[PDF] 3 Conscious Sedation Combined With Local Anaesthesia For Vaginal Hysterectomy A Pilot Study - eBooks Review

3 Conscious Sedation Combined With Local Anaesthesia For Vaginal Hysterectomy A Pilot Study


3 Conscious Sedation Combined With Local Anaesthesia For Vaginal Hysterectomy A Pilot Study
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3 Conscious Sedation Combined With Local Anaesthesia For Vaginal Hysterectomy A Pilot Study


3 Conscious Sedation Combined With Local Anaesthesia For Vaginal Hysterectomy A Pilot Study
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Author : Gregoriadis Themistoklis
language : en
Publisher:
Release Date : 2017

3 Conscious Sedation Combined With Local Anaesthesia For Vaginal Hysterectomy A Pilot Study written by Gregoriadis Themistoklis and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017 with categories.


Background and Aims: Several studies have suggested numerous advantages of local anaesthesia over both regional and general anaesthesia techniques. The aim of this study was to evaluate and describe the safety and feasibility of performing vaginal prolapse surgery under local anaesthesia and conscious sedation using dexmetomidine.Methods: We studied 19 patients ASA II-III, aged 55- 80 years old undergoing surgical repair for vaginal prolapse under conscious sedation and local infiltration with pudendal nerve block. All patients were premedicated with midazolam 0.02 mg/kg and a bolus dose of 1u03bcg/kg dexmedetomidine for 10 minutes followed by an infusion of 0.7- 1 u03bcg/kg/h. The anaesthetic solution consisted of 20 ml lidocaine 2% and 40 ml ropivacaine 0.5% in 1:200000 adrenaline. Hemodynamic variables, pain (Visual Analogue Scale 0-10) and sedation (Ramsay Scale) were recorded during surgery. Postoperative pain, analgesia requirements, nausea, vomiting, sedation (10-cm VAS) and patient satisfaction were also assessed.Results One patient was converted to general anaesthesia. Pain intensity at rest and the level of sedation at 2, 8, 12 and 24 hours postoperatively were 0, 0.3u00b10.8, 0.8u00b11.9, 0.5u00b11.1 and 4.3u00b11.3, 2.8u00b11.8, 2u00b11.2, 1.2u00b10.7 respectively. All patients were fully mobilised within 3 hours and very satisfied with the type of anaesthesia. No adverse events such as bradycardia or hypotension were noted.Conclusions: Surgical correction of vaginal prolapse can be performed safely and effectively using local anaesthesia and pudendal nerve block under conscious sedation with dexmedetomidine as it seems to provide efficient hemodynamic stability, high Ramsey scores and high satisfaction scores in these patients.



Cumulated Index Medicus


Cumulated Index Medicus
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Author :
language : en
Publisher:
Release Date : 1992

Cumulated Index Medicus written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1992 with Medicine categories.




Acute Pain Management


Acute Pain Management
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Author : Raymond S. Sinatra
language : en
Publisher: Cambridge University Press
Release Date : 2009-04-27

Acute Pain Management written by Raymond S. Sinatra and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2009-04-27 with Medical categories.


This textbook provides an overview of pain management useful to specialists as well as non-specialists, surgeons, and nursing staff.



Acute Pain Management


Acute Pain Management
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Author : Pamela E. Macintyre
language : en
Publisher:
Release Date : 2010-01-01

Acute Pain Management written by Pamela E. Macintyre and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010-01-01 with Analgesia categories.




Safe Abortion


Safe Abortion
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Author : World Health Organization
language : en
Publisher: World Health Organization
Release Date : 2003-05-13

Safe Abortion written by World Health Organization and has been published by World Health Organization this book supported file pdf, txt, epub, kindle and other format this book has been release on 2003-05-13 with Medical categories.


At a UN General Assembly Special Session in 1999, governments recognised unsafe abortion as a major public health concern, and pledged their commitment to reduce the need for abortion through expanded and improved family planning services, as well as ensure abortion services should be safe and accessible. This technical and policy guidance provides a comprehensive overview of the many actions that can be taken in health systems to ensure that women have access to good quality abortion services as allowed by law.



Researches Chemical And Philosophical


Researches Chemical And Philosophical
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Author : Sir Humphry Davy
language : es
Publisher:
Release Date : 1800

Researches Chemical And Philosophical written by Sir Humphry Davy and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1800 with Anesthesiology categories.


"Davy discovered the anaesthetic properties of nitrous oxide and suggested its use during surgical operations ..."--Garrison-Morton.



Fundamentals Of Anaesthesia


Fundamentals Of Anaesthesia
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Author : Colin Pinnock
language : en
Publisher: Cambridge University Press
Release Date : 2002-12

Fundamentals Of Anaesthesia written by Colin Pinnock and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2002-12 with Medical categories.


The second edition of Fundamentals of Anaesthesia builds upon the success of the first edition, and encapsulates the modern practice of anaesthesia in a single volume. Written and edited by a team of expert contributors, it provides a comprehensive but easily readable account of all of the information required by the FRCA Primary examination candidate and has been expanded to include more detail on all topics and to include new topics now covered in the examination. As with the previous edition, presentation of information is clear and concise, with the use of lists, tables, summary boxes and line illustrations where necessary to highlight important information and aid the understanding of complex topics. Great care has been taken to ensure an unrivalled consistency of style and presentation throughout.



Clinical Gynecology


Clinical Gynecology
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Author : Eric J. Bieber
language : en
Publisher: Cambridge University Press
Release Date : 2015-04-23

Clinical Gynecology written by Eric J. Bieber and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-04-23 with Medical categories.


Written with the busy practice in mind, this book delivers clinically focused, evidence-based gynecology guidance in a quick-reference format. It explores etiology, screening, tests, diagnosis, and treatment for a full range of gynecologic health issues. The coverage includes the full range of gynecologic malignancies, reproductive endocrinology and infertility, infectious diseases, urogynecologic problems, gynecologic concerns in children and adolescents, and surgical interventions including minimally invasive surgical procedures. Information is easy to find and absorb owing to the extensive use of full-color diagrams, algorithms, and illustrations. The new edition has been expanded to include aspects of gynecology important in international and resource-poor settings.



Maternal Critical Care


Maternal Critical Care
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Author : Marc van de Velde
language : en
Publisher: Cambridge University Press
Release Date : 2013-07-04

Maternal Critical Care written by Marc van de Velde and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-07-04 with Health & Fitness categories.


Addresses the challenges of managing critically ill obstetric patients, with chapters authored by intensivists/anesthesiologists and obstetricians/maternal-fetal medicine specialists.



The Journal Of Obstetrics And Gynaecology Of The British Commonwealth


The Journal Of Obstetrics And Gynaecology Of The British Commonwealth
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Author :
language : en
Publisher:
Release Date : 1914

The Journal Of Obstetrics And Gynaecology Of The British Commonwealth written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1914 with Gynecology categories.