Matches in SemOpenAlex for { <https://semopenalex.org/work/W1984288889> ?p ?o ?g. }
Showing items 1 to 62 of
62
with 100 items per page.
- W1984288889 endingPage "2S" @default.
- W1984288889 startingPage "2S" @default.
- W1984288889 abstract "S2 Recent reports of Transient Radicular Irritation (TRI) after lidocaine spinal anesthesia have raised concerns about potential neurotoxicity [1]. These concerns prompted a reinvestigation of procaine for spinal anesthesia. METHODS: With approval of the IRB and written consent, 106 consecutive patients scheduled for spinal anesthesia for procedures expected to last <or=to 90 minutes received procaine spinal anesthesia. Plain procaine was used for surgeries expected to last <or=to 45 minutes. In order to prolong surgical anesthesia without unduly prolonging time to discharge from the PACU, we studied the effect of adding fentanyl for surgeries anticipated to last 45 to 90 minutes. In either case, procaine was diluted to 5% concentration before injection. Intraoperatively the adequacy of duration, level and intensity of anesthesia were observed. In the PACU, the duration of motor block was measured. Three days postoperatively, patients were questioned intensively in an effort to determine whether back pain and/or symptoms consistent with TRI had occurred. RESULTS: Duration of anesthesia was adequate in all but one instance. The intensity and the sensory level of anesthesia were satisfactory with one exception, a woman who had an unexpectedly low sensory level (L1) after 60 mg of procaine for cerclage, and who was also was the only patient to develop TRI. The incidence of TRI (0.9%) was markedly less than that reported after lidocaine and similar to the incidence observed after bupivacaine [2,3]. Mild back pain without radiation occurred in 11 patients (10%), an incidence which is similar to that seen after bupivacaine and lidocaine. As compared to procaine alone, the addition of fentanyl significantly (P<.0001) prolonged the time to bending knees from 72 minutes to 97 minutes. CONCLUSIONS: 1) Procaine, with the addition of fentanyl when necessary, is a useful alternative to lidocaine as a spinal anesthetic for surgical procedures lasting less than 90 minutes and is less likely to produce severe radiating back pain (transient radicular irritation). 2) Fentanyl prolongs motor block when added to procaine." @default.
- W1984288889 created "2016-06-24" @default.
- W1984288889 creator A5000260945 @default.
- W1984288889 creator A5019122430 @default.
- W1984288889 creator A5048554793 @default.
- W1984288889 creator A5059009944 @default.
- W1984288889 date "1998-02-01" @default.
- W1984288889 modified "2023-10-14" @default.
- W1984288889 title "PROCAINE SPINAL ANESTHESIA" @default.
- W1984288889 doi "https://doi.org/10.1097/00000539-199802001-00002" @default.
- W1984288889 hasPublicationYear "1998" @default.
- W1984288889 type Work @default.
- W1984288889 sameAs 1984288889 @default.
- W1984288889 citedByCount "1" @default.
- W1984288889 crossrefType "journal-article" @default.
- W1984288889 hasAuthorship W1984288889A5000260945 @default.
- W1984288889 hasAuthorship W1984288889A5019122430 @default.
- W1984288889 hasAuthorship W1984288889A5048554793 @default.
- W1984288889 hasAuthorship W1984288889A5059009944 @default.
- W1984288889 hasConcept C141071460 @default.
- W1984288889 hasConcept C2777395641 @default.
- W1984288889 hasConcept C2778994108 @default.
- W1984288889 hasConcept C2779828710 @default.
- W1984288889 hasConcept C2780149897 @default.
- W1984288889 hasConcept C2781072394 @default.
- W1984288889 hasConcept C2781328992 @default.
- W1984288889 hasConcept C2909950241 @default.
- W1984288889 hasConcept C2992886682 @default.
- W1984288889 hasConcept C42219234 @default.
- W1984288889 hasConcept C71924100 @default.
- W1984288889 hasConceptScore W1984288889C141071460 @default.
- W1984288889 hasConceptScore W1984288889C2777395641 @default.
- W1984288889 hasConceptScore W1984288889C2778994108 @default.
- W1984288889 hasConceptScore W1984288889C2779828710 @default.
- W1984288889 hasConceptScore W1984288889C2780149897 @default.
- W1984288889 hasConceptScore W1984288889C2781072394 @default.
- W1984288889 hasConceptScore W1984288889C2781328992 @default.
- W1984288889 hasConceptScore W1984288889C2909950241 @default.
- W1984288889 hasConceptScore W1984288889C2992886682 @default.
- W1984288889 hasConceptScore W1984288889C42219234 @default.
- W1984288889 hasConceptScore W1984288889C71924100 @default.
- W1984288889 hasIssue "2S" @default.
- W1984288889 hasLocation W19842888891 @default.
- W1984288889 hasOpenAccess W1984288889 @default.
- W1984288889 hasPrimaryLocation W19842888891 @default.
- W1984288889 hasRelatedWork W2046580330 @default.
- W1984288889 hasRelatedWork W2047286580 @default.
- W1984288889 hasRelatedWork W2055511613 @default.
- W1984288889 hasRelatedWork W2076177013 @default.
- W1984288889 hasRelatedWork W2122705482 @default.
- W1984288889 hasRelatedWork W2136594448 @default.
- W1984288889 hasRelatedWork W2139901276 @default.
- W1984288889 hasRelatedWork W2332117898 @default.
- W1984288889 hasRelatedWork W2513044465 @default.
- W1984288889 hasRelatedWork W4206822354 @default.
- W1984288889 hasVolume "86" @default.
- W1984288889 isParatext "false" @default.
- W1984288889 isRetracted "false" @default.
- W1984288889 magId "1984288889" @default.
- W1984288889 workType "article" @default.