Norepinephrine and ephedrine do not counteract the increase in cutaneous microcirculation induced by spinal anaesthesia  J.-P.H. Lecoq, J.-F. Brichant,

Slides:



Advertisements
Similar presentations
Human factors in anaesthesia: lessons from aviation
Advertisements

Supplemental oxygen does not reduce postoperative nausea and vomiting after thyroidectomy†   J.L. Joris, N.J. Poth, A.M. Djamadar, D.I. Sessler, E.E.
Why is the surgical high-risk patient still at risk?
Intravenous lidocaine infusion reduces bispectral index-guided requirements of propofol only during surgical stimulation†   G.A. Hans, S.M. Lauwick, A.
Propofol and fentanyl induced perioperative anaphylaxis
J Bordes, P.E. Gaillard, G Lacroix, B Palmier 
Supplemental oxygen and surgical site infection: getting to the truth
Type of anaesthesia and patient quality of recovery: a randomized trial comparing propofol–remifentanil total i.v. anaesthesia with desflurane anaesthesia 
K.-Y. Ho, W Tay, M.-C. Yeo, H Liu, S.-J. Yeo, S.-L. Chia, N.-N. Lo 
Electrocardiographic changes during continuous intravenous application of bupivacaine in neonatal pigs  J Mauch, A.P.N. Kutter, C Madjdpour, N Spielmann,
A.F. Kopman, C.A. Lien, M Naguib  British Journal of Anaesthesia 
Triaging the right patient to the right place in the shortest time
A different use of visual analytic techniques in anaesthetics
A. Abdel Nazeer, S. Saito, S. Sayed, L. Hassan, F. Askar, W
M. Boutonnet, V. Faitot, A. Katz, L. Salomon, H. Keita 
J.-Y. Hwang, H.-S. Na, Y.-T. Jeon, Y.-J. Ro, C.-S. Kim, S.-H. Do 
Changes in cerebrospinal fluid magnesium levels in patients undergoing spinal anaesthesia for hip arthroplasty: does intravenous infusion of magnesium.
Role of the anaesthetist during cataract surgery under local anaesthesia in the UK: a national survey  K. Chandradeva, V. Nangalia, C.E. Hugkulstone 
Spinal anaesthesia: comparison of plain ropivacaine 5 mg ml−1 with bupivacaine 5 mg ml−1 for major orthopaedic surgery  D.A. McNamee, A.M. McClelland,
Preoperative levosimendan infusion in combined aortic valve and coronary bypass surgery  H Leppikangas, K Järvelä, T Sisto, P Maaranen, M Virtanen, P.
Complications of peripheral nerve blocks
Efficacy of intravenous magnesium in neuropathic pain
J.B. Whiteside, D Burke, J.A.W. Wildsmith 
D.H.J. Davis, M. Oliver, A.J. Byrne  British Journal of Anaesthesia 
Continuous spinal anaesthesia and non-invasive ventilation for total knee replacement in a patient on home ventilation  J. Dawson, M. Jones, N. Hirschauer,
J. Kreutziger, B. Frankenberger, T.J. Luger, S. Richard, S. Zbinden 
Do team processes really have an effect on clinical performance
K.J. Chin  British Journal of Anaesthesia 
A. Abdelnasser, B. Abdelhamid, A. Elsonbaty, A. Hasanin, A. Rady 
J. Lillesø, N.A. Hammer, J.L. Pedersen, H. Kehlet 
Anaesthetists’ non-technical skills
Ultrasound-assisted spinal anaesthesia in a patient with Wildervanck syndrome and congenital abnormalities of the lumbar spine  T. Schisler, H. Huttunen,
Isotonic crystalloid solutions: a structured review of the literature
Successful intubation using retrograde trans-tracheal illumination after laryngoscope light source failure  J Hudson, M Vu, E Vu  British Journal of Anaesthesia 
Bispectral index is related to the spread of spinal sensory block in patients with combined spinal and general anaesthesia  R Iida, K Iwasaki, J Kato,
Is postspinal hypotension a sign of impaired cardiac performance in the elderly? An observational mechanistic study  J. Jakobsson, S.H. Kalman, M. Lindeberg-Lindvet,
Physiological effects of hyperchloraemia and acidosis
Analgesia and functional outcome after total knee arthroplasty: periarticular infiltration vs continuous femoral nerve block  F Carli, A Clemente, J.F.
Anaesthesia for awake craniotomy—evolution of a technique that facilitates awake neurological testing  A. Sarang, J. Dinsmore  British Journal of Anaesthesia 
Effects of sodium nitroprusside on splanchnic microcirculation in a resuscitated porcine model of septic shock  A. Assadi, O. Desebbe, C. Kaminski, T.
Lung recruitment and positive airway pressure before extubation does not improve oxygenation in the post-anaesthesia care unit: a randomized clinical.
Effect of phenylephrine and ephedrine bolus treatment on cerebral oxygenation in anaesthetized patients  L. Meng, M. Cannesson, B.S. Alexander, Z. Yu,
Takotsubo cardiomyopathy and anaesthesia
T.J. Rowley, A McKinstry, E Greenidge, W Smith, P Flood 
M Carron, S Veronese, C Ori  British Journal of Anaesthesia 
Optimizing cerebral oxygenation in anaesthetized patients with carotid artery stenosis: the influence of inspired oxygen fraction  P. Picton, S.K. Ramachandran,
Differential impacts of modes of anaesthesia on the risk of stroke among preeclamptic women who undergo Caesarean delivery: a population-based study 
The effect of ephedrine on intubating conditions and haemodynamics during rapid tracheal intubation using propofol and rocuronium  M.D. Gopalakrishna,
L Witt, W. A. Osthaus, T Lücke, B Jüttner, N Teich, S Jänisch, A. S
Self-citation in anaesthesia and critical care journals: introducing a flat tax  G Landoni, M Pieri, D Nicolotti, S Silvetti, P Landoni, P Silvani, M John,
The preoperative administration of ketoprofen improves analgesia after laparoscopic cholecystectomy in comparison with propacetamol or postoperative ketoprofen 
G.B. Drummond, B. Lafferty  British Journal of Anaesthesia 
Teamwork, communication, and anaesthetic assistance in Scotland
Influence of ambient light on cerebral oximeters
A. J. Byrne, M Oliver, O Bodger, W. A
Assessment of pulse transit time to indicate cardiovascular changes during obstetric spinal anaesthesia†  G Sharwood-Smith, J Bruce, G Drummond  British.
Spinal anaesthesia for ambulatory arthroscopic surgery of the knee: a comparison of low-dose prilocaine and fentanyl with bupivacaine and fentanyl  A.S.
ICU fire evacuation preparedness in London: a cross-sectional study
Comparison of ropivacaine 0. 5% (in glucose 5%) with bupivacaine 0
Influence of preoperative cognitive status on propofol requirement to maintain hypnosis in the elderly  F.-Z. Laalou, M Egard, M Guillot, E Noll, G Taglang,
M Senard, E. P. Deflandre, D Ledoux, L Roediger, B. M
A huffing manoeuvre, immediately before induction of anaesthesia, prevents fentanyl- induced coughing: a prospective, randomized, and controlled study 
Flow cytometric investigation of sugammadex-induced anaphylaxis
I.V. ropivacaine compared with lidocaine for the treatment of tinnitus
Effect of neuraxial anaesthesia on tumour progression in cervical cancer patients treated with brachytherapy: a retrospective cohort study  H Ismail,
Additional femoral catheter in combination with popliteal catheter for analgesia after major ankle surgery  S Blumenthal, A Borgeat, C Neudörfer, R Bertolini,
Influence of shoulder position on central venous catheter tip location during infraclavicular subclavian approach  M Kang, H.-G. Ryu, I.-S. Son, J.-H.
Effect of body mass index on the ED50 volume of bupivacaine 0
Effect of preoperative multimedia information on perioperative anxiety in patients undergoing procedures under regional anaesthesia  H.A. Jlala, J.L.
Evaluation of pre-emptive intramuscular phenylephrine and ephedrine for reduction of spinal anaesthesia-induced hypotension during Caesarean section 
Presentation transcript:

Norepinephrine and ephedrine do not counteract the increase in cutaneous microcirculation induced by spinal anaesthesia  J.-P.H. Lecoq, J.-F. Brichant, M.L. Lamy, J.L. Joris  British Journal of Anaesthesia  Volume 105, Issue 2, Pages 214-219 (August 2010) DOI: 10.1093/bja/aeq145 Copyright © 2010 The Author(s) Terms and Conditions

Fig 1 Changes in relative PU values in Group NOR after stabilization of spinal anaesthesia (Spinal) and during norepinephrine infusion (NOR) when compared with baseline. Each line is one patient. The bold blue line corresponds to the median value. (a) At the foot level; (b) at the sternum level. Spinal anaesthesia was associated with a significant increase in relative PU values at the foot level (P<0.001) and a significant decrease in relative PU values at the sternum level (P<0.05). Norepinephrine infusion resulted in a significant increase in relative PU values at the foot level when compared with the sternum level (P=0.02). British Journal of Anaesthesia 2010 105, 214-219DOI: (10.1093/bja/aeq145) Copyright © 2010 The Author(s) Terms and Conditions

Fig 2 Changes in relative PU values in Group EPH after stabilization of spinal anaesthesia (Spinal) and after ephedrine administration (EPH) when compared with baseline. Each line is one patient. The bold blue line corresponds to the median value. (a) At the foot level; (b) at the sternum level. Spinal anaesthesia resulted in a significant increase in relative PU values at the foot level (P<0.001) and a decrease in relative PU value at the sternum level (P<0.01). Changes in relative PU values induced by EPH injection are significantly different at the foot level when compared with the sternum level (P=0.0035). British Journal of Anaesthesia 2010 105, 214-219DOI: (10.1093/bja/aeq145) Copyright © 2010 The Author(s) Terms and Conditions