subject:(Epidural Analgesia)

1. Douglas dos Santos e Castro. Comparison between the analgesic effect of the epidural morphine and tramadol in cats (Felis catus domesticus).

Degree: 2008, Universidade Federal Rural do Rio de Janeiro

URL: http://bdtd.ufrrj.br//tde_busca/arquivo.php?codArquivo=545

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O objetivo do presente estudo foi comparar a eficácia e duração analgésica do tramadol às da morfina, administrados por via epidural em gatos (Felis catus… (more)

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O objetivo do presente estudo foi comparar a eficácia e duração analgésica do tramadol às da morfina, administrados por via epidural em gatos (Felis catus domesticus). Para tanto, utilizaram-se seis fêmeas da espécie felina, sem raça definida, com peso entre três a quatro quilos e idade variando de um a três anos. Após o jejum alimentar, de 12 horas e hídrico, de quatro horas, os animais foram submetidos à anestesia geral com isoflurano por meio de uma câmara anestésica, com a finalidade de realizar a técnica epidural, evitando o estresse. Cada animal recebeu de forma aleatória, em um estudo cego, três tratamentos por via epidural com intervalos de uma semana entre estes, com: solução salina a 0,9% num volume equivalente a 0,22ml.kg-1 (Grupo Controle), tramadol 1mg.kg-1 diluído em solução salina e volume equivalente a 0,22ml.kg-1 (Grupo Tramadol) e morfina 0,1mg.kg-1 diluído em solução salina e volume equivalente a 0,22ml.kg-1 (Grupo Morfina). Uma hora após a administração de cada fármaco e o completo retorno da anestesia geral, os animais foram submetidos a estímulos dolorosos em três locais pré-definidos: base da cauda, face lateral da coxa direita e esquerda, dando continuidade, 2, 3, 4, 6, 8, 10 e 12 horas respectivamente. A dor foi qualificada pela implementação de duas Escalas Simples Descritivas (SDS), uma Escala Analógica Visual (VAS), mensuração da freqüência cardíaca e respiratória. Para as variáveis qualitativas utilizou-se o delineamento em Quadrado Latino 3 x 3 com o teste de Kruskal-Wallis e para as quantitativas a Análise de Variâncias (ANOVA). Não houve diferença em relação ao tempo de anestesia e freqüência respiratória, entretanto, houve diferença estatística significante (p<0,05) na freqüência cardíaca nas horas dois e quatro entre os animais do grupo controle e do tramadol. Em todas as escalas utilizadas houve diferença significante (p<0,05) nas horas 8, 10 e 12, sendo que a morfina apresentou qualidade analgésica superior ao do tramadol nesses momentos. Com base nos resultados obtidos, pode-se concluir que o tramadol administrado por via epidural resultou analgesia satisfatória, isenta de efeitos adversos, porém inferior à analgesia da morfina, administrada pela mesma via.

The purpose of this study was to compare the effectiveness and duration of the analgesic tramadol to the morphine, administered by the epidural route in cats (Felis catus domesticus) For this, six females cats were used, without defined breed, weighing between three and four kilograms and age ranging from one to three years. After fasting food, in 12 hours and water, four hours, the animals were subjected to general anesthesia with isoflurane through an anesthetic box, in order to allow the completion of the epidural technique. Each animal received at random, in a blind study, three epidural route treatments at intervals of one week between them, with: saline solution to 0.9% in a volume equivalent to 0.22ml.kg-1 (Control Group), tramadol 1 mg.kg-1 diluted in saline solution and volume equivalent to 0.22 ml.kg-1 (Tramadol…

Advisors/Committee Members: Marta Fernanda Albuquerque da Silva, Paulo Oldemar Scherer.

Subjects/Keywords: tramadol; morfina; gatos; analgesia epidural; MEDICINA VETERINARIA; morphine; cats; epidural analgesia

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Castro, D. d. S. e. (2008). Comparison between the analgesic effect of the epidural morphine and tramadol in cats (Felis catus domesticus). (Thesis). Universidade Federal Rural do Rio de Janeiro. Retrieved from http://bdtd.ufrrj.br//tde_busca/arquivo.php?codArquivo=545

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Castro, Douglas dos Santos e. “Comparison between the analgesic effect of the epidural morphine and tramadol in cats (Felis catus domesticus).” 2008. Thesis, Universidade Federal Rural do Rio de Janeiro. Accessed February 27, 2021. http://bdtd.ufrrj.br//tde_busca/arquivo.php?codArquivo=545.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Castro, Douglas dos Santos e. “Comparison between the analgesic effect of the epidural morphine and tramadol in cats (Felis catus domesticus).” 2008. Web. 27 Feb 2021.

Vancouver:

Castro DdSe. Comparison between the analgesic effect of the epidural morphine and tramadol in cats (Felis catus domesticus). [Internet] [Thesis]. Universidade Federal Rural do Rio de Janeiro; 2008. [cited 2021 Feb 27]. Available from: http://bdtd.ufrrj.br//tde_busca/arquivo.php?codArquivo=545.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Castro DdSe. Comparison between the analgesic effect of the epidural morphine and tramadol in cats (Felis catus domesticus). [Thesis]. Universidade Federal Rural do Rio de Janeiro; 2008. Available from: http://bdtd.ufrrj.br//tde_busca/arquivo.php?codArquivo=545

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

2. Mendes, Catarina Cardoso Ferreira. Estudo das potenciais vantagens da analgesia epidural em cirurgia ortopédica.

Degree: 2014, RCAAP

URL: http://www.rcaap.pt/detail.jsp?id=oai:http://repositorio.utad.pt/:10348/3345

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Dissertação de Mestrado Integrado em Medicina Veterinária, Ciências Veterinárias

A preocupação crescente com o bem-estar levou a um crescente interesse pelas técnicas de analgesia bem… (more)

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Dissertação de Mestrado Integrado em Medicina Veterinária, Ciências Veterinárias

A preocupação crescente com o bem-estar levou a um crescente interesse pelas técnicas de analgesia bem como à realização de estudos de modo a desenvolver novos protocolos anestésicos balanceados. Em particular, as técnicas de analgesia epidural têm sido cada vez mais implementadas em ambientes hospitalares pelo seu descrito benefício em termos de analgesia e estabilidade nos períodos intra e pós-cirúrgica. De modo a avaliar a influência da técnica anestésica, no grau de analgesia intra e pós-operatória, bem como nas implicações no tempo de recuperação e analgesia, foi desenvolvido um estudo com caracter prospetivo, realizado de forma cega e aleatória em ambiente hospitalar em que foram estudados 6 cães com necessidade de realização de cirurgia ortopédica no membro posterior, submetidos a anestesia geral com e sem combinação de epidural. Os animais incluídos no estudo tiveram uma média de idades de 3 anos, variando entre 1 e 6 anos, com peso médio 28 (+/-19) kg. Os cães foram divididos aleatoriamente em dois grupos - sem epidural (SE) e com epidural (CE). Todos os animais receberam anestesia e analgesia sistémica, tendo como pré-medicação com morfina e robenacoxib, pré-indução com diazepam, e indução com propofol. Nos animais do grupo SE, foi apenas administrado este protocolo. Nos animais do grupo CE foi também administrada por via epidural uma solução de morfina e bupivacaina. Em ambos os grupos o controlo analgésico pós-cirúrgico foi feito com morfina. Neste estudo foram avaliados pré-cirurgicamente a frequência respiratória (FR), a frequência cardíaca (FC), as pressões arteriais não invasivas (PANI), o nível de dor através da escala modificada de Glasgow e efetuadas colheitas de sangue para doseamento do cortisol sérico. No período intra-cirúrgico foram avaliadas a FR, FC, PANI e a fração inspirada de isoflurano (Fi iso %) e a fração expirada de dióxido de carbono (ET CO2). No pós-cirúrgico cada animal foi monitorizado imediatamente após a extubação e 1, 4, 8, 12 e 24 horas após a referida extubação. Nestes momentos foram registadas a FR, FC, PANI e avaliada a dor através da escala modificada de Glasgow. Às 4 horas, pós-extubação, foi colhido sangue para doseamento do cortisol sérico. Durante o período de observação no pós-operatório foi ainda recolhida informação acerca do tempo decorrido deste a extubação até ao primeiro apoio do membro e à primeira micção voluntária. Neste trabalho a pequena amostra estudada levou à obtenção de resultados sem significado estatístico, em todos os parâmetros estudados. Contudo, ficou reconhecida a vantagem no uso das escalas de dor, uma vez que permitiu um melhor controlo e seguimento da recuperação dos animais e da sua analgesia.

The increasing concerns about the animal welfare leaded to an increased interest for the analgesic techniques and, as well, an increase of new studies to develop balanced anesthetic protocols. Particularly the epidural techniques has been more frequently used in…

Advisors/Committee Members: Antunes, Luís Miguel Marques, Dourado, Amândio José Soares.

Subjects/Keywords: Analgesia veterinária; Anestesia veterinária; Dor; Epidural

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Mendes, C. C. F. (2014). Estudo das potenciais vantagens da analgesia epidural em cirurgia ortopédica. (Thesis). RCAAP. Retrieved from http://www.rcaap.pt/detail.jsp?id=oai:http://repositorio.utad.pt/:10348/3345

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Mendes, Catarina Cardoso Ferreira. “Estudo das potenciais vantagens da analgesia epidural em cirurgia ortopédica.” 2014. Thesis, RCAAP. Accessed February 27, 2021. http://www.rcaap.pt/detail.jsp?id=oai:http://repositorio.utad.pt/:10348/3345.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Mendes, Catarina Cardoso Ferreira. “Estudo das potenciais vantagens da analgesia epidural em cirurgia ortopédica.” 2014. Web. 27 Feb 2021.

Vancouver:

Mendes CCF. Estudo das potenciais vantagens da analgesia epidural em cirurgia ortopédica. [Internet] [Thesis]. RCAAP; 2014. [cited 2021 Feb 27]. Available from: http://www.rcaap.pt/detail.jsp?id=oai:http://repositorio.utad.pt/:10348/3345.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Mendes CCF. Estudo das potenciais vantagens da analgesia epidural em cirurgia ortopédica. [Thesis]. RCAAP; 2014. Available from: http://www.rcaap.pt/detail.jsp?id=oai:http://repositorio.utad.pt/:10348/3345

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Universidade Federal de Santa Maria

3. Gabrielle Coelho Freitas. ANALGESIA EPIDURAL COM MORFINA OU BUPRENORFINA EM PÔNEIS SUBMETIDOS À SINOVITE CARPAL COM LIPOPOLISSACARÍDEO.

Degree: 2009, Universidade Federal de Santa Maria

URL: http://coralx.ufsm.br/tede/tde_busca/arquivo.php?codArquivo=2492

► O controle da dor da sinovite é importante na diminuição das respostas ao estresse, do sofrimento e da ocorrência de laminite no membro contralateral. O… (more)

▼ O controle da dor da sinovite é importante na diminuição das respostas ao estresse, do sofrimento e da ocorrência de laminite no membro contralateral. O uso de opióides pela via epidural destaca-se pela qualidade analgésica, redução da dose dos fármacos empregados e redução de efeitos colaterais e prolongado período de ação. O estudo objetivou avaliar os efeitos fisiológicos e analgésicos da administração epidural de 0,1 mg/kg de morfina ou 5 μg/kg de buprenorfina em pôneis submetidos à sinovite induzida com lipopolissacarídeo (LPS) de E. coli na articulação radiocarpiana. Foram utilizados 6 pôneis hígidos, divididos em 3 grupos autocontrole e dispostos em um Quadrado Latino. O controle (GC) recebeu 0,15 mL/kg de solução de NaCl 0,9%, o grupo morfina (GM) recebeu 0,1 mg/kg de morfina e o grupo buprenorfina (GB) 5 μg/kg de buprenorfina, ambos pela via epidural e diluídos em solução de NaCl 0,9%, padronizando-se um volume final de 0,15 mL/kg e tempo de administração de 10 segundos/mL. Após avaliação dos parâmetros fisiológicos basais, os animais foram sedados e submetidos ao modelo de indução da sinovite, administrando-se 0,5 ng de LPS na articulação radiocarpiana. Ato contínuo foi introduzido um cateter epidural no referido espaço, até a região tóraco-lombar. 6 horas após a administração do LPS, os animais foram submetidos a um novo exame clínico geral e específico (tempo 0) e administrados um dos tratamentos. Os exames clínicos geral (FC, f, PAS, TPC, coloração das mucosas, TC e motilidade intestinal) e específico (dor à palpação, ângulo de flexão máxima do carpo, dor à flexão máxima, grau de movimentação da articulação, comprimento do passo e grau de claudicação) foram realizados aos 30 minutos e 1, 2, 4, 6, 8, 10, 12, 16, 20 e 24 horas após a administração epidural, por um observador cego aos tratamentos. Para as variáveis paramétricas utilizou-se análise de variância para amostras pareadas, com posterior teste de Dunnett. Para comparações entre os grupos, realizou-se análise de variância, seguido de teste de Tukey. Para as variáveis não-paramétricas utilizou-se o teste de Wilcoxon para amostras pareadas. As diferenças foram consideradas significantes quando P<0,05. O modelo de indução da sinovite produziu alterações no grau de claudicação, dor à palpação e ângulo de flexão, mantendo presentes dor à flexão máxima e reduzido grau de movimentação da articulação, mas não causou alterações nos parâmetros fisiológicos. O GC apresentou diferença na análise da claudicação em relação aos parâmetros basais até 12 horas. GM e GB apresentaram redução de claudicação entre 30 minutos e 12 horas, e 6 e 12 horas, respectivamente. Dentre os parâmetros fisiológicos, observaram-se alterações na motilidade intestinal, ocorrendo hipomotilidade aos 30 minutos no GM e entre 30 minutos e 1 hora no GB; e na temperatura corporal, que se manteve elevada até 10 horas em GM e GB. O modelo de indução da sinovite foi eficiente por 12 horas. A morfina proporcionou analgesia entre 30 minutos e 12 horas após a sua administração, enquanto… Advisors/Committee Members: Adriano Bonfim Carregaro, Flavio Desessards De La Corte, Nilson Oleskovicz.

Subjects/Keywords: buprenorfina; morfina; analgesia epidural; artrite; pôneis; epidural analgesia; morphine; buprenorphine; ponies; arthritis; MEDICINA VETERINARIA

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Freitas, G. C. (2009). ANALGESIA EPIDURAL COM MORFINA OU BUPRENORFINA EM PÔNEIS SUBMETIDOS À SINOVITE CARPAL COM LIPOPOLISSACARÍDEO. (Thesis). Universidade Federal de Santa Maria. Retrieved from http://coralx.ufsm.br/tede/tde_busca/arquivo.php?codArquivo=2492

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Freitas, Gabrielle Coelho. “ANALGESIA EPIDURAL COM MORFINA OU BUPRENORFINA EM PÔNEIS SUBMETIDOS À SINOVITE CARPAL COM LIPOPOLISSACARÍDEO.” 2009. Thesis, Universidade Federal de Santa Maria. Accessed February 27, 2021. http://coralx.ufsm.br/tede/tde_busca/arquivo.php?codArquivo=2492.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Freitas, Gabrielle Coelho. “ANALGESIA EPIDURAL COM MORFINA OU BUPRENORFINA EM PÔNEIS SUBMETIDOS À SINOVITE CARPAL COM LIPOPOLISSACARÍDEO.” 2009. Web. 27 Feb 2021.

Vancouver:

Freitas GC. ANALGESIA EPIDURAL COM MORFINA OU BUPRENORFINA EM PÔNEIS SUBMETIDOS À SINOVITE CARPAL COM LIPOPOLISSACARÍDEO. [Internet] [Thesis]. Universidade Federal de Santa Maria; 2009. [cited 2021 Feb 27]. Available from: http://coralx.ufsm.br/tede/tde_busca/arquivo.php?codArquivo=2492.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Freitas GC. ANALGESIA EPIDURAL COM MORFINA OU BUPRENORFINA EM PÔNEIS SUBMETIDOS À SINOVITE CARPAL COM LIPOPOLISSACARÍDEO. [Thesis]. Universidade Federal de Santa Maria; 2009. Available from: http://coralx.ufsm.br/tede/tde_busca/arquivo.php?codArquivo=2492

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

4. Marucio, Rodrigo Luiz. Efeitos analgésicos da neostigmina e morfina, isoladas ou associadas, pela via peridural em cães submetidos a cirurgia ortopédica nos membros pélvicos.

Degree: PhD, Clínica Cirúrgica Veterinária, 2012, University of São Paulo

URL: http://www.teses.usp.br/teses/disponiveis/10/10137/tde-05082013-154041/ ;

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Agonistas colinérgicos (neostigmina), administrados por via espinhal, potencializam a analgesia dos opióides por aumentar a concentração de acetilcolina no líquido cérebro-espinhal. O objetivo deste trabalho… (more)

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Agonistas colinérgicos (neostigmina), administrados por via espinhal, potencializam a analgesia dos opióides por aumentar a concentração de acetilcolina no líquido cérebro-espinhal. O objetivo deste trabalho foi verificar a duração e a eficácia analgésica, assim como a ocorrência de efeitos adversos, da neostigmina e morfina, isoladas ou associadas, administradas por via peridural em cães submetidos à cirurgia ortopédica nos membros pélvicos. Foram utilizados 30 cães de diferentes raças, machos ou fêmeas, de comportamento dócil submetidos à cirurgia ortopédica. Os cães foram prémedicados com meperidina (4 mg/kg IM); após 30 minutos, indução anestésica com propofol (5 mg/kg) e manutenção da anestesia com isofluorano. Após estabilização da anestesia, um cateter peridural era introduzido e a anestesia peridural foi realizada com lidocaína 2% (5 mg/kg). No final da cirurgia, os animais eram distribuídos aleatoriamente em 3 grupos de 10 e recebiam tratamento analgésico pelo cateter peridural como segue: grupo MOR, 0,1 mg/kg de morfina; grupo NEO, 5 µg/kg de neostigmina; e grupo MOR+NEO, associação de 0,1 mg/kg de morfina e 5 µg/kg de neostigmina. Soluções ajustadas com solução NaCl 0,9% até um volume total de 0,4 ml/kg, sendo o estudo caracterizado como prospectivo, clínico, tipo cego. Variáveis paramétricas mensuradas: frequência cardíaca (FC), frequência respiratória (f), temperatura retal (T°C) e as pressões arteriais sistólica, média e diastólica (PAS, PAM e PAD). Analgesia pós-operatória verificada por meio da escala analógica visual (EAV) e escala numérica descritiva (END). Tempos de avaliação: 1, 2, 3, 4, 6, 8, 12, 16 e 24 horas após o final da cirurgia. Caso o animal recebesse nota maior ou igual a quatro para EAV ou END, era realizado resgate analgésico com morfina 0,2 mg/kg (IV), morfina 0,1 mg/kg (peridural) mais meloxican 0,2 mg/kg (IV). Não houve diferenças significativas entre os grupos quanto aos valores demográficos e às variáveis paramétricas. Realizou-se resgate analgésico em 7 animais do grupo NEO, 4 do grupo MOR e 2 do grupo MOR+NEO. O grupo MOR+NEO apresentou menores valores nos escores de dor (EAV) no tempo 1 h em relação ao grupo NEO e no tempo 4 h em relação ao grupo MOR. Quanto aos efeitos adversos, não houve diferenças entre os grupos. A neostigmina como agente isolado não foi eficaz para o tratamento da dor pósoperatória, e a associação de morfina e neostigmina apresentou benefícios sem aumentar a incidência dos efeitos adversos comumente observados quando comparado ao uso isolado da morfina.

The epidural administration of cholinesterase inhibitor drug (nesotigmine) improves morphine analgesia for increased acetylcholine concentration in the cerebrospinal fluid. The aim of this study was to evaluate the possible analgesic effects of neostigmine and the possible potentiation of morphine analgesia in dogs undergoing orthopaedic pelvic limb surgery. Thirty healthy dogs, males or females, from several breeds were selected. They were sedated with meperidine (4 mg/kg IM). 30 minutes…

Advisors/Committee Members: Fantoni, Denise Tabacchi.

Subjects/Keywords: Analgesia peridural; Cães; Dog; Epidural Analgesia; Morfina; Morphine; Neostigmina; Neostigmine

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Marucio, R. L. (2012). Efeitos analgésicos da neostigmina e morfina, isoladas ou associadas, pela via peridural em cães submetidos a cirurgia ortopédica nos membros pélvicos. (Doctoral Dissertation). University of São Paulo. Retrieved from http://www.teses.usp.br/teses/disponiveis/10/10137/tde-05082013-154041/ ;

Chicago Manual of Style (16^th Edition):

Marucio, Rodrigo Luiz. “Efeitos analgésicos da neostigmina e morfina, isoladas ou associadas, pela via peridural em cães submetidos a cirurgia ortopédica nos membros pélvicos.” 2012. Doctoral Dissertation, University of São Paulo. Accessed February 27, 2021. http://www.teses.usp.br/teses/disponiveis/10/10137/tde-05082013-154041/ ;.

MLA Handbook (7^th Edition):

Marucio, Rodrigo Luiz. “Efeitos analgésicos da neostigmina e morfina, isoladas ou associadas, pela via peridural em cães submetidos a cirurgia ortopédica nos membros pélvicos.” 2012. Web. 27 Feb 2021.

Vancouver:

Marucio RL. Efeitos analgésicos da neostigmina e morfina, isoladas ou associadas, pela via peridural em cães submetidos a cirurgia ortopédica nos membros pélvicos. [Internet] [Doctoral dissertation]. University of São Paulo; 2012. [cited 2021 Feb 27]. Available from: http://www.teses.usp.br/teses/disponiveis/10/10137/tde-05082013-154041/ ;.

Council of Science Editors:

Marucio RL. Efeitos analgésicos da neostigmina e morfina, isoladas ou associadas, pela via peridural em cães submetidos a cirurgia ortopédica nos membros pélvicos. [Doctoral Dissertation]. University of São Paulo; 2012. Available from: http://www.teses.usp.br/teses/disponiveis/10/10137/tde-05082013-154041/ ;

Universidade Federal de Santa Maria

5. Virgínia Heinze Pohl. ANESTESIA EPIDURAL COM ALFA 2-AGONISTAS E LIDOCAÍNA PARA REALIZAÇÃO DE OVARIOSSALPINGOHISTERECTOMIA EM CADELAS.

Degree: 2010, Universidade Federal de Santa Maria

URL: http://coralx.ufsm.br/tede/tde_busca/arquivo.php?codArquivo=3070

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This study objective to determine the cardiorrespiratory effects and viability of the association between various alpha2-agonists and lidocaine via epidural in bitches submitted to ovaryhysterectomy.… (more)

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This study objective to determine the cardiorrespiratory effects and viability of the association between various alpha2-agonists and lidocaine via epidural in bitches submitted to ovaryhysterectomy. Fourty two bitches were castrated under lumbo-sacral epidural anesthesia with lidocaine 1% with vasoconstrictor (CON) or associated with 0,25 mg/kg of xylazine (XYL), 2 mg/kg of dexmedetomidine (DEX), 5 mg/kg of clonidine (CLO), 10 mg/kg of romifidine (ROM), or 30 mg/kg of detomidine (DET), with a total volume of 1ml/4kg. During the procedure, cardiac (HR) and respiratory (RR) rates, and systolic, mean and dyastolic arterial pressures were measured before epidural and every 10 minutes after the epidural injection. Also pH and blood gases were measured before, 30 and 60 minutes after epidural injection. If the animals presented disconfort signals, they were submitted to inhalatory anesthesia with isoflurane 5%, intubated and manteined with 1,5% ETiso. The duration of epidural block and pos-operatory analgesia were also measured. All animals in CON and DEX groups, five animals in ROM and CLO, four animals in XYL and three animals in DET needed complementation with inhalatory anesthesia. All groups, except CLO, presented decrease in HR. There was increase in blood pressures, and DET presented marked hypertesion.Values of RR, blood gases and duration of epidural block were similar between groups. Post-operatory analgesia was prolonged in XYL, persisting for up to four hours. None of the protocols tested was totally efficient, but xylazine prolonged post-operatory analgesia. The second chapter of this dissertation aimed to evaluate the correlation between visual analog scale (VAS), Melbourne pain scale and Von Frey filaments in the evaluation of postoperatory pain in bitches submitted to ovaryhysterectomy. The same animals were evaluated by two observers unaware of the protocol used, in one-hour intervals, using VAS, Melbourne pain scale and Von Frey filaments, applied around the surgical wound. A score of 50 mm in VAS or 13 points in the Melbourne pain scale were considered as the criterion for analgesic administration. VAS and Melbourne pain scale showed a good correlation, with r = 0,74. Correlation between EVA and Von Frey filaments was weak (r = -0,40). Correlation between Melbourne pain scale and Von Frey filaments was -0,37. VAS revealed to be the most sensitive scale. VAS and Melbourne pain scale determined a good correlation degree. We sugest a lower score in the Melbourne pain scale to be considered as criterion for analgesic administration.

Objetivou-se determinar a viabilidade e efeitos cardiorrespiratórios da associação entre diferentes agonistas a2-adrenérgicos e lidocaína via epidural para realização de ovariossalpingohisterectomia (OSH) em cadelas. Foram castradas 42 cadelas, as quais eram mantidas sob anestesia epidural lombo-sacral com lidocaína 1% com vasoconstrictor (CON) ou em associação com 0,25 mg/kg de xilazina (XIL), 2 mg/kg de dexmedetomidina (DEX), 5 mg/kg de clonidina (CLO), 10 mg/kg de…

Advisors/Committee Members: Adriano Bonfim Carregaro, Anne Santos do Amaral, Suzane Lilian Beier.

Subjects/Keywords: MEDICINA VETERINARIA; analgesia; cães; dor; epidural; agonistas a2-adrenérgicos; dogs; epidural; a2-adrenoceptor agonists; pain; analgesia

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Pohl, V. H. (2010). ANESTESIA EPIDURAL COM ALFA 2-AGONISTAS E LIDOCAÍNA PARA REALIZAÇÃO DE OVARIOSSALPINGOHISTERECTOMIA EM CADELAS. (Thesis). Universidade Federal de Santa Maria. Retrieved from http://coralx.ufsm.br/tede/tde_busca/arquivo.php?codArquivo=3070

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Pohl, Virgínia Heinze. “ANESTESIA EPIDURAL COM ALFA 2-AGONISTAS E LIDOCAÍNA PARA REALIZAÇÃO DE OVARIOSSALPINGOHISTERECTOMIA EM CADELAS.” 2010. Thesis, Universidade Federal de Santa Maria. Accessed February 27, 2021. http://coralx.ufsm.br/tede/tde_busca/arquivo.php?codArquivo=3070.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Pohl, Virgínia Heinze. “ANESTESIA EPIDURAL COM ALFA 2-AGONISTAS E LIDOCAÍNA PARA REALIZAÇÃO DE OVARIOSSALPINGOHISTERECTOMIA EM CADELAS.” 2010. Web. 27 Feb 2021.

Vancouver:

Pohl VH. ANESTESIA EPIDURAL COM ALFA 2-AGONISTAS E LIDOCAÍNA PARA REALIZAÇÃO DE OVARIOSSALPINGOHISTERECTOMIA EM CADELAS. [Internet] [Thesis]. Universidade Federal de Santa Maria; 2010. [cited 2021 Feb 27]. Available from: http://coralx.ufsm.br/tede/tde_busca/arquivo.php?codArquivo=3070.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Pohl VH. ANESTESIA EPIDURAL COM ALFA 2-AGONISTAS E LIDOCAÍNA PARA REALIZAÇÃO DE OVARIOSSALPINGOHISTERECTOMIA EM CADELAS. [Thesis]. Universidade Federal de Santa Maria; 2010. Available from: http://coralx.ufsm.br/tede/tde_busca/arquivo.php?codArquivo=3070

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

6. Abrão, Karen Cristine. Efeito da analgesia obstétrica combinada raqui-peridural no tônus uterino e na freqüência cardíaca fetal: ensaio clínico randomizado comparativo com a analgesia peridural.

Degree: PhD, Obstetrícia e Ginecologia, 2008, University of São Paulo

URL: http://www.teses.usp.br/teses/disponiveis/5/5139/tde-06052009-162539/ ;

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A fim de investigar a associação entre alterações do tônus uterino e a ocorrência de anormalidades da freqüência cardíaca fetal (FCF) após analgesia obstétrica, em… (more)

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A fim de investigar a associação entre alterações do tônus uterino e a ocorrência de anormalidades da freqüência cardíaca fetal (FCF) após analgesia obstétrica, em especial após o bloqueio combinado raqui-peridural, foi conduzido estudo prospectivo randomizado e encoberto, com setenta e sete parturientes que solicitaram analgesia regional durante o trabalho de parto. As pacientes do grupo estudo (41 casos) receberam duplo bloqueio com sufentanil e bupivacaína e as do grupo controle (36 casos) foram submetidas à peridural com as mesmas drogas. Monitorizou-se o tônus uterino por meio de cateter intra-amniótico de aferição da pressão intra-uterina e a freqüência cardíaca fetal durante 15 minutos antes e 30 minutos após a indução da analgesia. Pesquisaram-se os seguintes desfechos após a administração da analgesia: ocorrência de aumento do tônus uterino superior ou igual a 10mmHg em relação aos valores pré-analgesia e presença de desacelerações prolongadas da FCF ou bradicardia. Foram ainda quantificados os escores maternos de dor, a pressão arterial materna e o uso de ocitocina, antes e após o bloqueio. Observou-se associação significativa tanto do aumento de tônus uterino quanto das alterações da FCF com a analgesia combinada, nos primeiros 15 minutos após sua administração. O aumento de tônus foi encontrado em 17 de 41 casos no grupo estudo e em 6 de 36 pacientes nos controles (p=0,02). Alterações da FCF foram vistas em 11 dos 17 casos de aumento de tônus nas parturientes que receberam analgesia combinada, versus 1 de 6 no grupo peridural (p<0,001) A análise de regressão logística apontou o tipo de analgesia como fator independentemente associado ao aumento de tônus uterino, mesmo inserindo-se o uso de ocitocina como covariável. Também revelou o aumento de tônus como único fator independentemente associado ao desenvolvimento de anormalidades da FCF, mesmo com a hipotensão materna como covariável. Demonstrou-se ainda correlação entre o rápido declínio da dor com a técnica combinada e a probabilidade estimada de ocorrência simultânea de aumento do tônus e alterações da FCF. Os presentes achados reforçam a teoria de que o duplo bloqueio pode levar a aumento transitório de tônus uterino e culminar em anormalidades da FCF

In order to investigate the association between uterine tone elevation and fetal heart rate (FHR) abnormalities following labor analgesia - mainly with combined spinal-epidural (CSE) technique - a prospective double-blinded randomized study was conducted with seventy seven parturients who requested labor analgesia. Study group (41 cases) received CSE with sufentanil and bupivacaine and control group (36 cases) received epidural analgesia with the same drugs. Intra-uterine pressure was monitored with intra-amniotic pressure device and FHR with external transducer, both for at least 15 minutes before and 30 minutes after analgesia induction. The primary outcomes were the occurrence of an elevation of 10mmHg or more on uterine tone compared to the values before analgesia and the presence of prolonged…

Advisors/Committee Members: Francisco, Rossana Pulcineli Vieira.

Subjects/Keywords: Analgesia epidural; Analgesia obstétrica; Contração uterina; Epidural analgesia; Fetal monitoring; Monitorização fetal; Monitorização uterina; Obstetric labor; Obstetrical analgesia; Trabalho de parto; Uterine contraction; Uterine monitoring

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Abrão, K. C. (2008). Efeito da analgesia obstétrica combinada raqui-peridural no tônus uterino e na freqüência cardíaca fetal: ensaio clínico randomizado comparativo com a analgesia peridural. (Doctoral Dissertation). University of São Paulo. Retrieved from http://www.teses.usp.br/teses/disponiveis/5/5139/tde-06052009-162539/ ;

Chicago Manual of Style (16^th Edition):

Abrão, Karen Cristine. “Efeito da analgesia obstétrica combinada raqui-peridural no tônus uterino e na freqüência cardíaca fetal: ensaio clínico randomizado comparativo com a analgesia peridural.” 2008. Doctoral Dissertation, University of São Paulo. Accessed February 27, 2021. http://www.teses.usp.br/teses/disponiveis/5/5139/tde-06052009-162539/ ;.

MLA Handbook (7^th Edition):

Abrão, Karen Cristine. “Efeito da analgesia obstétrica combinada raqui-peridural no tônus uterino e na freqüência cardíaca fetal: ensaio clínico randomizado comparativo com a analgesia peridural.” 2008. Web. 27 Feb 2021.

Vancouver:

Abrão KC. Efeito da analgesia obstétrica combinada raqui-peridural no tônus uterino e na freqüência cardíaca fetal: ensaio clínico randomizado comparativo com a analgesia peridural. [Internet] [Doctoral dissertation]. University of São Paulo; 2008. [cited 2021 Feb 27]. Available from: http://www.teses.usp.br/teses/disponiveis/5/5139/tde-06052009-162539/ ;.

Council of Science Editors:

Abrão KC. Efeito da analgesia obstétrica combinada raqui-peridural no tônus uterino e na freqüência cardíaca fetal: ensaio clínico randomizado comparativo com a analgesia peridural. [Doctoral Dissertation]. University of São Paulo; 2008. Available from: http://www.teses.usp.br/teses/disponiveis/5/5139/tde-06052009-162539/ ;

Universidade do Rio Grande do Sul

7. Goulart, Aline Elisa. Estudo de duas modalidades de analgesia epidural pós-toracotomia : o impacto no desempenho funcional pulmonar e no manejo da dor.

Degree: 2005, Universidade do Rio Grande do Sul

URL: http://hdl.handle.net/10183/7753

► Trinta e sete pacientes submetidos à toracotomia póstero-lateral foram submetidos a um estudo prospectivo, randomizado e duplo cego com o objetivo de comparar a eficácia… (more)

▼ Trinta e sete pacientes submetidos à toracotomia póstero-lateral foram submetidos a um estudo prospectivo, randomizado e duplo cego com o objetivo de comparar a eficácia da analgesia epidural torácica com fentanil e bupivacaína versus a analgesia epidural lombar com morfina para o controle da dor e prevenção da deterioração da função pulmonar pós-operatória. A avaliação da dor do paciente, usando-se a escala de cotação numérica de 0 a10 cm foi realizada no pré-operatório e nos primeiros três dias de pós-operatório, três vezes ao dia, com intervalo de 7 horas. A espirometria (CVF,VEF1) foi realizada no pré-operatório e uma vez ao dia nos três dias de pósoperatório. Complicações clínicas,cardiológicas e respiratórias foram analisadas. Foram randomizados 20 pacientes para o grupo que recebeu analgesia epidural torácica e 22 pacientes para o grupo de analgesia epidural lombar. Terminaram o período de avaliação de 3 dias, 10 pacientes do grupo epidural torácico e 9 do grupo epidural lombar. Não houve diferença estatística significativa entre os grupos em relação a escala de dor, deterioração da função pulmonar e complicações clínicas,cardiológicas e respiratórias. Em ambos os grupos, houve uma diminuição na intensidade da dor no decorrer dos dias de estudo. Observou-se uma significativa deterioração da função pulmonar no primeiro dia pós-operatóio, a qual manteve-se nos dois dias subseqüentes. Foi observada uma correlação positiva entre a intensidade da dor e a diminuição da função pulmonar (CVF) no grupo que recebeu analgesia epidural torácica, especialmente durante o 1° e o 3° dia de pós-operatório. O presente estudo demonstrou que tanto analgesia epidural contínua torácica com fentanil e bupivacaína, quanto a epidural contínua lombar com morfina foram eficazes no controle da dor pós-operatória, entretanto não foram capazes de prevenir a deterioração da função pulmonar no período do pós-operatório precoce de toracotomia póstero-lateral. Advisors/Committee Members: Cardoso, Paulo Francisco Guerreiro.

Subjects/Keywords: Analgesia epidural; Dor; Toracotomia; Pulmão

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Goulart, A. E. (2005). Estudo de duas modalidades de analgesia epidural pós-toracotomia : o impacto no desempenho funcional pulmonar e no manejo da dor. (Thesis). Universidade do Rio Grande do Sul. Retrieved from http://hdl.handle.net/10183/7753

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Goulart, Aline Elisa. “Estudo de duas modalidades de analgesia epidural pós-toracotomia : o impacto no desempenho funcional pulmonar e no manejo da dor.” 2005. Thesis, Universidade do Rio Grande do Sul. Accessed February 27, 2021. http://hdl.handle.net/10183/7753.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Goulart, Aline Elisa. “Estudo de duas modalidades de analgesia epidural pós-toracotomia : o impacto no desempenho funcional pulmonar e no manejo da dor.” 2005. Web. 27 Feb 2021.

Vancouver:

Goulart AE. Estudo de duas modalidades de analgesia epidural pós-toracotomia : o impacto no desempenho funcional pulmonar e no manejo da dor. [Internet] [Thesis]. Universidade do Rio Grande do Sul; 2005. [cited 2021 Feb 27]. Available from: http://hdl.handle.net/10183/7753.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Goulart AE. Estudo de duas modalidades de analgesia epidural pós-toracotomia : o impacto no desempenho funcional pulmonar e no manejo da dor. [Thesis]. Universidade do Rio Grande do Sul; 2005. Available from: http://hdl.handle.net/10183/7753

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

8. 曽我, 朋宏. Fosaprepitant versus ondansetron for the prevention of postoperative nausea and vomiting in patients who undergo gynecologic abdominal surgery with patient-controlled epidural analgesia : a prospective, randomized, double-blind study : 患者調節型硬膜外鎮痛を用いた産婦人科腹部手術患者に対する、フォスアプレピタントとオンダンセトロンのPONV予防効果の検討.

Degree: 博士（医学）, 2016, Tokushima University / 徳島大学

URL: http://repo.lib.tokushima-u.ac.jp/109689

Subjects/Keywords: PONV; fosaprepitant; ondansetron; epidural analgesia

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

曽我, �. (2016). Fosaprepitant versus ondansetron for the prevention of postoperative nausea and vomiting in patients who undergo gynecologic abdominal surgery with patient-controlled epidural analgesia : a prospective, randomized, double-blind study : 患者調節型硬膜外鎮痛を用いた産婦人科腹部手術患者に対する、フォスアプレピタントとオンダンセトロンのPONV予防効果の検討. (Thesis). Tokushima University / 徳島大学. Retrieved from http://repo.lib.tokushima-u.ac.jp/109689

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

曽我, 朋宏. “Fosaprepitant versus ondansetron for the prevention of postoperative nausea and vomiting in patients who undergo gynecologic abdominal surgery with patient-controlled epidural analgesia : a prospective, randomized, double-blind study : 患者調節型硬膜外鎮痛を用いた産婦人科腹部手術患者に対する、フォスアプレピタントとオンダンセトロンのPONV予防効果の検討.” 2016. Thesis, Tokushima University / 徳島大学. Accessed February 27, 2021. http://repo.lib.tokushima-u.ac.jp/109689.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

曽我, 朋宏. “Fosaprepitant versus ondansetron for the prevention of postoperative nausea and vomiting in patients who undergo gynecologic abdominal surgery with patient-controlled epidural analgesia : a prospective, randomized, double-blind study : 患者調節型硬膜外鎮痛を用いた産婦人科腹部手術患者に対する、フォスアプレピタントとオンダンセトロンのPONV予防効果の検討.” 2016. Web. 27 Feb 2021.

Vancouver:

曽我 �. Fosaprepitant versus ondansetron for the prevention of postoperative nausea and vomiting in patients who undergo gynecologic abdominal surgery with patient-controlled epidural analgesia : a prospective, randomized, double-blind study : 患者調節型硬膜外鎮痛を用いた産婦人科腹部手術患者に対する、フォスアプレピタントとオンダンセトロンのPONV予防効果の検討. [Internet] [Thesis]. Tokushima University / 徳島大学; 2016. [cited 2021 Feb 27]. Available from: http://repo.lib.tokushima-u.ac.jp/109689.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

曽我 �. Fosaprepitant versus ondansetron for the prevention of postoperative nausea and vomiting in patients who undergo gynecologic abdominal surgery with patient-controlled epidural analgesia : a prospective, randomized, double-blind study : 患者調節型硬膜外鎮痛を用いた産婦人科腹部手術患者に対する、フォスアプレピタントとオンダンセトロンのPONV予防効果の検討. [Thesis]. Tokushima University / 徳島大学; 2016. Available from: http://repo.lib.tokushima-u.ac.jp/109689

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Universidade de Lisboa

9. Saraiva, Raquel Eduarda Esteves, 1992-. Patient-controlled epidural analgesia na manutenção da analgesia do trabalho de parto.

Degree: 2016, Universidade de Lisboa

URL: https://www.rcaap.pt/detail.jsp?id=oai:repositorio.ul.pt:10451/29406

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Trabalho Final do Curso de Mestrado Integrado em Medicina, Faculdade de Medicina, Universidade de Lisboa, 2016

A primeira utilização clínica no trabalho de parto da… (more)

Subjects/Keywords: Analgesia; Parto; Epidural; Anestesiologia; Domínio/Área Científica::Ciências Médicas

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Saraiva, Raquel Eduarda Esteves, 1. (2016). Patient-controlled epidural analgesia na manutenção da analgesia do trabalho de parto. (Thesis). Universidade de Lisboa. Retrieved from https://www.rcaap.pt/detail.jsp?id=oai:repositorio.ul.pt:10451/29406

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Saraiva, Raquel Eduarda Esteves, 1992-. “Patient-controlled epidural analgesia na manutenção da analgesia do trabalho de parto.” 2016. Thesis, Universidade de Lisboa. Accessed February 27, 2021. https://www.rcaap.pt/detail.jsp?id=oai:repositorio.ul.pt:10451/29406.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Saraiva, Raquel Eduarda Esteves, 1992-. “Patient-controlled epidural analgesia na manutenção da analgesia do trabalho de parto.” 2016. Web. 27 Feb 2021.

Vancouver:

Saraiva, Raquel Eduarda Esteves 1. Patient-controlled epidural analgesia na manutenção da analgesia do trabalho de parto. [Internet] [Thesis]. Universidade de Lisboa; 2016. [cited 2021 Feb 27]. Available from: https://www.rcaap.pt/detail.jsp?id=oai:repositorio.ul.pt:10451/29406.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Saraiva, Raquel Eduarda Esteves 1. Patient-controlled epidural analgesia na manutenção da analgesia do trabalho de parto. [Thesis]. Universidade de Lisboa; 2016. Available from: https://www.rcaap.pt/detail.jsp?id=oai:repositorio.ul.pt:10451/29406

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

10. Angelopoulou, Athina. Ηλεκτρομυογραφικά ευρήματα πριν και μετά από την επισκληρίδιο έγχυση κορτικοστεροειδών φαρμάκων σε ασθενείς με οσφυαλγία.

Degree: 2018, National and Kapodistrian University of Athens; Εθνικό και Καποδιστριακό Πανεπιστήμιο Αθηνών (ΕΚΠΑ)

URL: http://hdl.handle.net/10442/hedi/44227

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SUMMARYEpidural steroid injections (ESIs) are commonly used in the management of chronic low back and leg pain. The aim of this study was to investigate… (more)

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SUMMARYEpidural steroid injections (ESIs) are commonly used in the management of chronic low back and leg pain. The aim of this study was to investigate the short and long-term electromyographic and clinical outcome of patients with chronic radicular pain after ESIs. This prospective, open-label study, included patients with chronic radicular pain due to disc herniation or spinal stenosis, who underwent interlaminar, fluoroscopy-guided ESIs. Patients were assessed before ESIs, as well as after 6 and 12 months, clinically (VAS 0-10, BPI, DN4, Rolland Morris, DASS, STAI) and electromyographically, as for the improvement of spontaneous activity (SA), and of motor unit recruitment/interference pattern (IP/MUR).xxThirty nine patients were studied, 20(51.3%). A significant improvement in VAS, RM, DN4 and BPI was revealed, mainly during the first 6 months (p<0.05). Statistically significant improvement was revealed in MUR/SA for almost all nerve roots studied. Patients with disc herniation showed a greater improvement in mean difference of MUR/SA (p<0.05) (with a prognostic value of radicular LBP versus spinal stenosis in short [VAS p=0.042] and long-term improvement of pain [VAS p=0.009]. The independent variables “MUR” and “SA” had a significant prognostic value for improvement of pain (VAS: R2=0.287, p=0.032 and VAS: R2=0.277, p=0.036 respectively). Electromyographic and clinical findings indicated benefit from epidural steroid injections. Patients with disc herniation exhibited a better outcome, especially during the first 6 months post-treatment.Keywords: low back pain; chronic; electromyography; epidural; steroids Running title: Electromyography and epidural steroid injections Funding: None

H Eπισκληρίδιος έγχυση στεροειδών φαρμάκων χρησιμοποιείται εδώ και αρκετά χρόνια για την αντιμετώπιση του χρόνιων ανθεκτικών μορφών οσφυαλγίας με ενδείξεις οι οποίες είναι: 1.Ριζίτιδα λόγω κήλης μασοσπονδυλίου δίσκου, 2.Σπονδυλική στένωση.Σκοπός της παρούσας μελέτης είναι η διερεύνηση των βραχέων και μακροπρόθεσμων επιδράσεων και αποτελεσμάτων της επισκληριδίου έγχυσης των κορτικοστεροειδών φαρμάκων όσον αφορά την κλινική εικόνα, τον πόνο και την λειτουργικότητα των ασθενών αλλά και την συσχέτιση αυτής με τα ηλεκτρομυογραφικά ευρήματα, πριν και μετά την θεραπεία.Πρόκειται για αναλογική ανοικτή μελέτη (prospective open label study) η οποία περιλαμβάνει ασθενείς με χρόνιο ριζιτιδικό άλγος που οφείλεται, είτε σε κήλη μεσοσπονδυλίου δίσκου, είτε σε σπονδυλική στένωση είτε σε συνδυασμό και των δύο. Οι ασθενείς αυτοί υποβλήθηκαν σε θεραπεία με επισκληρίδιο έγχυση κορτικοστεροειδών.Αρχικά εξετάσθηκε ηλεκτρομυογράφικά μεγάλος αριθμός ασθενών της μονάδας πόνου με χρόνια οσφυαλγία. Επιλέγχθη δειγμα 39 ασθενών για την μελέτη μας LO (51.3%) Oι ασθενείς αυτοί παρουσίαζαν Ο5 ή /και Ι1 ριζιτιδική συνδρομή με σημαντική κλινική συμπτωματολογία, σημαντική έκπτωση της μυικής ισχύος στην συγκεκριμένη μυοτομική κατανομή <4/5, η οποία επιβεβαιώθηκε με MRI και ηλεκτρομυογραφικά. Από τη μελέτη εξαιρέθηκαν οι ασθενείς με ειδικές αιτίες οσφυαλγίας (red…

Subjects/Keywords: Αγγελοπουλου Αθηνά; Ηλεκτρομυογράφημα; Οσφυαλγία; Επισκληρίδιος; Angelopoulou Athina; EMG; Epidural analgesia

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Angelopoulou, A. (2018). Ηλεκτρομυογραφικά ευρήματα πριν και μετά από την επισκληρίδιο έγχυση κορτικοστεροειδών φαρμάκων σε ασθενείς με οσφυαλγία. (Thesis). National and Kapodistrian University of Athens; Εθνικό και Καποδιστριακό Πανεπιστήμιο Αθηνών (ΕΚΠΑ). Retrieved from http://hdl.handle.net/10442/hedi/44227

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Angelopoulou, Athina. “Ηλεκτρομυογραφικά ευρήματα πριν και μετά από την επισκληρίδιο έγχυση κορτικοστεροειδών φαρμάκων σε ασθενείς με οσφυαλγία.” 2018. Thesis, National and Kapodistrian University of Athens; Εθνικό και Καποδιστριακό Πανεπιστήμιο Αθηνών (ΕΚΠΑ). Accessed February 27, 2021. http://hdl.handle.net/10442/hedi/44227.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Angelopoulou, Athina. “Ηλεκτρομυογραφικά ευρήματα πριν και μετά από την επισκληρίδιο έγχυση κορτικοστεροειδών φαρμάκων σε ασθενείς με οσφυαλγία.” 2018. Web. 27 Feb 2021.

Vancouver:

Angelopoulou A. Ηλεκτρομυογραφικά ευρήματα πριν και μετά από την επισκληρίδιο έγχυση κορτικοστεροειδών φαρμάκων σε ασθενείς με οσφυαλγία. [Internet] [Thesis]. National and Kapodistrian University of Athens; Εθνικό και Καποδιστριακό Πανεπιστήμιο Αθηνών (ΕΚΠΑ); 2018. [cited 2021 Feb 27]. Available from: http://hdl.handle.net/10442/hedi/44227.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Angelopoulou A. Ηλεκτρομυογραφικά ευρήματα πριν και μετά από την επισκληρίδιο έγχυση κορτικοστεροειδών φαρμάκων σε ασθενείς με οσφυαλγία. [Thesis]. National and Kapodistrian University of Athens; Εθνικό και Καποδιστριακό Πανεπιστήμιο Αθηνών (ΕΚΠΑ); 2018. Available from: http://hdl.handle.net/10442/hedi/44227

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Rhode Island College

11. Casimiro, Erin. A Systematic Review Examining the Efficacy of Epidural Analgesia on Mortality in Older Adult Patients with Rib Fractures.

Degree: MSN, 2019, Rhode Island College

URL: https://digitalcommons.ric.edu/etd/311

► Rib fractures are a common consequence of blunt force trauma, producing pain and potentially leading to complications such as pneumonia, atelectasis, respiratory failure, and death.… (more)

Subjects/Keywords:

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Casimiro, E. (2019). A Systematic Review Examining the Efficacy of Epidural Analgesia on Mortality in Older Adult Patients with Rib Fractures. (Masters Thesis). Rhode Island College. Retrieved from https://digitalcommons.ric.edu/etd/311

Chicago Manual of Style (16^th Edition):

Casimiro, Erin. “A Systematic Review Examining the Efficacy of Epidural Analgesia on Mortality in Older Adult Patients with Rib Fractures.” 2019. Masters Thesis, Rhode Island College. Accessed February 27, 2021. https://digitalcommons.ric.edu/etd/311.

MLA Handbook (7^th Edition):

Casimiro, Erin. “A Systematic Review Examining the Efficacy of Epidural Analgesia on Mortality in Older Adult Patients with Rib Fractures.” 2019. Web. 27 Feb 2021.

Vancouver:

Casimiro E. A Systematic Review Examining the Efficacy of Epidural Analgesia on Mortality in Older Adult Patients with Rib Fractures. [Internet] [Masters thesis]. Rhode Island College; 2019. [cited 2021 Feb 27]. Available from: https://digitalcommons.ric.edu/etd/311.

Council of Science Editors:

Casimiro E. A Systematic Review Examining the Efficacy of Epidural Analgesia on Mortality in Older Adult Patients with Rib Fractures. [Masters Thesis]. Rhode Island College; 2019. Available from: https://digitalcommons.ric.edu/etd/311

Leiden University

12. Douma, M.R. Remifentanil for labour pain: safety and efficacy.

Degree: 2016, Leiden University

URL: http://hdl.handle.net/1887/43949

The aim of this thesis was to evaluate the efficacy and safety of remifentanil in its treatment of labour pain. Advisors/Committee Members: Supervisors: A. Dahan, J.M.M. van Lith Co-Supervisor: J.M. Middeldorp.

Subjects/Keywords: Obstestric analgesia; Labour pain; Remifentanil; Epidural analgesia; Patient-controlled analgesia; Obstestric analgesia; Labour pain; Remifentanil; Epidural analgesia; Patient-controlled analgesia

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Douma, M. R. (2016). Remifentanil for labour pain: safety and efficacy. (Doctoral Dissertation). Leiden University. Retrieved from http://hdl.handle.net/1887/43949

Chicago Manual of Style (16^th Edition):

Douma, M R. “Remifentanil for labour pain: safety and efficacy.” 2016. Doctoral Dissertation, Leiden University. Accessed February 27, 2021. http://hdl.handle.net/1887/43949.

MLA Handbook (7^th Edition):

Douma, M R. “Remifentanil for labour pain: safety and efficacy.” 2016. Web. 27 Feb 2021.

Vancouver:

Douma MR. Remifentanil for labour pain: safety and efficacy. [Internet] [Doctoral dissertation]. Leiden University; 2016. [cited 2021 Feb 27]. Available from: http://hdl.handle.net/1887/43949.

Council of Science Editors:

Douma MR. Remifentanil for labour pain: safety and efficacy. [Doctoral Dissertation]. Leiden University; 2016. Available from: http://hdl.handle.net/1887/43949

13. Χλωροπούλου, Πελαγία - Παρασκευή. Διερεύνηση των παραγόντων φλεγμονώδους αντίδρασης του επισκληρίδιου καθετήρα κατά την επισκληρίδια αναισθησία και αναλγησία.

Degree: 2013, Democritus University of Thrace (DUTH); Δημοκρίτειο Πανεπιστήμιο Θράκης (ΔΠΘ)

URL: http://hdl.handle.net/10442/hedi/29301

►

Background: Anaesthesia and inflammatory response have been studied in major abdominal and thoracic surgical procedures, but not in major orthopaedic reconstructive procedures such as total… (more)

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Background: Anaesthesia and inflammatory response have been studied in major abdominal and thoracic surgical procedures, but not in major orthopaedic reconstructive procedures such as total knee arthroplasty. Most studies have compared general anaesthesia with epidural anaesthesia, but none has compared spinal with epidural or with combined spinal and epidural.Methods: In a prospective randomized study three groups of patients scheduled for total knee arthroplasty for osteoarthritis, were evaluated regarding the inflammatory response to three types of regional anaesthesia. In 30 patients (Group A) with spinal anaesthesia followed by intravenous morphine analgesia, in 24 patients (Group B) with epidural anaesthesia followed by epidural analgesia and in 23 patients (Group C) with combined spinal and epidural anaesthesia followed by epidural analgesia, the inflammatory response was assessed through the calculation of leukocyte concentration (WBC), C- reactive protein (CRP), monocyte chemotactic protein 1 (MCP-1), interleukins ( IL-1, IL-6, IL-10, IL-18) , TNF-a, and leukocyte activation molecules CD11b and CD62L , in three blood samples (immediately before induction to anaesthesia, immediately after closure of the operative wound and at 24 hours post-operatively).Results: The MCP-1 values showed a statistically significant increase (p<0.02) in the group of patients with spinal anaesthesia. Of the leukocyte activation molecules a high statistically significant increase was noticed in the expression of CD11b on monocytes in the sample taken 24 hours post-operatively, in the patients of group A. Similarly, CD62L expression on neutrophils showed a high statistically significant reduction in the sample taken 24 hours post-operatively in the group of patients with spinal anaesthesia compared to the group of patients with epidural anaesthesia and combined spinal with epidural anaesthesia.Conclusions: Our results show that epidural anaesthesia followed by epidural analgesia produced less inflammatory response compared with spinal anesthesia followed by intravenous morphine analgesia or with combined spinal with epidural anaesthesia in patients operated with total knee arthoplasty, and that the most sensitive markers, of those investigated, were the CD11b and CD62L leukocyte activation molecules.

Εισαγωγή : Η φλεγμονώδης αντίδραση του οργανισμού σε διάφορους τύπους αναισθησίας έχει μελετηθεί εκτενέστατα σε μείζονες κοιλιακές χειρουργικές επεμβάσεις καθώς και σε επεμβάσεις του θώρακα. Εν τούτοις, παρά το γεγονός ότι μείζονες ορθοπαιδικές επεμβάσεις που αφορούν την αντικατάσταση μεγάλων εκφυλισμένων αρθρώσεων όπως του ισχίου και του γόνατος είναι πολύ συχνές, ελάχιστες δημοσιεύσεις υπάρχουν στην διεθνή βιβλιογραφία που να αναφέρονται στην μελέτη της φλεγμονώδους αντίδρασης μετά από τέτοιου είδους χειρουργικές επεμβάσεις. Επιπλέον σε όλες τις βιβλιογραφικές αναφορές συγκρίνεται η επίπτωση στην φλεγμονώδη αντίδραση της γενικής αναισθησίας με αυτή της επισκληρίδιας, αλλά δεν υπάρχει σύγκριση μεταξύ ραχιαίας και επισκληρίδιας και…

Subjects/Keywords: Φλεγμονώδης αντίδραση; Επισκληρίδιος αναισθησία; Επισκληρίδιος αναλγησία; Παράγοντες φλεγμονής; Inflammatory reaction; Epidural anaesthesia; Epidural analgesia; Inflammatory markers

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Χλωροπούλου, . �. -. �. (2013). Διερεύνηση των παραγόντων φλεγμονώδους αντίδρασης του επισκληρίδιου καθετήρα κατά την επισκληρίδια αναισθησία και αναλγησία. (Thesis). Democritus University of Thrace (DUTH); Δημοκρίτειο Πανεπιστήμιο Θράκης (ΔΠΘ). Retrieved from http://hdl.handle.net/10442/hedi/29301

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Χλωροπούλου, Πελαγία - Παρασκευή. “Διερεύνηση των παραγόντων φλεγμονώδους αντίδρασης του επισκληρίδιου καθετήρα κατά την επισκληρίδια αναισθησία και αναλγησία.” 2013. Thesis, Democritus University of Thrace (DUTH); Δημοκρίτειο Πανεπιστήμιο Θράκης (ΔΠΘ). Accessed February 27, 2021. http://hdl.handle.net/10442/hedi/29301.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Χλωροπούλου, Πελαγία - Παρασκευή. “Διερεύνηση των παραγόντων φλεγμονώδους αντίδρασης του επισκληρίδιου καθετήρα κατά την επισκληρίδια αναισθησία και αναλγησία.” 2013. Web. 27 Feb 2021.

Vancouver:

Χλωροπούλου �-�. Διερεύνηση των παραγόντων φλεγμονώδους αντίδρασης του επισκληρίδιου καθετήρα κατά την επισκληρίδια αναισθησία και αναλγησία. [Internet] [Thesis]. Democritus University of Thrace (DUTH); Δημοκρίτειο Πανεπιστήμιο Θράκης (ΔΠΘ); 2013. [cited 2021 Feb 27]. Available from: http://hdl.handle.net/10442/hedi/29301.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Χλωροπούλου �-�. Διερεύνηση των παραγόντων φλεγμονώδους αντίδρασης του επισκληρίδιου καθετήρα κατά την επισκληρίδια αναισθησία και αναλγησία. [Thesis]. Democritus University of Thrace (DUTH); Δημοκρίτειο Πανεπιστήμιο Θράκης (ΔΠΘ); 2013. Available from: http://hdl.handle.net/10442/hedi/29301

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

14. Καλογεράς, Νικόλαος. PCNL υπό επισκληρίδια αναλγησία VS PCNL υπό επισκληρίδια αναισθησία VS PCNL υπό γενική αναισθησία: επίδραση στη διεγχειρητική και μετεγχειρητική έκβαση.

Degree: 2012, University of Thessaly (UTH); Πανεπιστήμιο Θεσσαλίας

URL: http://hdl.handle.net/10442/hedi/29404

►

Objectives: To evaluate the possibility of performing percutaneous nephrolithotomy (PCNL) under epidural anesthesia and epidural analgesia and to compare these techniques to each other and… (more)

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Objectives: To evaluate the possibility of performing percutaneous nephrolithotomy (PCNL) under epidural anesthesia and epidural analgesia and to compare these techniques to each other and to general anesthesia. The three anesthetic techniques were compared to their perioperative results, complications, postoperative pain nausea and vomiting and also to patient satisfaction.Design: prospective randomized trial. Patients and Methods: One hundred and ten (110) patients requiring PCNL were enrolled in the study. They all fulfilled the following inclusion criteria:American Society of Anesthesiologists’ status up to III, older than 18 years of age, body mass index (calculated as weight in kilograms divided by height in meters squared) of 30 or less, and normal coagulation profile. Exclusion criteria were allergy to opiates or to local anesthetics, uncorrected coagulopathy. All patients did not have problems requiring medical or psychiatric intervention, nor did they have a history of psychotic illness, current alcohol and/or drug abuse, or dementia.Only 98 patients were correctly randomized. Thirty two of them received general anesthesia (Group A), thirty four of them received epidural analgesia (Group B) and thirty two received epidural anesthesia (GroupΓ).All patients received one hour prior to surgery 1000mg paracetamol and 40mg parecoxib.The PCNL was performed in the prone position. Percutaneous renal tract access wascreated with ultrasound guidance.Results: The three groups were similar regarding demographics. All the procedures were completed by the allocated method of anesthesia.It was proved that the group of epidural analgesia had significant less fall to the mean blood pressure during the procedure, in the same group the pain assessed by the visual analog scale was significantly less at 4, 8, 12, and 24 hours postoperatively. The group of epidural analgesia had also less vomiting and dizziness. The overall complications were significant less in the epidural analgesia group. More than half of the patients in Group B were absolutely satisfied from the anesthesia. Conclusions: The analysis of our study not only confirmed the feasibility and safely of performing PCNL under epidural anesthesia and epidural analgesia as the sole anesthetic procedure but also showed the superiority of epidural analgesia comparedwith the standard general anesthesia and epidural anesthesia.

Σκοπός αυτής της προοπτικής, τυχαιοποιημένης μελέτης ήταν να καταδειχθεί ότι είναι δυνατόν να εκτελεσθεί PCNL με αναισθητικές τεχνικές εκτός των κλασσικών (Γενικής αναισθησίας) και κατόπιν να συγκριθούν οι τεχνικές ως προς την περιεγχειρητική έκβαση, επιπλοκές, μετεγχειρητικό πόνο, ικανοποίηση του ασθενούς ναυτία και εμετό.Ασθενείς και μέθοδος Το πλήθος του δείγματος των ασθενών είναι 110 (n=110). Από αυτούς οι 98 χωρίστηκαν με τυχαίο τρόπο σε 3 ομάδες και έλαβαν διαφορετικό είδος αναισθησίας. Συγκεκριμένα:1η ομάδα αποτελούμενη από 32 ασθενείς έλαβε γενική αναισθησία2η ομάδα αποτελούμενη από 34 ασθενείς έλαβε επισκληρίδιο αναλγησίαo3η…

Subjects/Keywords: ΔΙΑΔΕΡΜΙΚΗ ΝΕΦΡΟΛΙΘΟΤΡΙΨΙΑ; Επισκληρίδια αναλγησία; ΕΠΙΣΚΛΗΡΙΔΙΑ ΑΝΑΙΣΘΗΣΙΑ; Γενική αναισθησία; PCNL (Percutaneus nephrolithotomy); Epidural analgesia; Epidural anesthesia; General anesthesia

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Καλογεράς, . �. (2012). PCNL υπό επισκληρίδια αναλγησία VS PCNL υπό επισκληρίδια αναισθησία VS PCNL υπό γενική αναισθησία: επίδραση στη διεγχειρητική και μετεγχειρητική έκβαση. (Thesis). University of Thessaly (UTH); Πανεπιστήμιο Θεσσαλίας. Retrieved from http://hdl.handle.net/10442/hedi/29404

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Καλογεράς, Νικόλαος. “PCNL υπό επισκληρίδια αναλγησία VS PCNL υπό επισκληρίδια αναισθησία VS PCNL υπό γενική αναισθησία: επίδραση στη διεγχειρητική και μετεγχειρητική έκβαση.” 2012. Thesis, University of Thessaly (UTH); Πανεπιστήμιο Θεσσαλίας. Accessed February 27, 2021. http://hdl.handle.net/10442/hedi/29404.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Καλογεράς, Νικόλαος. “PCNL υπό επισκληρίδια αναλγησία VS PCNL υπό επισκληρίδια αναισθησία VS PCNL υπό γενική αναισθησία: επίδραση στη διεγχειρητική και μετεγχειρητική έκβαση.” 2012. Web. 27 Feb 2021.

Vancouver:

Καλογεράς �. PCNL υπό επισκληρίδια αναλγησία VS PCNL υπό επισκληρίδια αναισθησία VS PCNL υπό γενική αναισθησία: επίδραση στη διεγχειρητική και μετεγχειρητική έκβαση. [Internet] [Thesis]. University of Thessaly (UTH); Πανεπιστήμιο Θεσσαλίας; 2012. [cited 2021 Feb 27]. Available from: http://hdl.handle.net/10442/hedi/29404.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Καλογεράς �. PCNL υπό επισκληρίδια αναλγησία VS PCNL υπό επισκληρίδια αναισθησία VS PCNL υπό γενική αναισθησία: επίδραση στη διεγχειρητική και μετεγχειρητική έκβαση. [Thesis]. University of Thessaly (UTH); Πανεπιστήμιο Θεσσαλίας; 2012. Available from: http://hdl.handle.net/10442/hedi/29404

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Freie Universität Berlin

15. Reinhold, Nicolle. the epidural analgesia versus the intravenous patient controlled analgesia.

Degree: 2015, Freie Universität Berlin

URL: http://dx.doi.org/10.17169/refubium-5804

► Background In view of the development of innovative and atraumatic surgical techniques, the postoperative pain management should be carried out depending on the invasiveness of… (more)

▼ Background In view of the development of innovative and atraumatic surgical techniques, the postoperative pain management should be carried out depending on the invasiveness of the intervention. In the present study two analgesic strategies have been compared in patients undergoing minimally invasive hysterectomy - the epidural analgesia (EDA) and the intravenous patient controlled analgesia (iv-PCA). Patient/ Material and Methods Sixty women with benign uterine diseases undergoing vaginal hysterectomy (VH) or laparoscopically assisted vaginal hysterectomy (LAVH) were included in this prospective case-controlled study. All operations were carried out by two experienced surgeons. Patients were divided for analysis into two groups (n = 30 each) according to the postoperative analgesic strategy (EDA-group versus iv-PCA-group). A matched-pair analysis was applied (matching criteria: risk assessment, surgeon, age of patient) to minimize the differences between both groups. Patients were evaluated with regard to extent of pain (determined by Numeric Rating Scale/NRS; 0-10 scale), analgesic consumption, rate of postoperative nausea and vomiting (PONV), mobilization from bed, oral intake, complications, duration of stay in the recovery room as well as hospital stay and health-related quality of life (SF-36 Health Survey; gathered before operation and 6 weeks after surgery). Results The uterus was removed laparoscopically-assisted in 22 women and by vaginal hysterectomy in 38 women. Demographic data of both groups as well as intraoperative hemodynamic and respiratory parameters were comparable to a great extent. No significant differences between study groups were seen in the duration of surgery (iv-PCA: 58 ± 25 min vs. EDA: 60 ± 26 min). Compared to iv-PCA-group women of EDA-group showed lower NRS-values (p < 0,01). In addition, less PONV (iv-PCA: 9/30 vs. EDA: 1/30; p < 0,01), less shivering (iv-PCA: 8/30 vs. EDA: 2/30; p < 0,05), reduced fatigue (iv-PCA: 26/30 vs. EDA: 9/30; p < 0,05) and a lower analgesic consumption were found. Postoperative requirement for piritramide in the iv- PCA-group was 7 mg (0 – 24) on day of surgery and 5 mg (0 – 39) on first postoperative day. In the EDA-group none opiate medication was given postoperatively (p < 0,001). Duration of stay in the recovery room was shorter in EDA-group (71 ± 32 vs. 50 ± 13 min; p < 0,05). Hospital stay was 5 days on average in both groups. There were no surgical complications as well as epidural catheter-related complications. Because of urinary retention catheterization of the urinary bladder had to be made in 3 patients of the iv- PCA-group and 13 patients of the EDA-group (p < 0,05). Furthermore, the possibility to take a shower postoperatively was restricted in the EDA-group because of the epidural catheter in place and thereby hygienic concerns (p < 0,001). Regarding the early oral intake as well as the postoperative mobilization no significant differences between groups were found. In comparison with the pre-operative status, the results regarding… Advisors/Committee Members: w (gender), N.N. (firstReferee), N.N. (furtherReferee).

Subjects/Keywords: hysterectomy; vaginal; laparoscopically; epidural analgesia; intravenous patient controlled analgesia; 600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit

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APA (6^th Edition):

Reinhold, N. (2015). the epidural analgesia versus the intravenous patient controlled analgesia. (Thesis). Freie Universität Berlin. Retrieved from http://dx.doi.org/10.17169/refubium-5804

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Reinhold, Nicolle. “the epidural analgesia versus the intravenous patient controlled analgesia.” 2015. Thesis, Freie Universität Berlin. Accessed February 27, 2021. http://dx.doi.org/10.17169/refubium-5804.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Reinhold, Nicolle. “the epidural analgesia versus the intravenous patient controlled analgesia.” 2015. Web. 27 Feb 2021.

Vancouver:

Reinhold N. the epidural analgesia versus the intravenous patient controlled analgesia. [Internet] [Thesis]. Freie Universität Berlin; 2015. [cited 2021 Feb 27]. Available from: http://dx.doi.org/10.17169/refubium-5804.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Reinhold N. the epidural analgesia versus the intravenous patient controlled analgesia. [Thesis]. Freie Universität Berlin; 2015. Available from: http://dx.doi.org/10.17169/refubium-5804

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Freie Universität Berlin

16. Viviano, Edoardo. Selective neurogenic blockades and perioperative immune reactivity in patients undergoing lung resection.

Degree: 2011, Freie Universität Berlin

URL: http://dx.doi.org/10.17169/refubium-6608

► Major surgery is known to alter the Th1/Th2 ratio in the immediate postoperative time. Thoracic epidural block, central alpha-2-receptor stimulation via intravenous clonidine application and… (more)

Subjects/Keywords: Thoracic surgery; Anaesthesia and Analgesia; Epidural Analgesia; Pneumonia; Lung Neoplasms; Neuroimmunomodulation; Cytokines; 600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit

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APA (6^th Edition):

Viviano, E. (2011). Selective neurogenic blockades and perioperative immune reactivity in patients undergoing lung resection. (Thesis). Freie Universität Berlin. Retrieved from http://dx.doi.org/10.17169/refubium-6608

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Viviano, Edoardo. “Selective neurogenic blockades and perioperative immune reactivity in patients undergoing lung resection.” 2011. Thesis, Freie Universität Berlin. Accessed February 27, 2021. http://dx.doi.org/10.17169/refubium-6608.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Viviano, Edoardo. “Selective neurogenic blockades and perioperative immune reactivity in patients undergoing lung resection.” 2011. Web. 27 Feb 2021.

Vancouver:

Viviano E. Selective neurogenic blockades and perioperative immune reactivity in patients undergoing lung resection. [Internet] [Thesis]. Freie Universität Berlin; 2011. [cited 2021 Feb 27]. Available from: http://dx.doi.org/10.17169/refubium-6608.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Viviano E. Selective neurogenic blockades and perioperative immune reactivity in patients undergoing lung resection. [Thesis]. Freie Universität Berlin; 2011. Available from: http://dx.doi.org/10.17169/refubium-6608

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Freie Universität Berlin

17. Heimann, Silke. Effects of different methods of regional anaesthesia on postoperative pain control after cesarean section.

Degree: 2015, Freie Universität Berlin

URL: http://dx.doi.org/10.17169/refubium-5015

► Background: Caesarean section (CS) might cause high postoperative pain. This three-armed prospective randomized clinical trial investigates three different neuroaxial methods. These methods are routinously used… (more)

▼ Background: Caesarean section (CS) might cause high postoperative pain. This three-armed prospective randomized clinical trial investigates three different neuroaxial methods. These methods are routinously used in the Department of Anesthesiology and Intensive Care Medicine Charité - University Medicine Berlin. We hypothesized, that a continuos epidural administration of opioids with patient-controlled epidural analgesia (PCEA) is better than single-shots of epidural or intrathecal opioid administration. Methods: An amount of 60 women per group were calculated according to the present literature [1]. 199 women exspecting elective CS were randomized in three groups. SpA for CS was performed with a combination off bupivacaine 0,5% and Sufentanil 5 ug. In case of PCEA and ED-Group a combined spinal-epidural method (cse) was performed For postoperative analgesia women of the PCEA-group received ropivacaine 0,1 % + sufentanil 5 ug/ml (rate: 6ml /h, bolus: 4ml) for 24 hours after CS, whereas ED-group received an opioid bolus of 3 mg morphine after CS. In the IT-group spinal anaesthesia was performed with an IT opioid bolus of 0,1 mg morphine before CS. Primary endpoint was pain (VAS 0mm = no pain to 100mm = worst pain) 9 h after CS, secondary endpoints included also pain at 1, 2, 6, 24 and 48 h after CS as well as additional analgesic requirements. Results: VAS (rest/mobilization) of 10 (0/23) / 40 (20/56) at 9 h was lower for IT-group (p= 0.11/p=0,003) than VAS of 20 (0-30) / 50 (30-60) for ED as well as VAS 20 (0-40) / 50 (30-70) for PCEA-group (p=0,005/ p=0,01). VAS 10 (0/29) / 40 (20/60) for IT-group at 6h were significantly lower (p=0,02 / p=0,02) in the IT-group (VAS 20(4/40) / 50 (30/70)) In mobilization at 24 / 48 h VAS of IT- group 40 (20/58) / 30 (20/40) was significantly lower (p=0,04 /p=0,01) than in PCEA-group 50 (40/70) / 40 (20/63) Regarding additional analgesic requirements ibuprofen consumption in the first 24 h was significantly lower in IT- and PCEA-group compared to ED-group, paracetamol significantly lower in PCEA-group as in ED- and IT-group. 48 h paracetamol consumption was lower in IT-group than PCEA-group. Particularly lower consumption of co-analgetics was not reflected in lower VAS scores in PCEA-group. All in all no advantage over the other neuroaxial methods could be proved for PCEA. Intrathecal morphine offered the best options for postoperative analgesia after CS. Advisors/Committee Members: [email protected] (contact), w (gender), N.N. (firstReferee), N.N. (furtherReferee).

Subjects/Keywords: postoperative analgesia; cesarean section; intrathecal/epidural analgesia versus PCEA; 600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Heimann, S. (2015). Effects of different methods of regional anaesthesia on postoperative pain control after cesarean section. (Thesis). Freie Universität Berlin. Retrieved from http://dx.doi.org/10.17169/refubium-5015

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Heimann, Silke. “Effects of different methods of regional anaesthesia on postoperative pain control after cesarean section.” 2015. Thesis, Freie Universität Berlin. Accessed February 27, 2021. http://dx.doi.org/10.17169/refubium-5015.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Heimann, Silke. “Effects of different methods of regional anaesthesia on postoperative pain control after cesarean section.” 2015. Web. 27 Feb 2021.

Vancouver:

Heimann S. Effects of different methods of regional anaesthesia on postoperative pain control after cesarean section. [Internet] [Thesis]. Freie Universität Berlin; 2015. [cited 2021 Feb 27]. Available from: http://dx.doi.org/10.17169/refubium-5015.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Heimann S. Effects of different methods of regional anaesthesia on postoperative pain control after cesarean section. [Thesis]. Freie Universität Berlin; 2015. Available from: http://dx.doi.org/10.17169/refubium-5015

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Freie Universität Berlin

18. Beutlhauser, Torsten. A Comparison of pain relief and side effects during epidural anesthesia of two different doses of Sufentanil.

Degree: 2010, Freie Universität Berlin

URL: https://refubium.fu-berlin.de/handle/fub188/12140

► Combining an opioid with peridural localanalgesia is an excellent technique to control post-operative pain. Sufentanil is a widely used opiod agent, but its optimal dosage… (more)

Subjects/Keywords: ANAESTHETICS, LOCAL; Ropivacaine, ANALGESIA, EPIDURAL; ANALGESIA, PATIENT-CONTROLLED; Sufentanil; 600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Beutlhauser, T. (2010). A Comparison of pain relief and side effects during epidural anesthesia of two different doses of Sufentanil. (Thesis). Freie Universität Berlin. Retrieved from https://refubium.fu-berlin.de/handle/fub188/12140

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Beutlhauser, Torsten. “A Comparison of pain relief and side effects during epidural anesthesia of two different doses of Sufentanil.” 2010. Thesis, Freie Universität Berlin. Accessed February 27, 2021. https://refubium.fu-berlin.de/handle/fub188/12140.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Beutlhauser, Torsten. “A Comparison of pain relief and side effects during epidural anesthesia of two different doses of Sufentanil.” 2010. Web. 27 Feb 2021.

Vancouver:

Beutlhauser T. A Comparison of pain relief and side effects during epidural anesthesia of two different doses of Sufentanil. [Internet] [Thesis]. Freie Universität Berlin; 2010. [cited 2021 Feb 27]. Available from: https://refubium.fu-berlin.de/handle/fub188/12140.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Beutlhauser T. A Comparison of pain relief and side effects during epidural anesthesia of two different doses of Sufentanil. [Thesis]. Freie Universität Berlin; 2010. Available from: https://refubium.fu-berlin.de/handle/fub188/12140

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

19. Mastrocinque, Sandra. Avaliação do emprego do tramadol epidural ou sistêmico e da morfina epidural em cadelas submetidas à ovariohisterectomia.

Degree: PhD, Clínica Cirúrgica Veterinária, 2005, University of São Paulo

URL: http://www.teses.usp.br/teses/disponiveis/10/10137/tde-28092006-173042/ ;

►

O objetivo deste estudo foi o de comparar o emprego do tramadol, por via epidural ou sistêmica, com a morfina por via epidural, para controle… (more)

▼

O objetivo deste estudo foi o de comparar o emprego do tramadol, por via epidural ou sistêmica, com a morfina por via epidural, para controle da dor pós-operatória em cadelas submetidas à ovariohisterectomia, assim como determinar a ação dos agentes sobre o sistema cardiorespiratório e ocorrência de efeitos adversos. Para tanto, foram utilizadas 40 cadelas, distribuídas, aleatoriamente, em 4 grupos de 10 animais cada. O grupo 1 recebeu 2 /kg de tramadol por via epidural, o grupo 2 recebeu 2 mg/kg de tramadol por via intramuscular, o grupo 3 foi tratado com 0,1 mg/kg de morfina por via epidural e o grupo 4, determinado como controle, recebeu solução salina. Os fármacos foram administrados 30 minutos antes da indução anestésica, sendo o estudo caracterizado como prospectivo, clínico, tipo cego. Os animais foram pré-medicados com acepromazina, a indução anestésica realizada com propofol e o isofluorano foi empregado para manutenção da anestesia. As variáveis mensuradas foram: analgesia, sedação, freqüências cardíaca e respiratória, pressão arterial, concentração de isofluorano e dióxido de carbono no ar expirado, saturação periférica da oxihemoglobina, pH e gases sangüíneos, cortisol sérico e catecolaminas plasmáticas. Os animais foram avaliados por período de 24 horas após administração do fármaco analgésico. Os resultados foram submetidos à análise de variância, onde valores de P<0,05 foram considerados significantes. Não houve diferença entre os tratamentos com relação aos parâmetros de oxigenação, ventilação e cardiovasculares com exceção da pressão diastólica, que no grupo tratado com morfina apresentou menor valor que os demais grupos 6 horas após a administração dos analgésicos. Este grupo apresentou ainda menores escores de dor em vários momentos de avaliação, além de diminuir o requerimento de isofluorano em relação aos demais grupos aos 10 minutos de anestesia e aos 30 minutos, em comparação com o grupo controle, e menor valor de cortisol sérico 2 horas após a administração do fármaco analgésico em comparação ao grupo tratado com tramadol intramuscular e controle. Os grupos tratados com morfina epidural e tramadol epidural apresentaram menores valores de epinefrina que o grupo que recebeu tramadol intramuscular 2 horas após administração do agente analgésico. Os animais tratados com morfina não necessitaram medicação resgate durante o decorrer do estudo. Com base nos resultados obtidos, pode-se concluir que o emprego do tramadol epidural em cães é técnica segura, livre de efeitos adversos no sistema cardiorespiratório, porém o tratamento com morfina epidural foi superior a este e aos demais grupos com relação à qualidade da analgesia, sem apresentar efeitos adversos importantes

The aim of this study was to compare epidural or systemic tramadol and morphine to control postoperative pain in bitches submitted to ovariohysterectomy and to determine the effects of treatments on cardio and respiratory systems as well as side effects. Forty female dogs were randomly divided into four groups. Group 1 received 2…

Advisors/Committee Members: Fantoni, Denise Tabacchi.

Subjects/Keywords: Analgesia (epidural); Analgesia (epidural); Bitches; Cães; Morfina; Morphine; Tramadol; Tramadol

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Mastrocinque, S. (2005). Avaliação do emprego do tramadol epidural ou sistêmico e da morfina epidural em cadelas submetidas à ovariohisterectomia. (Doctoral Dissertation). University of São Paulo. Retrieved from http://www.teses.usp.br/teses/disponiveis/10/10137/tde-28092006-173042/ ;

Chicago Manual of Style (16^th Edition):

Mastrocinque, Sandra. “Avaliação do emprego do tramadol epidural ou sistêmico e da morfina epidural em cadelas submetidas à ovariohisterectomia.” 2005. Doctoral Dissertation, University of São Paulo. Accessed February 27, 2021. http://www.teses.usp.br/teses/disponiveis/10/10137/tde-28092006-173042/ ;.

MLA Handbook (7^th Edition):

Mastrocinque, Sandra. “Avaliação do emprego do tramadol epidural ou sistêmico e da morfina epidural em cadelas submetidas à ovariohisterectomia.” 2005. Web. 27 Feb 2021.

Vancouver:

Mastrocinque S. Avaliação do emprego do tramadol epidural ou sistêmico e da morfina epidural em cadelas submetidas à ovariohisterectomia. [Internet] [Doctoral dissertation]. University of São Paulo; 2005. [cited 2021 Feb 27]. Available from: http://www.teses.usp.br/teses/disponiveis/10/10137/tde-28092006-173042/ ;.

Council of Science Editors:

Mastrocinque S. Avaliação do emprego do tramadol epidural ou sistêmico e da morfina epidural em cadelas submetidas à ovariohisterectomia. [Doctoral Dissertation]. University of São Paulo; 2005. Available from: http://www.teses.usp.br/teses/disponiveis/10/10137/tde-28092006-173042/ ;

Universidade Estadual de Campinas

20. Souza, Marcio Antonio de. Analgesia de parto : bloqueio combinado raqui-peridural versus bloquei peridural continuo em primigestas: Labor analgesia : combined spinal-epidural block versus continuous epidural block in primiparous women.

Degree: 2009, Universidade Estadual de Campinas

URL: http://repositorio.unicamp.br/jspui/handle/REPOSIP/309851

► Abstract: PROBLEM AND OBJECTIVES: The childbirth arouses distress and intense pain to most of the parturients. The ideal method of producing analgesia must reduce the… (more)

▼ Abstract: PROBLEM AND OBJECTIVES: The childbirth arouses distress and intense pain to most of the parturients. The ideal method of producing analgesia must reduce the labor's pain and inconveniences to the utmost level, allowing the mother to participate on the delivery experience in an active and pleasant manner. The Combined Spinal-Epidural (CSE) analgesia offers the advantages of an early insertion, fast onset of analgesia, small dose of local anesthetic and reduced degree of motor block, being thus associated to short-time labors and yielding greater satisfaction to the puerpera. Otherwise, the Continuous Epidural Analgesia (CEA) would require larger doses of local anesthetics and a larger motor block as well, but it would be applied only in advanced stages of dilatation. The CSE analgesia has an attractive prospect, since it incorporates the advantages of the intrathecal administration of rapid onset pharmaceuticals, preserving this access through an epidural catheter that is uninterruptedly available for the insertion of other drugs and, at the same time, reducing the disadvantages that these both anesthesia techniques present. This study compares the combined spinal-epidural analgesia with the continuous epidural analgesia in primiparous parturients, through maternal and perinatal outcomes. APPROACH AND METHOD: 128 primiparous parturients in labor were recruited for the study. They were separated into two equal groups (CEA group and CSE group) when they applied to two of the maternity hospitals in Jundiaí city, during the pre-labor stage. A random clinical rehearsal was accomplished and the following variables were analyzed: latency time for the analgesia onset, pain intensity after its onset, total time elapsed until the complete cervical dilation, Apgar Index at the 1st and 5th minutes, time for delivery conclusion, degree of motor block, level of sensitive block, adverse effects (such as nausea, vomiting, pruritus and arterial hypotension) and degree of motherly approval. Data Analysis: The analysis was performed through the Mann-Whitney non-parametric test for continuous variables. Fisher's exact test and Pearson's chi-square test were also employed. RESULTS: Concerning the compared variables on the speed of cervical dilation, time for delivery conclusion, maternal hemodynamic parameters, newborn's healthiness, complementary analgesia during labor and labor, there were no significant statistic differences between the two groups studied. However, the CSE group had a faster analgesia insertion. In relation to the motor block, a significant statistic difference was detected between the two groups, revealing a reduced motor block in the group that received the CEA. CONCLUSIONS: Both techniques were proved as safe and efficient, though the CSE analgesia offered a faster analgesia and sooner pain relief. Due to a less intense motor block, the parturients from the CEA group were able to accomplish an active movement and effective collaboration during the expulsion stage. The major part of the women (95,4%)… Advisors/Committee Members: UNIVERSIDADE ESTADUAL DE CAMPINAS (CRUESP), Silva, João Luiz de Carvalho Pinto e, 1944- (advisor), Universidade Estadual de Campinas. Faculdade de Ciências Médicas (institution), Programa de Pós-Graduação em Tocoginecologia (nameofprogram), Filho, Nelson Lourenço Maia (committee member), Pereira, Rosa Inês Costa (committee member).

Subjects/Keywords: Analgesia; Anestesia epidural; Raquianestesia; Parto; Opioides; Analgesia; Epidural anesthesia; Spinal anesthesia; Delivery; Opioids

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Souza, M. A. d. (2009). Analgesia de parto : bloqueio combinado raqui-peridural versus bloquei peridural continuo em primigestas: Labor analgesia : combined spinal-epidural block versus continuous epidural block in primiparous women. (Thesis). Universidade Estadual de Campinas. Retrieved from http://repositorio.unicamp.br/jspui/handle/REPOSIP/309851

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Souza, Marcio Antonio de. “Analgesia de parto : bloqueio combinado raqui-peridural versus bloquei peridural continuo em primigestas: Labor analgesia : combined spinal-epidural block versus continuous epidural block in primiparous women.” 2009. Thesis, Universidade Estadual de Campinas. Accessed February 27, 2021. http://repositorio.unicamp.br/jspui/handle/REPOSIP/309851.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Souza, Marcio Antonio de. “Analgesia de parto : bloqueio combinado raqui-peridural versus bloquei peridural continuo em primigestas: Labor analgesia : combined spinal-epidural block versus continuous epidural block in primiparous women.” 2009. Web. 27 Feb 2021.

Vancouver:

Souza MAd. Analgesia de parto : bloqueio combinado raqui-peridural versus bloquei peridural continuo em primigestas: Labor analgesia : combined spinal-epidural block versus continuous epidural block in primiparous women. [Internet] [Thesis]. Universidade Estadual de Campinas; 2009. [cited 2021 Feb 27]. Available from: http://repositorio.unicamp.br/jspui/handle/REPOSIP/309851.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Souza MAd. Analgesia de parto : bloqueio combinado raqui-peridural versus bloquei peridural continuo em primigestas: Labor analgesia : combined spinal-epidural block versus continuous epidural block in primiparous women. [Thesis]. Universidade Estadual de Campinas; 2009. Available from: http://repositorio.unicamp.br/jspui/handle/REPOSIP/309851

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Universidade Estadual de Campinas

21. Baciuk, Erica Passos. Associação entre pratica de hidroginastica durante a gestação, capacidade cardiovascular e experiencia de parto.

Degree: 2005, Universidade Estadual de Campinas

URL: http://repositorio.unicamp.br/jspui/handle/REPOSIP/311868

Subjects/Keywords: Gravidez; Exercícios físicos; Analgesia epidural; Parto; Pregnancy; Exercise; Physical fitness; Epidural analgesia; Delivery

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Baciuk, E. P. (2005). Associação entre pratica de hidroginastica durante a gestação, capacidade cardiovascular e experiencia de parto. (Thesis). Universidade Estadual de Campinas. Retrieved from http://repositorio.unicamp.br/jspui/handle/REPOSIP/311868

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Baciuk, Erica Passos. “Associação entre pratica de hidroginastica durante a gestação, capacidade cardiovascular e experiencia de parto.” 2005. Thesis, Universidade Estadual de Campinas. Accessed February 27, 2021. http://repositorio.unicamp.br/jspui/handle/REPOSIP/311868.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Baciuk, Erica Passos. “Associação entre pratica de hidroginastica durante a gestação, capacidade cardiovascular e experiencia de parto.” 2005. Web. 27 Feb 2021.

Vancouver:

Baciuk EP. Associação entre pratica de hidroginastica durante a gestação, capacidade cardiovascular e experiencia de parto. [Internet] [Thesis]. Universidade Estadual de Campinas; 2005. [cited 2021 Feb 27]. Available from: http://repositorio.unicamp.br/jspui/handle/REPOSIP/311868.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Baciuk EP. Associação entre pratica de hidroginastica durante a gestação, capacidade cardiovascular e experiencia de parto. [Thesis]. Universidade Estadual de Campinas; 2005. Available from: http://repositorio.unicamp.br/jspui/handle/REPOSIP/311868

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Universitat Pompeu Fabra

22. Garcia Lausin, Laura, 1981-. Análisis causal entre la utilización de analgesia epidural durante el parto (alivio del dolor) y las lesiones perineales : "a-birthperform study".

Degree: Departament de Ciències Experimentals i de la Salut, 2019, Universitat Pompeu Fabra

URL: http://hdl.handle.net/10803/668359

► Perineal injuries during childbirth, especially severe perineal injuries, can lead to adverse health outcomes for women both in the short and longer term and can… (more)

▼ Perineal injuries during childbirth, especially severe perineal injuries, can lead to adverse health outcomes for women both in the short and longer term and can significantly affect women´s quality of life. The use of epidural analgesia during childbirth, instrumental deliveries and primiparity are some of the predisposing factors associated with severe perineal injuries. In Catalonia there is an upward trend in the use of epidural analgesia in recent years, but its effect in healthy women is unknown. The type of birth and obstetric interventions women receive during labor are considered an important indicator of women's quality of life and these figures become an indispensable tool to plan and develop health policy. Despite its importance, there is no data on the effect of the use of epidural analgesia on severe perineal injuries and its effect on other obstetric outcomes, which makes it impossible to implement actions in this area. The main objective of the study is to obtain data regarding the use of epidural analgesia during childbirth in relation to severe perineal injuries and other obstetric outcomes in order to guide the implementation of policies aimed at improving perinatal outcomes. The specific objectives are to identify these results within our region based on data is generated from the MidconBirth study; to ascertain the effects of exposure time to EA in relation to instrumental deliveries; and finally, to devise a clinical trial protocol to test a digital tool for the use of heath care professionals and test whether it helps improve the management of normal birth care. This study concludes in three main results: a) provides, for the first time, data on the relationship of the use of epidural with severe perineal injuries during labor in our region; b) it shows a direct relationship between the time of exposure to epidural and birth mode; c) childbirth care offered in our region indicates that the Clinical Practice Guide for normal birth care is not properly implemented d) with the A-BIRTHPERFORM tool, compliance with clinical guidelines could be improved thus contributing to the improvement of perinatal outcomes and maternal satisfaction. Advisors/Committee Members: [email protected] (authoremail), true (authoremailshow), Escuriet Peiró, Ramón, 1968- (director).

Subjects/Keywords: Cuidados intraparto; Lesiones perineales graves; Analgesia epidural; Parto instrumentado; Tiempo de exposición a la analgesia epidural; Oxitocina; Guías; Herramienta para profesionales; 618

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Garcia Lausin, Laura, 1. (2019). Análisis causal entre la utilización de analgesia epidural durante el parto (alivio del dolor) y las lesiones perineales : "a-birthperform study". (Thesis). Universitat Pompeu Fabra. Retrieved from http://hdl.handle.net/10803/668359

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Garcia Lausin, Laura, 1981-. “Análisis causal entre la utilización de analgesia epidural durante el parto (alivio del dolor) y las lesiones perineales : "a-birthperform study".” 2019. Thesis, Universitat Pompeu Fabra. Accessed February 27, 2021. http://hdl.handle.net/10803/668359.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Garcia Lausin, Laura, 1981-. “Análisis causal entre la utilización de analgesia epidural durante el parto (alivio del dolor) y las lesiones perineales : "a-birthperform study".” 2019. Web. 27 Feb 2021.

Vancouver:

Garcia Lausin, Laura 1. Análisis causal entre la utilización de analgesia epidural durante el parto (alivio del dolor) y las lesiones perineales : "a-birthperform study". [Internet] [Thesis]. Universitat Pompeu Fabra; 2019. [cited 2021 Feb 27]. Available from: http://hdl.handle.net/10803/668359.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Garcia Lausin, Laura 1. Análisis causal entre la utilización de analgesia epidural durante el parto (alivio del dolor) y las lesiones perineales : "a-birthperform study". [Thesis]. Universitat Pompeu Fabra; 2019. Available from: http://hdl.handle.net/10803/668359

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

23. Zoumprouli, Argyro. Επίδραση της μετεγχειρητικής αναλγησίας στη μετεγχειρητική κινητικότητα του πεπτικού συστήματος.

Degree: 2018, University of Crete (UOC); Πανεπιστήμιο Κρήτης

URL: http://hdl.handle.net/10442/hedi/43203

►

Background: Impairment of gastrointestinal (GI) motility is an undesirable but inevitable consequence of surgery. In the present prospective randomised controlled study we tested the hypothesis… (more)

▼

Background: Impairment of gastrointestinal (GI) motility is an undesirable but inevitable consequence of surgery. In the present prospective randomised controlled study we tested the hypothesis of whether the postoperative thoracic epidural analgesia with ropivacaine or a combination of ropivacaine and morphine would accelerate postoperative GI function and shorten the duration of postoperative ileus following major thoracic surgery in comparison to IV morphine.Methods: Thirty patients scheduled for major thoracic surgery were allocated in three groups. All groups received general anaesthesia and assessment of their bowel motility one week pre-operatively. Group Ep-R received epidural thoracic analgesia (TEA) with ropivacaine. Group Ep-RM received TEA with ropivacaine and morphine and group IV-M received morphine via patient controlled analgesia pump (PCA), IV. For the assessment of the bowel motility we used clinical signs in addition to oro-ceacal transit time (OCTT) the first and third postoperative days and colonic transit time (CTT) via migration of radiopaque markers.Results: Overall the OCTT revealed a 2.5-fold decrease of bowel function on the first postoperative day. The OCTT test revealed statistically significant difference between all groups (Ep-R vs Ep-RM, p= 0.43 / Ep-R vs IV-M, p= 0.039 / Ep-RM vs IV-M, p= 0.000). There are also statistically significant differences between days (OCCT test) (Ep-R vs Ep-RM, p= 0.000 / Ep-R vs IV-M, p= 0.000 / Ep-RM vs IV-M, p= 0.014). The migration of radiopaque markers did not show any significant differences between groups. There were also no significant differences in clinical signs between groups. However, 70 % of the patients in the Ep-R group and 80 % in the Ep-RM group defecated by the third day compared to only 10 % in the IV-M group, and this was statistically significant (p = 0.004).Conclusions: Objective tests demonstrated the delayed motility of the whole GI system postoperatively following thoracic surgery. They also revealed that continuous epidural analgesia with or without morphine improved GI motility in comparison to intravenous morphine. The differences appear more prominent on the third postoperative day. Trial registration: ISRCTN number: 11953159.

Εισαγωγή: Η διαταραχή της κινητικότητας του γαστρεντερικού συστήματος είναι μια ανεπιθύμητη αλλά αναπόφευκτη συνέπεια των κοιλιακών αλλά και άλλων χειρουργικών επεμβάσεων, που καθυστερούν την ανάρρωση των ασθενών και μπορεί να παρατείνουν την ενδονοσοκομειακή νοσηλεία τους. Αυτή η επίδραση στο γαστρεντερικό σύστημα αναφέρεται ως μετεγχειρητικός ειλεός. Η παρούσα προοπτική τυχαιοποιημένη μελέτη διερεύνησε την υπόθεση του κατά πόσο η θωρακική επισκληρίδιος αναλγησία με ροπιβακαΐνη ή με συνδυασμό ροπιβακαΐνης και μορφίνης επιταχύνει τη μετεγχειρητική λειτουργία του γαστρεντερικού συστήματος και μειώνει τη διάρκεια του μετεγχειρητικού ειλεού μετά από μείζονες θωρακοχειρουργικές επεμβάσεις σε σύγκριση με την ενδοφλέβια χορήγηση μορφίνης. Μέθοδος: Η μελέτη πραγματοποιήθηκε τη χρονική περίοδο από το Μάρτιο…

Subjects/Keywords: Ειλεός; Επισκληρίδιος αναλγησία; Θωρακοχειρουργικές επεμβάσεις; Γαστρεντερικό σύστημα; Ileus; Epidural analgesia; Thoracic surgery; Gastrointestinal tract

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Zoumprouli, A. (2018). Επίδραση της μετεγχειρητικής αναλγησίας στη μετεγχειρητική κινητικότητα του πεπτικού συστήματος. (Thesis). University of Crete (UOC); Πανεπιστήμιο Κρήτης. Retrieved from http://hdl.handle.net/10442/hedi/43203

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Zoumprouli, Argyro. “Επίδραση της μετεγχειρητικής αναλγησίας στη μετεγχειρητική κινητικότητα του πεπτικού συστήματος.” 2018. Thesis, University of Crete (UOC); Πανεπιστήμιο Κρήτης. Accessed February 27, 2021. http://hdl.handle.net/10442/hedi/43203.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Zoumprouli, Argyro. “Επίδραση της μετεγχειρητικής αναλγησίας στη μετεγχειρητική κινητικότητα του πεπτικού συστήματος.” 2018. Web. 27 Feb 2021.

Vancouver:

Zoumprouli A. Επίδραση της μετεγχειρητικής αναλγησίας στη μετεγχειρητική κινητικότητα του πεπτικού συστήματος. [Internet] [Thesis]. University of Crete (UOC); Πανεπιστήμιο Κρήτης; 2018. [cited 2021 Feb 27]. Available from: http://hdl.handle.net/10442/hedi/43203.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Zoumprouli A. Επίδραση της μετεγχειρητικής αναλγησίας στη μετεγχειρητική κινητικότητα του πεπτικού συστήματος. [Thesis]. University of Crete (UOC); Πανεπιστήμιο Κρήτης; 2018. Available from: http://hdl.handle.net/10442/hedi/43203

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

24. Morais, Andreia Catarina Machado. Expectativas e grau de satisfação da puérpera com o recurso à analgesia epidural durante o trabalho de parto.

Degree: 2016, RCAAP

URL: https://www.rcaap.pt/detail.jsp?id=oai:ubibliorum.ubi.pt:10400.6/5317

► Introdução: Durante o período gestacional, a grávida constrói expectativas em relação ao parto que, dependendo da forma como é percecionado, influenciam o seu grau de… (more)

▼ Introdução: Durante o período gestacional, a grávida constrói expectativas em relação ao parto que, dependendo da forma como é percecionado, influenciam o seu grau de satisfação face a essa mesma experiência. A dor associada ao trabalho de parto e o nível de eficácia da analgesia administrada são fatores de grande impacto psicológico, podendo ser relembrados pelas puérperas de forma precisa, decorrido algum tempo após o parto. A epidural, como técnica analgésica de eleição para controlo da dor no trabalho de parto, bloqueia a condução nervosa sensitiva sem afectar fibras nervosas motoras, provocando alívio da dor distalmente às primeiras vértebras lombares e permitindo que a parturiente participe ativamente no nascimento do filho. Objetivos: O presente estudo teve como principal objetivo avaliar as expectativas e o grau de satisfação das puérperas que recorreram à analgesia epidural para alívio da dor no trabalho de parto. Secundariamente, pretende-se que este estudo seja o ponto de partida para uma melhoria de cuidados ao nível da saúde materna, desde a gravidez ao puerpério. Métodos: A amostra do estudo é constituída por 75 utentes do Departamento de Saúde da Mulher e da Criança, do Serviço de Ginecologia e Obstetrícia, do Centro Hospitalar Cova da Beira, E.P.E., no período compreendido entre janeiro de 2015 e fevereiro de 2016. O facto da puérpera ter sido submetida a analgesia epidural durante o trabalho de parto, no período supracitado, constituiu o único critério de inclusão no estudo. Definiu-se que partos decorridos por cesariana seriam excluídos. Aplicou-se um inquérito pós-parto de 40 questões (Anexo 1), presencialmente ou via telefónica, para avaliar o grau de satisfação da puérpera face à analgesia epidural e a comparação da experiência realmente vivida com as expectativas que haviam sido geradas durante o período gestacional. Resultados: A maioria das puérperas tem idades compreendidas entre os 29 e os 39 anos, é de nacionalidade portuguesa, encontra-se empregada, casada, em regime de união de facto ou a coabitar com o companheiro, possui habilitações literárias superiores à escolaridade mínima obrigatória (> 12 anos), teve um tempo de gestação compreendido entre as 37 e 42 semanas, é primigesta e primípara. A decisão sobre recorrer à analgesia epidural foi, para a maioria das puérperas do estudo, tomada no decorrer do trabalho de parto, tendo sido, também para a maioria, uma decisão própria e justificada pela vontade de diminuir a dor. É de salientar que, no que diz respeito à influência exercida por terceiros, a opinião médica prevaleceu e foi a que teve mais peso na decisão. O tipo de parto foi, na maioria dos casos, eutócico, seguido de uma minoria de partos distócicos. Em relação às condições físicas do serviço onde decorreu o parto, à qualidade dos cuidados prestados pelos profissionais de saúde e ao tempo que demorou todo o processo, a avaliação da experiência foi de encontro ou superou as expectativas, na generalidade dos casos, traduzindo-se em sentimentos satisfatórios face aos mesmos… Advisors/Committee Members: León, Maged Zarif.

Subjects/Keywords: Analgesia Epidural.; Dor; Expectativas; Parto; Satisfação; Domínio/Área Científica::Ciências Médicas::Ciências da Saúde

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Morais, A. C. M. (2016). Expectativas e grau de satisfação da puérpera com o recurso à analgesia epidural durante o trabalho de parto. (Thesis). RCAAP. Retrieved from https://www.rcaap.pt/detail.jsp?id=oai:ubibliorum.ubi.pt:10400.6/5317

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Morais, Andreia Catarina Machado. “Expectativas e grau de satisfação da puérpera com o recurso à analgesia epidural durante o trabalho de parto.” 2016. Thesis, RCAAP. Accessed February 27, 2021. https://www.rcaap.pt/detail.jsp?id=oai:ubibliorum.ubi.pt:10400.6/5317.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Morais, Andreia Catarina Machado. “Expectativas e grau de satisfação da puérpera com o recurso à analgesia epidural durante o trabalho de parto.” 2016. Web. 27 Feb 2021.

Vancouver:

Morais ACM. Expectativas e grau de satisfação da puérpera com o recurso à analgesia epidural durante o trabalho de parto. [Internet] [Thesis]. RCAAP; 2016. [cited 2021 Feb 27]. Available from: https://www.rcaap.pt/detail.jsp?id=oai:ubibliorum.ubi.pt:10400.6/5317.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Morais ACM. Expectativas e grau de satisfação da puérpera com o recurso à analgesia epidural durante o trabalho de parto. [Thesis]. RCAAP; 2016. Available from: https://www.rcaap.pt/detail.jsp?id=oai:ubibliorum.ubi.pt:10400.6/5317

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

25. Zotou, Anastasia. Σύγκριση τεχνικών για την αντιμετώπιση του μετεγχειρητικού πόνου μετά από χολοπαγκρεατική εκτροπή για τη θεραπεία της νοσογόνου παχυσαρκίας, με τη χορήγηση επισκληριδίου αναλγησίας με τοπικό αναισθητικό (λεβοβουπιβακαΐνη) και οπιοειδές (μορφίνη).

Degree: 2014, University of Patras; Πανεπιστήμιο Πατρών

URL: http://hdl.handle.net/10442/hedi/39160

►

Comparison of techniques for postoperative analgesia management after a weight loss surgery (Βiliary Pancreatic Diversion with Roux-En-Y) by administration of epidural analgesia with local anesthetic… (more)

▼

Comparison of techniques for postoperative analgesia management after a weight loss surgery (Βiliary Pancreatic Diversion with Roux-En-Y) by administration of epidural analgesia with local anesthetic (levobupivacaine) and opioid (morphine) Background: Postoperative pain control in morbidly obese patients should aim early mobilization and return of bowel function, without respiratory compromise, as there is a high prevalence of obstructive sleep apnoea (OSA). Up to date, not sufficient data exist regarding postoperative analgesic management of morbid super-obese (MSO) patients undergoing open bariatric surgery, especially with thoracic epidural levobupivacaine combined with morphine. Methods: In a prospective double blind randomised controlled trial, 96 ASA II-III MSO patients undergoing open BPD-RYGBP, were randomly allocated to six groups (n=16). All groups received postoperatively a continuous epidural morphine infusion of 0.2 mg h-1, while groups A - C received additionally 0.1% levobupivacaine and groups D - F 0.2% levobupivacaine via PCEA, respectively. Groups A and D did not receive intraoperative epidural morphine loading, while groups B, E received additionally 1mg and groups C and F 2 mg morphine bolus intra-operatively respectively. VAS at rest and on cough, PCEA drug consumption, haemodynamic profile, pulmonary function, time to return of bowel function and ambulation, were recorded for 48h. Results: Pain scores did not differ among groups. Doubling the concentration of levobupivacaine increased considerably its consumption (P < 0.001), without improving analgesia. The increase in perioperative morphine (groups B,C,E,F) and levobupivacaine doses (groups D-F) led to prolonged time to bowel function (P < 0.05 to 0.01) and ambulation (P < 0.05 to 0.01), respectively. Although obstructive sleep apnoea (OSA) prevalence was 69% to 81% among groups, no incidence of respiratory depression was observed. Haemodynamic profile and pulmonary function were well preserved and did not differ among groups. Conclusions: Thoracic PCEA with 0.1% levobupivacaine combined with a continuous daily epidural morphine dose of 0.2 mg h-1, without morphine loading, is an effective approach regarding adequate pain control, early mobilization and return of bowel function in MSO patients, especially in those with OSA.

Σύγκριση τεχνικών για την αντιμετώπιση του μετεγχειρητικού πόνου μετά από χολοπαγκρεατική εκτροπή για τη θεραπεία της νοσογόνου παχυσαρκίας, με τη χορήγηση επισκληριδίου αναλγησίας με τοπικό αναισθητικό (λεβοβουπιβακαΐνη) και οπιοειδές (μορφίνη).Εισαγωγή – Σκοπός :Η αντιμετώπιση του μετεγχειρητικού πόνου σε ασθενείς με νοσογόνο παχυσαρκία που υποβάλλονται σε χειρουργεία απώλειας βάρους θα πρέπει να στοχεύει στον αποτελεσματικό έλεγχο του μετεγχειρητικού πόνου, στην πρώιμη επαναλειτουργία του εντέρου και στην ταχύτερη κινητοποίηση των ασθενών, χωρίς να διακινδυνεύεται η μετεγχειρητική αναπνευστική λειτουργία, καθώς είναι υψηλό το ποσοστό των παχύσαρκων ασθενών με Αποφρακτική Άπνοια στον Ύπνο (OSA). Μέχρι σήμερα δεν…

Subjects/Keywords: Επισκληρίδιος αναλγησία; Παχυσαρκία; Βαριατρική χειρουργική; Μορφίνη; Λεβοβουπιβακαΐνη; Epidural analgesia; Οbesity; Bariatric surgery; Levobupivacaine; Morphine

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Zotou, A. (2014). Σύγκριση τεχνικών για την αντιμετώπιση του μετεγχειρητικού πόνου μετά από χολοπαγκρεατική εκτροπή για τη θεραπεία της νοσογόνου παχυσαρκίας, με τη χορήγηση επισκληριδίου αναλγησίας με τοπικό αναισθητικό (λεβοβουπιβακαΐνη) και οπιοειδές (μορφίνη). (Thesis). University of Patras; Πανεπιστήμιο Πατρών. Retrieved from http://hdl.handle.net/10442/hedi/39160

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Zotou, Anastasia. “Σύγκριση τεχνικών για την αντιμετώπιση του μετεγχειρητικού πόνου μετά από χολοπαγκρεατική εκτροπή για τη θεραπεία της νοσογόνου παχυσαρκίας, με τη χορήγηση επισκληριδίου αναλγησίας με τοπικό αναισθητικό (λεβοβουπιβακαΐνη) και οπιοειδές (μορφίνη).” 2014. Thesis, University of Patras; Πανεπιστήμιο Πατρών. Accessed February 27, 2021. http://hdl.handle.net/10442/hedi/39160.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Zotou, Anastasia. “Σύγκριση τεχνικών για την αντιμετώπιση του μετεγχειρητικού πόνου μετά από χολοπαγκρεατική εκτροπή για τη θεραπεία της νοσογόνου παχυσαρκίας, με τη χορήγηση επισκληριδίου αναλγησίας με τοπικό αναισθητικό (λεβοβουπιβακαΐνη) και οπιοειδές (μορφίνη).” 2014. Web. 27 Feb 2021.

Vancouver:

Zotou A. Σύγκριση τεχνικών για την αντιμετώπιση του μετεγχειρητικού πόνου μετά από χολοπαγκρεατική εκτροπή για τη θεραπεία της νοσογόνου παχυσαρκίας, με τη χορήγηση επισκληριδίου αναλγησίας με τοπικό αναισθητικό (λεβοβουπιβακαΐνη) και οπιοειδές (μορφίνη). [Internet] [Thesis]. University of Patras; Πανεπιστήμιο Πατρών; 2014. [cited 2021 Feb 27]. Available from: http://hdl.handle.net/10442/hedi/39160.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Zotou A. Σύγκριση τεχνικών για την αντιμετώπιση του μετεγχειρητικού πόνου μετά από χολοπαγκρεατική εκτροπή για τη θεραπεία της νοσογόνου παχυσαρκίας, με τη χορήγηση επισκληριδίου αναλγησίας με τοπικό αναισθητικό (λεβοβουπιβακαΐνη) και οπιοειδές (μορφίνη). [Thesis]. University of Patras; Πανεπιστήμιο Πατρών; 2014. Available from: http://hdl.handle.net/10442/hedi/39160

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

26. Κανελλόπουλος, Ηλίας. Μετεγχειρητική αναλγησία σε επεμβάσεις ολικής αρθροπλαστικής ισχίου: συγκριτική μελέτη ανάμεσα σε επισκληρίδιο αναλγησία, περιαρθρική διήθηση και περεντερική χορήγηση οπιοειδών.

Degree: 2011, National and Kapodistrian University of Athens; Εθνικό και Καποδιστριακό Πανεπιστήμιο Αθηνών (ΕΚΠΑ)

URL: http://hdl.handle.net/10442/hedi/35023

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Background: Epidural and intravenous patient controlled analgesia (PCA) are established methods for pain relief after total hip arthroplasty (THA). Periarticular infiltration is an alternative pain… (more)

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Background: Epidural and intravenous patient controlled analgesia (PCA) are established methods for pain relief after total hip arthroplasty (THA). Periarticular infiltration is an alternative pain control method that is gaining ground due to its simplicity and possibly fewer adverse effects. Our study aims to assess the efficacy of periarticular infiltration in pain relief after THA.Methods: Sixty-three patients undergoing THA under spinal anaesthesia were randomly assigned to receive postoperative analgesia with continuous epidural infusion with ropivacaine (epidural group), intraoperative periarticular infiltration with ropivacaine, clonidine, morphine, epinephrine and corticosteroids (infiltration group) or intravenous PCA with morphine (PCA group). PCA morphine provided rescue analgesia in all groups. We recorded morphine consumption, visual analog scale (VAS) scores at rest and movement, blood loss from wound drainage, mean arterial pressure (MAP) and adverse effects at 1, 6, 12, 24 hours postoperatively. Results: The use of the periarticular infiltration yielded a significant reduction in morphine consumption compared to the PCA group and similar consumption to the epidural group. This was accompanied by significantly decreased VAS scores at rest at 6, 12 and 24 hours and at movement at 6 and 12 hours postoperatively compared to the PCA group. There was no difference in adverse events in all groups. At 24 hours MAP was higher in the PCA group (p<0.05) and blood loss was lower in the infiltration group (p<0.05).Conclusions: In our study periarticular infiltration was clearly superior to PCA with morphine after THA, providing better pain relief and lower opioid consumption postoperatively. No side effects from the use of infiltration were recognized. The use of periarticular infiltration seems to be equally effective to epidural analgesia.

Σκοπός: Η επισκληρίδιος και η ελεγχόμενη από τον ασθενή ενδοφλέβια αναλγησία (patient-controlled analgesia, PCA) είναι καθιερωμένες μέθοδοι για την αντιμετώπιση του άλγους μετά από ολική αρθροπλαστική ισχίου (ΟΑΙ). Η περιαρθρική διήθηση είναι μια εναλλακτική μέθοδος ελέγχου του άλγους που κερδίζει έδαφος λόγω της απλότητας της και, ενδεχομένως, των λιγότερων ανεπιθύμητων ενέργειών της. Η μελέτη μας έχει ως στόχο να αξιολογήσει την αποτελεσματικότητα και ασφάλεια της περιαρθρικής διήθησης στην αντιμετώπιση του άλγους μετά από ΟΑΙ. Υλικό και Μέθοδοι: Εξήντα τρεις ασθενείς που υποβλήθηκαν σε ΟΑΙ με ραχιαία αναισθησία επιλέχθηκαν τυχαία να λάβουν μετεγχειρητική αναλγησία με συνεχή επισκληρίδιο έγχυση με ροπιβακαΐνη (ομάδα επισκληριδίου), ή με διεγχειρητική περιαρθρική διήθηση με ροπιβακαΐνη, κλονιδίνη, μορφίνη, επινεφρίνη και κορτικοστεροειδή (ομάδα διήθησης) ή με PCA με μορφίνη (ομάδα PCA). PCA με μορφίνη χορηγήθηκε ως αναλγησία διάσωσης σε όλες τις ομάδες. Καταγράψαμε την κατανάλωση μορφίνης και εκτιμήσαμε την ένταση του πόνου σε ηρεμία και κίνηση χρησιμοποιώντας την οπτική αναλογική κλίμακα (visual analog scale, VAS), την απώλεια αίματος από την παροχέτευση του τραύματος…

Subjects/Keywords: Ολική αρθροπλαστική ισχύου; Διήθηση; Αναλγησία; Επισκληρίδιος; Total hip arthroplasty; Infiltration; Analgesia; Epidural

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APA (6^th Edition):

Κανελλόπουλος, . �. (2011). Μετεγχειρητική αναλγησία σε επεμβάσεις ολικής αρθροπλαστικής ισχίου: συγκριτική μελέτη ανάμεσα σε επισκληρίδιο αναλγησία, περιαρθρική διήθηση και περεντερική χορήγηση οπιοειδών. (Thesis). National and Kapodistrian University of Athens; Εθνικό και Καποδιστριακό Πανεπιστήμιο Αθηνών (ΕΚΠΑ). Retrieved from http://hdl.handle.net/10442/hedi/35023

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Κανελλόπουλος, Ηλίας. “Μετεγχειρητική αναλγησία σε επεμβάσεις ολικής αρθροπλαστικής ισχίου: συγκριτική μελέτη ανάμεσα σε επισκληρίδιο αναλγησία, περιαρθρική διήθηση και περεντερική χορήγηση οπιοειδών.” 2011. Thesis, National and Kapodistrian University of Athens; Εθνικό και Καποδιστριακό Πανεπιστήμιο Αθηνών (ΕΚΠΑ). Accessed February 27, 2021. http://hdl.handle.net/10442/hedi/35023.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Κανελλόπουλος, Ηλίας. “Μετεγχειρητική αναλγησία σε επεμβάσεις ολικής αρθροπλαστικής ισχίου: συγκριτική μελέτη ανάμεσα σε επισκληρίδιο αναλγησία, περιαρθρική διήθηση και περεντερική χορήγηση οπιοειδών.” 2011. Web. 27 Feb 2021.

Vancouver:

Κανελλόπουλος �. Μετεγχειρητική αναλγησία σε επεμβάσεις ολικής αρθροπλαστικής ισχίου: συγκριτική μελέτη ανάμεσα σε επισκληρίδιο αναλγησία, περιαρθρική διήθηση και περεντερική χορήγηση οπιοειδών. [Internet] [Thesis]. National and Kapodistrian University of Athens; Εθνικό και Καποδιστριακό Πανεπιστήμιο Αθηνών (ΕΚΠΑ); 2011. [cited 2021 Feb 27]. Available from: http://hdl.handle.net/10442/hedi/35023.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Κανελλόπουλος �. Μετεγχειρητική αναλγησία σε επεμβάσεις ολικής αρθροπλαστικής ισχίου: συγκριτική μελέτη ανάμεσα σε επισκληρίδιο αναλγησία, περιαρθρική διήθηση και περεντερική χορήγηση οπιοειδών. [Thesis]. National and Kapodistrian University of Athens; Εθνικό και Καποδιστριακό Πανεπιστήμιο Αθηνών (ΕΚΠΑ); 2011. Available from: http://hdl.handle.net/10442/hedi/35023

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Virginia Tech

27. Hamilton, Stephanie Marie. The Analgesic Effects of Epidural Ketamine in Dogs With a Chemically Induced Synovitis: A Comparison Between Pre - or Post - Injury Administration.

Degree: MS, Veterinary Medical Sciences, 2003, Virginia Tech

URL: http://hdl.handle.net/10919/33143

► The objective of this study was to determine if administering epidural ketamine before or after the induction of a sodium urate crystal synovitis provides analgesia… (more)

▼ The objective of this study was to determine if administering epidural ketamine before or after the induction of a sodium urate crystal synovitis provides analgesia in dogs. In Part I, sixteen dogs were anesthetized with propofol (4 mg kg-1 intravenously). A sodium urate crystal synovitis was induced in the right stifle and allowed to develop for 12 hours. These dogs were again anesthetized with propofol and an epidural injection at the lumbosacral space of either ketamine (2 mg kg-1) or placebo (saline containing not more than 0.1 mg ml-1 benzethonium chloride) was performed. Analgesia was measured with a force platform and a numerical rating scale (NRS). Assessments were performed before and at 12, 14, 16, 18, 20 and 24 hours after the induction of synovitis. Vertical ground reaction forces were significantly decreased and numerical rating scale scores of total pain were significantly increased after the induction of synovitis in all dogs (p<0.05). No significant differences in ground reaction forces or total pain scores were measured between the ketamine and the control groups at any assessment period. In Part II, synovitis was induced in the right stifle as described in Part I. Epidural injections at the lumbosacral space followed immediately. Analgesia was assessed at 2, 4, 6, 8, and 12 hours after the epidural injection and the induction of synovitis. Dogs that received ketamine had significantly lower NRS scores two hours after treatment (p < 0.05). NRS scores did not differ between the two treatment groups at any other evaluation. Vertical ground reaction forces did not significantly differ between treatment groups at any assessment period. Results of this study indicate that ketamine, when administered epidurally at a dose of 2 mg kg-1 after the induction of a chemical synovitis, does not provide a significant level of analgesia. However, administration of ketamine immediately before the induction of synovitis resulted in a significantly decreased subjective pain score at two hours, but not at later evaluation periods. Advisors/Committee Members: Johnston, Spencer A. (committeechair), Klein, Bradley G. (committee member), Broadstone, Richard V. (committee member).

Subjects/Keywords: epidural; analgesia; force platform; synovitis; ketamine

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Hamilton, S. M. (2003). The Analgesic Effects of Epidural Ketamine in Dogs With a Chemically Induced Synovitis: A Comparison Between Pre - or Post - Injury Administration. (Masters Thesis). Virginia Tech. Retrieved from http://hdl.handle.net/10919/33143

Chicago Manual of Style (16^th Edition):

Hamilton, Stephanie Marie. “The Analgesic Effects of Epidural Ketamine in Dogs With a Chemically Induced Synovitis: A Comparison Between Pre - or Post - Injury Administration.” 2003. Masters Thesis, Virginia Tech. Accessed February 27, 2021. http://hdl.handle.net/10919/33143.

MLA Handbook (7^th Edition):

Hamilton, Stephanie Marie. “The Analgesic Effects of Epidural Ketamine in Dogs With a Chemically Induced Synovitis: A Comparison Between Pre - or Post - Injury Administration.” 2003. Web. 27 Feb 2021.

Vancouver:

Hamilton SM. The Analgesic Effects of Epidural Ketamine in Dogs With a Chemically Induced Synovitis: A Comparison Between Pre - or Post - Injury Administration. [Internet] [Masters thesis]. Virginia Tech; 2003. [cited 2021 Feb 27]. Available from: http://hdl.handle.net/10919/33143.

Council of Science Editors:

Hamilton SM. The Analgesic Effects of Epidural Ketamine in Dogs With a Chemically Induced Synovitis: A Comparison Between Pre - or Post - Injury Administration. [Masters Thesis]. Virginia Tech; 2003. Available from: http://hdl.handle.net/10919/33143

28. Daniela Lima Chow Castillo. AnÃlise comparativa do perfil de seguranÃa e eficÃcia analgÃsica da S(+) cetamina com ou sem morfina na anestesia peridural para histerectomia abdominal.

Degree: Master, 2009, Universidade Federal do Ceará

URL: http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=4561 ;

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A s(+)cetamina Ã o isÃmero levÃgiro da cetamina, antagonista do receptor NMDA para glutamato que estÃ envolvido na gÃnese e manutenÃÃo do processo doloroso. A… (more)

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A s(+)cetamina Ã o isÃmero levÃgiro da cetamina, antagonista do receptor NMDA para glutamato que estÃ envolvido na gÃnese e manutenÃÃo do processo doloroso. A analgesia multimodal consiste na utilizaÃÃo de combinaÃÃo de fÃrmacos objetivando controle adequado da dor com reduÃÃo dos efeitos adversos. O objetivo deste estudo foi avaliar a eficiÃncia da s(+)cetamina isoladamente e da associaÃÃo morfina/cetamina comparadas Ã morfina isoladamente combinadas a mistura enantiomÃrica de bupivacaÃna (R75l25%) na anestesia peridural e analgesia pÃs-operatÃria em pacientes submetidas Ã histerectomia abdominal. Foi realizado estudo prospectivo, duplo cego e aleatÃrio, com aprovaÃÃo do ComitÃ de Ãtica e Pesquisa da Universidade Federal do CearÃ. Participaram do estudo 36 pacientes ASA I ou II com idade de 20 a 60 anos submetidas Ã histerectomia abdominal com anestesia peridural. As pacientes foram alocadas em trÃs grupos: Grupo 1 - Grupo Cetamina (GC): administraÃÃo de mistura enantiomÃtrica (R75-S25) de bupivacaÃna associada Ã s(+)cetamina; Grupo 2 â Grupo Morfina (GM): administraÃÃo de mistura enantiomÃtrica (R75-S25) de bupivacaÃna associada Ã morfina e Grupo 3 - Grupo Cetamina/Morfina(GCM): administraÃÃo de mistura enantiomÃtrica (R75-S25) de bupivacaÃna associada Ã morfina e s(+)cetamina. Foram avaliados nÃvel de bloqueio motor e sensitivo, grau de sedaÃÃo e parÃmetros hemodinÃmicos: pressÃo arterial e frequÃncia cardÃaca a cada 15 minutos durante a cirurgia. No perÃodo pÃs-operatÃrio foi avaliado o consumo de analgÃsicos em 6 e 24 horas, alÃm da incidÃncia de nÃuseas, vÃmitos e prurido. A anÃlise estatÃstica foi realizada utilizando os softwares graphpad prisma 4.0 e Excel 2007. NÃo houve diferenÃa entre a idade, tempo cirÃrgico e o estado fÃsico (ASA) entre os grupos (p<0,05). A frequÃncia cardÃaca e pressÃo arterial mantiveram-se dentro dos valores estabelecidos como normal sem variaÃÃo significativa entre os grupos. A avaliaÃÃo da incidÃncia de efeitos adversos (nÃuseas, vÃmitos e prurido) nÃo foi diferente entre os grupos. A analgesia pÃs-operatÃria avaliada por consumo de analgÃsicos nas primeiras 6 horas nÃo foi diferente entre os grupos. Houve maior grau de bloqueio motor no grupo Cetamorf no tempo T15. Houve conversÃo para anestesia geral em 4 pacientes por falha de bloqueio, nos grupos cetamina-morfina (02 pacientes) e morfina (02 pacientes). Os dados sugerem que a adiÃÃo de s(+)cetamina e morfina nas doses avaliadas Ã segura, eficaz e permite a reduÃÃo de 50% na dose da morfina epidural mantendo-se o perfil de controle de dor no pÃs operatÃrio. No entanto, nÃo se verificou reduÃÃo da incidÃncia de nÃuseas, vÃmitos e prurido.

The association of drugs with different mechanisms of action in the dorsal horn of the spinal cord decreases postoperative pain, with a reduction in the incidence of side effects. The aim of this study was to evaluate some intraoperative parameters as well as postoperative analgesia and sedation by epidural morphine, S(+)ketamine and S(+) ketamine- morphine associated with Bupivacaine…

Advisors/Committee Members: JosenÃlia Maria Alves Gomes, Claudia Regina Fernandes, Maria Elisabete Amaral de Moraes.

Subjects/Keywords: FARMACOLOGIA; s(+)cetamina; morfina; analgesia; mistura enantiomÃtrica (R75-S25) de bupivacaÃna; anestesia peridural; postoperative analgesia; multimodal analgesia; morphine; S(+) Ketamine; Bupivacaine Enantiometric Mixture (R75L25%); epidural anesthesia

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Castillo, D. L. C. (2009). AnÃlise comparativa do perfil de seguranÃa e eficÃcia analgÃsica da S(+) cetamina com ou sem morfina na anestesia peridural para histerectomia abdominal. (Masters Thesis). Universidade Federal do Ceará. Retrieved from http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=4561 ;

Chicago Manual of Style (16^th Edition):

Castillo, Daniela Lima Chow. “AnÃlise comparativa do perfil de seguranÃa e eficÃcia analgÃsica da S(+) cetamina com ou sem morfina na anestesia peridural para histerectomia abdominal.” 2009. Masters Thesis, Universidade Federal do Ceará. Accessed February 27, 2021. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=4561 ;.

MLA Handbook (7^th Edition):

Castillo, Daniela Lima Chow. “AnÃlise comparativa do perfil de seguranÃa e eficÃcia analgÃsica da S(+) cetamina com ou sem morfina na anestesia peridural para histerectomia abdominal.” 2009. Web. 27 Feb 2021.

Vancouver:

Castillo DLC. AnÃlise comparativa do perfil de seguranÃa e eficÃcia analgÃsica da S(+) cetamina com ou sem morfina na anestesia peridural para histerectomia abdominal. [Internet] [Masters thesis]. Universidade Federal do Ceará 2009. [cited 2021 Feb 27]. Available from: http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=4561 ;.

Council of Science Editors:

Castillo DLC. AnÃlise comparativa do perfil de seguranÃa e eficÃcia analgÃsica da S(+) cetamina com ou sem morfina na anestesia peridural para histerectomia abdominal. [Masters Thesis]. Universidade Federal do Ceará 2009. Available from: http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=4561 ;

29. Gupta, N K. Comprative study of bupivacaine and lignocaine used for lumbar epidural and caudal analgesia for obsterical labour; -.

Degree: Medicine, 1985, Bundelkhand University

URL: http://shodhganga.inflibnet.ac.in/handle/10603/15278

None

Conclusion p.102-104, Bibliography p.105-127

Advisors/Committee Members: Mitra, Rama.

Subjects/Keywords: Anaesthesiology; bupivacaine; lignocaine; lumbar epidural; caudal analgesia; obsterical labour

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Gupta, N. K. (1985). Comprative study of bupivacaine and lignocaine used for lumbar epidural and caudal analgesia for obsterical labour; -. (Thesis). Bundelkhand University. Retrieved from http://shodhganga.inflibnet.ac.in/handle/10603/15278

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Gupta, N K. “Comprative study of bupivacaine and lignocaine used for lumbar epidural and caudal analgesia for obsterical labour; -.” 1985. Thesis, Bundelkhand University. Accessed February 27, 2021. http://shodhganga.inflibnet.ac.in/handle/10603/15278.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Gupta, N K. “Comprative study of bupivacaine and lignocaine used for lumbar epidural and caudal analgesia for obsterical labour; -.” 1985. Web. 27 Feb 2021.

Vancouver:

Gupta NK. Comprative study of bupivacaine and lignocaine used for lumbar epidural and caudal analgesia for obsterical labour; -. [Internet] [Thesis]. Bundelkhand University; 1985. [cited 2021 Feb 27]. Available from: http://shodhganga.inflibnet.ac.in/handle/10603/15278.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Gupta NK. Comprative study of bupivacaine and lignocaine used for lumbar epidural and caudal analgesia for obsterical labour; -. [Thesis]. Bundelkhand University; 1985. Available from: http://shodhganga.inflibnet.ac.in/handle/10603/15278

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Vilnius University

30. Gasiūnaitė, Diana. Bendrosios ir kombinuotos anestezijos metodų palyginimas pacientams, kuriems atliekamos storosios žarnos laparoskopinės operacijos.

Degree: Dissertation, Medicine, 2013, Vilnius University

URL: http://vddb.laba.lt/obj/LT-eLABa-0001:E.02~2013~D_20130930_092326-27467 ;

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Disertacijoje analizuojama ir lyginama bendrosios endotrachėjinės ir kombinuotos endotrachėjinės epiduralinės anestezijos įtaka atskiroms organų sistemoms ir tas sistemas apibūdinantiems rodikliams laparoskopinių kolorektalinių operacijų metu. Darbe… (more)

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Disertacijoje analizuojama ir lyginama bendrosios endotrachėjinės ir kombinuotos endotrachėjinės epiduralinės anestezijos įtaka atskiroms organų sistemoms ir tas sistemas apibūdinantiems rodikliams laparoskopinių kolorektalinių operacijų metu. Darbe nagrinėjama dviejų perioperacinių skausmo malšinimo būdų įtaka hemodinamikos ir kvėpavimo sistemos parametrų kitimo tendencijoms, pacientų trachėjos ekstubacijos laikui, žarnyno motorikos atsinaujinimo greičiui, hospitalizacijos trukmei bei organizmo uždegiminiam atsakui. Laparoskopinės storosios žarnos rezekcinės operacijos, net ir būdamos minimaliai invazinės dėl laparoskopinės operacijos technikos, sužadina stresinį organizmo atsaką bei uždegimo mediatorių išskyrimą. Perioperacinis skausmo valdymas taip pat gali daryti įtaką imuniniam atsakui. Disertacijoje nagrinėjama epiduralinės analgezijos metodo įtaka organizmo stresiniam atsakui tiriant kortizolio kiekio kitimus ir interleukino-6, kaip vieno pagrindinių uždegimą skatinančių citokinų, koncentracijos kitimą taikant epiduralinę analgezijos metodiką. Gauti rezultatai parodė, kad analgezijai pasitelkiant epiduralinį skausmo malšinimo metodą, perioperacinis pacientų skausmo valdymas ir pasitenkinimas yra geresnis, trachėjos ekstubacijos laikas patikimai trumpesnis, žarnyno peristaltikos atsitaisymas ankstyvesnis, sukeliamas stresinis organizmo atsakas mažesnis (mažesnis kortizolio koncentracijos padidėjimas) ir nenustatyta komplikacijų padaugėjimo.

The doctoral dissertation analyses and compares general endotracheal and combined endotracheal epidural anesthesia’s impact on organ systems and describes the systems parameters in laparoscopic colorectal surgery. Comparing two perioperative analgesia techniques used in laparoscopic colorectal surgery the hemodynamic and respiratory parameters trends; the impact of anesthesia and postoperative analgesia methods on patients’ tracheal extubation time, intestinal motility recovery rate, duration of hospitalization and inflammatory response have been determined. Laparoscopic colorectal resection, even being a minimally invasive technique for laparoscopic surgery, stimulates the body's response to stress and pro-inflammatory mediator’s secretion. Perioperative pain management may also influence the immune response. The doctoral dissertation analyses the impact of epidural analgesia method on the body stress response, investigating variations of cortisol and interleukin-6 levels. The results showed that analgesia and patient satisfaction using epidural analgesia method for perioperative pain management were better. Tracheal extubation time was significantly shorter. Recovery of intestinal motility using epidural analgesia was significant and much prior than using intravenous analgesia. The use of epidural analgesia in laparoscopic colorectal surgery caused less stress response – less cortisol levels increase. It has not showed the increase in number of complications.

Advisors/Committee Members: STRUPAS, KĘSTUTIS (Doctoral dissertation committee chair), TUTKUVIENĖ, JANINA (Doctoral dissertation committee member), DIDŽIAPETRIENĖ, JANINA (Doctoral dissertation committee member), KINDURIS, ŠARŪNAS (Doctoral dissertation committee member), ŠIRVINSKAS, EDMUNDAS (Doctoral dissertation committee member), MACAS, ANDRIUS (Doctoral dissertation opponent), IVAŠKEVIČIUS, JUOZAS (Doctoral dissertation opponent).

Subjects/Keywords: Kolorektalinės operacijos; Epiduralinė analgezija; Kombinuota anestezija; Kortizolio kiekis; Stresinis atsakas; Colorectal surgery; Epidural analgesia; Combined anesthesia; Cortisol level; Stress response

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Gasiūnaitė, D. (2013). Bendrosios ir kombinuotos anestezijos metodų palyginimas pacientams, kuriems atliekamos storosios žarnos laparoskopinės operacijos. (Doctoral Dissertation). Vilnius University. Retrieved from http://vddb.laba.lt/obj/LT-eLABa-0001:E.02~2013~D_20130930_092326-27467 ;

Chicago Manual of Style (16^th Edition):

Gasiūnaitė, Diana. “Bendrosios ir kombinuotos anestezijos metodų palyginimas pacientams, kuriems atliekamos storosios žarnos laparoskopinės operacijos.” 2013. Doctoral Dissertation, Vilnius University. Accessed February 27, 2021. http://vddb.laba.lt/obj/LT-eLABa-0001:E.02~2013~D_20130930_092326-27467 ;.

MLA Handbook (7^th Edition):

Gasiūnaitė, Diana. “Bendrosios ir kombinuotos anestezijos metodų palyginimas pacientams, kuriems atliekamos storosios žarnos laparoskopinės operacijos.” 2013. Web. 27 Feb 2021.

Vancouver:

Gasiūnaitė D. Bendrosios ir kombinuotos anestezijos metodų palyginimas pacientams, kuriems atliekamos storosios žarnos laparoskopinės operacijos. [Internet] [Doctoral dissertation]. Vilnius University; 2013. [cited 2021 Feb 27]. Available from: http://vddb.laba.lt/obj/LT-eLABa-0001:E.02~2013~D_20130930_092326-27467 ;.

Council of Science Editors:

Gasiūnaitė D. Bendrosios ir kombinuotos anestezijos metodų palyginimas pacientams, kuriems atliekamos storosios žarnos laparoskopinės operacijos. [Doctoral Dissertation]. Vilnius University; 2013. Available from: http://vddb.laba.lt/obj/LT-eLABa-0001:E.02~2013~D_20130930_092326-27467 ;

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