve block), paralysis (loss of muscle power) also can be achieved. Examples Short Duration & Low Potency Procaine Chloroprocaine Medium Duration & Potency Lidocaine Prilocaine High Duration & Potency Tetracaine Bupivacaine Cinchocaine Ropivacaine Clinical LAs belong to one of two classes: aminoamide and aminoester local anesthetics. Synthetic LAs are structurally related to cocaine. They differ from cocaine mainly in that they have a very low abuse potential and do not produce hypertension or (with few exceptions) vasoconstriction. They are used in various techniques of local anesthesia such as: * Topical anesthesia (surface) * Topical administration ...
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