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Universidad de Valladolid
1.
Peñuela Saldaña, Iván Stanley.
Analgesia epidural y su incidencia en la salud materna en una población de baja paridad.
Degree: 2019, Universidad de Valladolid
URL: http://uvadoc.uva.es/handle/10324/40120 
► Antecedentes: en cuanto al manejo de la analgesia obstétrica, existen diferentes resultados relacionados con el uso de la analgesia epidural frente a los resultados adversos…
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▼ Antecedentes: en cuanto al manejo de la analgesia obstétrica, existen diferentes resultados relacionados con el uso de la analgesia epidural frente a los resultados adversos mecánicos en el momento del parto.
Métodos: estudio de cohorte de 23,183 partos parciales consecutivos a término, incluyendo labores espontáneas e inducidas, en una sola institución desde enero de 2004 a junio de 2016 para determinar la asociación entre la analgesia epidural y las diferentes complicaciones mecánicas que afectan la salud materna, como los desgarros perineales severos ( SPT), posición anormal de la cabeza fetal en el momento del parto, parto instrumental y cesárea (CS). Se construyeron modelos de regresión logística multivariante para evaluar los factores de riesgo de estas complicaciones mecánicas con respecto a los posibles cofundadores.
Resultados: se usó analgesia epidural en 15,821 (68.24%) mujeres. El modelo de regresión logística mostró una asociación no significativa entre el uso de analgesia epidural y SPT (odds ratio [OR], 078; intervalo de confianza [IC] del 95%, 0.48–1.26; p = 0.310). La administración instrumental y las CS se realizaron con más frecuencia en los casos que en los controles (p = <0,001), con OR de 1.19 (IC del 95%: 1.10–1.29) para CS y con OR de 3.27 (IC del 95%: 2.93–4.61) para instrumental entrega. La posición anormal de la cabeza fetal en el momento del parto fue significativamente menor en los neonatos entregados sin analgesia epidural en comparación con aquellos en los que se usó la analgesia epidural (p <0,001) con OR de 1.43 (IC 95%: 1.27–1.72).
Conclusiones: la analgesia epidural no se asocia con un aumento del SPT, pero fue un factor de riesgo independiente para el parto instrumental, la CS y la posición anormal de la cabeza fetal en el parto.
Subjects/Keywords: Anestesia epidural
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APA (6th Edition):
Peñuela Saldaña, I. S. (2019). Analgesia epidural y su incidencia en la salud materna en una población de baja paridad. (Thesis). Universidad de Valladolid. Retrieved from http://uvadoc.uva.es/handle/10324/40120
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Peñuela Saldaña, Iván Stanley. “Analgesia epidural y su incidencia en la salud materna en una población de baja paridad.” 2019. Thesis, Universidad de Valladolid. Accessed January 24, 2021.
http://uvadoc.uva.es/handle/10324/40120.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Peñuela Saldaña, Iván Stanley. “Analgesia epidural y su incidencia en la salud materna en una población de baja paridad.” 2019. Web. 24 Jan 2021.
Vancouver:
Peñuela Saldaña IS. Analgesia epidural y su incidencia en la salud materna en una población de baja paridad. [Internet] [Thesis]. Universidad de Valladolid; 2019. [cited 2021 Jan 24].
Available from: http://uvadoc.uva.es/handle/10324/40120.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Peñuela Saldaña IS. Analgesia epidural y su incidencia en la salud materna en una población de baja paridad. [Thesis]. Universidad de Valladolid; 2019. Available from: http://uvadoc.uva.es/handle/10324/40120
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Saskatchewan
2.
Haugo, Kristine.
Alanyl-glutamine has no effect on epidural fibrosis in a post-laminectomy rat model.
Degree: 2015, University of Saskatchewan
URL: http://hdl.handle.net/10388/ETD-2015-11-2311
► Epidural fibrosis following spinal surgery is common, and subsequent reoperations are more technically challenging with higher complication rates. A safe and effective therapeutic solution to…
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▼ Epidural fibrosis following spinal surgery is common, and subsequent reoperations are more technically challenging with higher complication rates. A safe and effective therapeutic solution to this difficult clinical problem has yet to be realized. Previous research has demonstrated the effectiveness of alanyl-glutamine in reduction of peritoneal adhesions in a rat abdominal sepsis model. I hypothesized that alanyl-glutamine may be similarly efficacious in minimizing
epidural fibrosis in a rat laminectomy model.
Rats were randomized into three groups: no surgery, laminectomy/normal saline and laminectomy/alanyl-glutamine (1g/kg). The surgical groups underwent a lumbar laminectomy with instillation of either normal saline or alanyl-glutamine into the peridural space. Thirty days after surgery, the rats were euthanized and the spinal columns prepared for histological evaluation. A blinded veterinary pathologist and a less experienced student independently graded the extent and maturity of
epidural fibrosis.
The laminectomy model was an effective model for
epidural fibrosis formation. Rats that underwent laminectomy demonstrated significant fibrosis compared to control animals (p<0.001). However, there was no significant difference in histological grade of fibrosis between normal saline and alanyl-glutamine treatment groups (p=0.83).
Based on this study, alanyl-glutamine does not appear to have an effect in reducing
epidural fibrosis at a histological level. It is possible that alanyl-glutamine may have an effect that is not detectable using this model, in which case further studies with a more sensitive model may be indicated. Resources may be better used elucidating the mechanism by which glutamine acts to reduce adhesions in the peritoneal model and further studies exploiting those mechanisms can be designed.
Advisors/Committee Members: Kelly, Michael, Nichol, Helen, Fourney, Daryl.
Subjects/Keywords: Glutamine; Epidural fibrosis; Laminectomy
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APA (6th Edition):
Haugo, K. (2015). Alanyl-glutamine has no effect on epidural fibrosis in a post-laminectomy rat model. (Thesis). University of Saskatchewan. Retrieved from http://hdl.handle.net/10388/ETD-2015-11-2311
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Haugo, Kristine. “Alanyl-glutamine has no effect on epidural fibrosis in a post-laminectomy rat model.” 2015. Thesis, University of Saskatchewan. Accessed January 24, 2021.
http://hdl.handle.net/10388/ETD-2015-11-2311.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Haugo, Kristine. “Alanyl-glutamine has no effect on epidural fibrosis in a post-laminectomy rat model.” 2015. Web. 24 Jan 2021.
Vancouver:
Haugo K. Alanyl-glutamine has no effect on epidural fibrosis in a post-laminectomy rat model. [Internet] [Thesis]. University of Saskatchewan; 2015. [cited 2021 Jan 24].
Available from: http://hdl.handle.net/10388/ETD-2015-11-2311.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Haugo K. Alanyl-glutamine has no effect on epidural fibrosis in a post-laminectomy rat model. [Thesis]. University of Saskatchewan; 2015. Available from: http://hdl.handle.net/10388/ETD-2015-11-2311
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Delft University of Technology
3.
Manoharan, V. (author).
Epidural Needle Insertion Simulator: A device for training resident anaesthesiologists.
Degree: 2011, Delft University of Technology
URL: http://resolver.tudelft.nl/uuid:c3971e6b-cfdd-49a8-bffd-f1c6cee9c6ca
► Epidural anaesthesia is a pain relief technique commonly performed on patients in labor. It requires insertion of a needle into patients back into the epidural…
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▼ Epidural anaesthesia is a pain relief technique commonly performed on patients in labor. It requires insertion of a needle into patients back into the epidural space of the spine and inject anaesthetic. It is a blind procedure and anaesthesiologists rely only on the forces felt during needle insertion to determine the position of the needle tip. It is a complex procedure that requires training. However, in a majority of hospitals the residents are trained on patiets. In this thesis development and validation of a new epidural needle insertion simulator with haptic feedback is discussed. . The simulator has 1DOF for needle insertion and 1DOF for needle orientation. The simulator uses a cable-pulley mechanism to transmit forces to the needle. The simulator provides active force-feedback by means of a motor in the needle insertion direction and passive force-feedback by means of a brake in the needle orientation direction. The simulator simulates needle-tissue and needle-bone interaction forces. It also incorporates simulation of different virtual patients, which can be selected from the graphical user interface. The real-time position of the needle can be seen in the graphical user interface. The simulator is validated through experiments by expert anaesthesiologists and novices. The simulator is validated for face and constuct validity. The results were promising showing high acceptance rate with addition of some features. Moreover, difference in performance between experts and novices was found and thus evaluating similarity to a real scenario.
BioMechanical Engineering
Mechanical, Maritime and Materials Engineering
Advisors/Committee Members: Dankelman, J. (mentor), Van den Dobbelsteen, J.J. (mentor).
Subjects/Keywords: simulator; haptics; needle insertion; epidural
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APA (6th Edition):
Manoharan, V. (. (2011). Epidural Needle Insertion Simulator: A device for training resident anaesthesiologists. (Masters Thesis). Delft University of Technology. Retrieved from http://resolver.tudelft.nl/uuid:c3971e6b-cfdd-49a8-bffd-f1c6cee9c6ca
Chicago Manual of Style (16th Edition):
Manoharan, V (author). “Epidural Needle Insertion Simulator: A device for training resident anaesthesiologists.” 2011. Masters Thesis, Delft University of Technology. Accessed January 24, 2021.
http://resolver.tudelft.nl/uuid:c3971e6b-cfdd-49a8-bffd-f1c6cee9c6ca.
MLA Handbook (7th Edition):
Manoharan, V (author). “Epidural Needle Insertion Simulator: A device for training resident anaesthesiologists.” 2011. Web. 24 Jan 2021.
Vancouver:
Manoharan V(. Epidural Needle Insertion Simulator: A device for training resident anaesthesiologists. [Internet] [Masters thesis]. Delft University of Technology; 2011. [cited 2021 Jan 24].
Available from: http://resolver.tudelft.nl/uuid:c3971e6b-cfdd-49a8-bffd-f1c6cee9c6ca.
Council of Science Editors:
Manoharan V(. Epidural Needle Insertion Simulator: A device for training resident anaesthesiologists. [Masters Thesis]. Delft University of Technology; 2011. Available from: http://resolver.tudelft.nl/uuid:c3971e6b-cfdd-49a8-bffd-f1c6cee9c6ca
4.
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
► 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…
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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 (6th 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 (16th 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 January 24, 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 (7th Edition):
Castro, Douglas dos Santos e. “Comparison between the analgesic effect of the epidural morphine and tramadol in cats (Felis catus domesticus).” 2008. Web. 24 Jan 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 Jan 24].
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
5.
Cótes, Lourenço Candido.
Avaliação do emprego epidural de morfina ou morfina-fentanil, associados à lidocaína, em cães.
Degree: Mestrado, Clínica Cirúrgica Veterinária, 2011, University of São Paulo
URL: http://www.teses.usp.br/teses/disponiveis/10/10137/tde-09102012-105723/
;
► Os opióides de curta duração e de alta potencia analgésica, como o fentanil, embora amplamente utilizados em cães, ainda são pouco empregados pela via epidural…
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▼ Os opióides de curta duração e de alta potencia analgésica, como o fentanil, embora amplamente utilizados em cães, ainda são pouco empregados pela via epidural nesta espécie. O presente estudo teve como objetivo avaliar a associação do anestésico local lidocaína à morfina ou à combinação morfina-fentanil, pela via epidural. Foram analisados os efeitos cardiovasculares, respiratórios bem como a analgesia pós-operatória, em cães submetidos a cirurgia de joelho. Para tanto, 24 animais da espécie canina foram aleatoriamente divididos em 2 grupos. Todos os animais receberam acepromazina (0,05 mg/kg), foram induzidos com propofol (5 mg/kg) e mantidos em anestesia inalatória. Os animais do GRUPO I foram tratados com lidocaína (5mg/kg) associada a morfina (0,1mg/kg) e os animais do GRUPO II receberam, pela via epidural, a combinação lidocaína-morfina-fentanil, sendo este último na dose de 2µ/kg. Parâmetros como frequência cardíaca, respiratória, pressão arterial (sistólica, média e diastólica) foram mensurados, bem como pH e gases sanguíneos. Para a avaliação da analgesia foram utilizadas a escala Analógica-visual (EAV), a escala proposta por Lascelles, 1994 e a termoalgimetria. Amostras de sangue foram coletadas para posterior dosagem de cortisol e Interleucina-06. O período de avaliação imediata foi de 06 horas após a cirurgia, sendo os animais reavaliados no período de 24 horas após o procedimento. No tocante aos parâmetros cardiorrespiratórios os grupos se comportaram de maneira muito semelhante. Entretanto, pode-se observar que os animais tratados com a combinação lidocaína-fentanil-morfina apresentaram menor escore de dor quando avaliados pelas escalas do estudo no período pós-operatório. De fato verificou-se diferença significativa nos escores da EAV (p <0,05) nos tempos T180 e T360; na escala de Lascelles obteve-se diferença estatística nos tempos T180, T360 e T24h e na termoalgimetria houve diferença estatística nos tempos T180, T360 e T24h. A analgesia de resgate foi necessária em 3 animais do Grupo II, enquanto no Grupo I a necessidade desta medicação foi observada em 6 animais. Pode-se concluir, com os resultados obtidos, que a associação do fentanil no protocolo de anestesia epidural, promoveu adequada analgesia perioperatória, além de produzir um efeito sinérgico-residual, o que melhorou a analgesia pós-operatória, diminuindo a necessidade de analgesia de resgate.
Short duration opioids and high potency analgesics such as fentanyl, although widely used in dogs are seldom used for epidural anesthesia in this species. This study aimed to evaluate the association of lidocaine with morphine or morphine-fentanyl combination, epidurally. 24 dogs were randomly divided into two groups. All animals received acepromazine intramuscularlly (0.05 mg / kg), were induced with propofol (5 mg / kg) and maintained under inhalation anesthesia. The animals in group I were treated with lidocaine (5 mg / kg) combined with morphine (0.1 mg / kg) epidurally and the animals of group II received epidurally, the combination…
Advisors/Committee Members: Fantoni, Denise Tabacchi.
Subjects/Keywords: Cães; Dogs; Epidural; Epidural; Fentanil; Fentanyl; Lidocaína; lidocaine; Morfina; Morphine
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APA ·
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APA (6th Edition):
Cótes, L. C. (2011). Avaliação do emprego epidural de morfina ou morfina-fentanil, associados à lidocaína, em cães. (Masters Thesis). University of São Paulo. Retrieved from http://www.teses.usp.br/teses/disponiveis/10/10137/tde-09102012-105723/ ;
Chicago Manual of Style (16th Edition):
Cótes, Lourenço Candido. “Avaliação do emprego epidural de morfina ou morfina-fentanil, associados à lidocaína, em cães.” 2011. Masters Thesis, University of São Paulo. Accessed January 24, 2021.
http://www.teses.usp.br/teses/disponiveis/10/10137/tde-09102012-105723/ ;.
MLA Handbook (7th Edition):
Cótes, Lourenço Candido. “Avaliação do emprego epidural de morfina ou morfina-fentanil, associados à lidocaína, em cães.” 2011. Web. 24 Jan 2021.
Vancouver:
Cótes LC. Avaliação do emprego epidural de morfina ou morfina-fentanil, associados à lidocaína, em cães. [Internet] [Masters thesis]. University of São Paulo; 2011. [cited 2021 Jan 24].
Available from: http://www.teses.usp.br/teses/disponiveis/10/10137/tde-09102012-105723/ ;.
Council of Science Editors:
Cótes LC. Avaliação do emprego epidural de morfina ou morfina-fentanil, associados à lidocaína, em cães. [Masters Thesis]. University of São Paulo; 2011. Available from: http://www.teses.usp.br/teses/disponiveis/10/10137/tde-09102012-105723/ ;
Universidade Federal de Viçosa
6.
Vanessa Guedes Pereira.
Efeito analgésico da metadona e morfina intramuscular ou epidural, associadas ou não à lidocaína, em cadelas submetidas à mastectomia.
Degree: 2013, Universidade Federal de Viçosa
URL: http://www.tede.ufv.br/tedesimplificado/tde_busca/arquivo.php?codArquivo=5097
► Objetivou-se neste estudo comparar os efeitos analgésicos da morfina e metadona, procurando identificar se a via de administração, bem como se a adição do anestésico…
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▼ Objetivou-se neste estudo comparar os efeitos analgésicos da morfina e metadona, procurando identificar se a via de administração, bem como se a adição do anestésico local pela via epidural, podem interferir na analgesia e sedação pós-operatória de cadelas submetidas à mastectomia. Trinta cadelas com indicação de mastectomia radical unilateral foram anestesiadas com propofol e isofluorano. Os animais receberam aleatoriamente metadona (0,5 mg.kg-1) ou morfina (0,5 mg.kg-1) intramuscular (grupo MET-IM e MORFIM, respectivamente); metadona (0,3 mg.kg-1) ou morfina (0,1 mg.kg-1) epidural (grupo MET-EP e MORF-EP, respectivamente); metadona (0,3mg.kg-1) ou morfina (0,1 mg.kg-1) associada à lidocaína epidural (grupo METL e MORFL, respectivamente). Os volumes injetados pelas vias epidural e intramuscular foram ajustadas para 0,2 ml.kg-1 com o emprego de solução de NaCl 0,9% ou lidocaína 2%, quando esta estava presente no grupo. Foram avaliados os parâmetros cardiovasculares e respiratórios durante o período pré e transoperatório. A avaliação da dor e sedação pós-operatória foi realizada durante 24 horas. A suplementação analgésica foi administrada sempre que o escore de dor fosse igual ou superior a 13 pontos (total de 27 pontos) de acordo com a Escala de dor da Universidade de Melbourne (EDUM). O grupo MET-IM apresentou menores médias de FC em M6, assim como o grupo METL apresentou menores médias de PAS em M3, M4 e M5. O grupo MORF-EP apresentou maior escore de sedação em MP4. O grupo MORF-IM apresentou maiores escores de dor em MP0, MP1, MP2, MP12 e MP24 assim como o grupo MORF- IM e METL em MP4 e MET-EP em MP6 e MP8. A metadona intramuscular promoveu maior diminuição da frequência cardíaca que a morfina, no entanto, nenhum tratamento promoveu alteração na função respiratória. Tanto a morfina quanto a metadona promoveram sedação pós-operatória discreta à moderada. A morfina administrada por via intramuscular resulta em inadequada analgesia pós-operatória quando comparada a administração epidural, associada ou não à lidocaína, e também quando comparada à metadona por via intramuscular e epidural. A metadona por via epidural não promoveu melhor analgesia quando comparada a administração intramuscular. Tanto a morfina epidural, associada ou não à lidocaína quanto à metadona associada à lidocaína promoveram eficaz analgesia sem a necessidade de suplementação analgésica por 24 horas.
This study aimed to evaluate and compare the analgesic effect of opioids morphine and methadone by intramuscular and epidural, with or without the association of lidocaine, seeking to identify if the route of administration as well as the addition of epidural local anesthetic, can interfere with analgesia and sedation without postoperative cardiovascular and respiratory changes. Thirty female dogs with indication for unilateral radical mastectomy were anesthetized with isoflurane and propofol. The animals were randomly assigned to six treatment: methadone (0.5 mg.kg-1) or morphine (0.5 mg.kg-1) intramuscular (MET-IM and MORF-IM, respectively),…
Advisors/Committee Members: Daise Nunes Queiroz da Cunha, Paulo Renato dos Santos Costa, Daniela Campagnol, Lukiya Silva Campos Favarato.
Subjects/Keywords: Avaliação da dor; Metadona; Epidural; ANESTESIOLOGIA ANIMAL; Pain evaluation; Methadone; Epidural
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APA (6th Edition):
Pereira, V. G. (2013). Efeito analgésico da metadona e morfina intramuscular ou epidural, associadas ou não à lidocaína, em cadelas submetidas à mastectomia. (Thesis). Universidade Federal de Viçosa. Retrieved from http://www.tede.ufv.br/tedesimplificado/tde_busca/arquivo.php?codArquivo=5097
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Pereira, Vanessa Guedes. “Efeito analgésico da metadona e morfina intramuscular ou epidural, associadas ou não à lidocaína, em cadelas submetidas à mastectomia.” 2013. Thesis, Universidade Federal de Viçosa. Accessed January 24, 2021.
http://www.tede.ufv.br/tedesimplificado/tde_busca/arquivo.php?codArquivo=5097.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Pereira, Vanessa Guedes. “Efeito analgésico da metadona e morfina intramuscular ou epidural, associadas ou não à lidocaína, em cadelas submetidas à mastectomia.” 2013. Web. 24 Jan 2021.
Vancouver:
Pereira VG. Efeito analgésico da metadona e morfina intramuscular ou epidural, associadas ou não à lidocaína, em cadelas submetidas à mastectomia. [Internet] [Thesis]. Universidade Federal de Viçosa; 2013. [cited 2021 Jan 24].
Available from: http://www.tede.ufv.br/tedesimplificado/tde_busca/arquivo.php?codArquivo=5097.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Pereira VG. Efeito analgésico da metadona e morfina intramuscular ou epidural, associadas ou não à lidocaína, em cadelas submetidas à mastectomia. [Thesis]. Universidade Federal de Viçosa; 2013. Available from: http://www.tede.ufv.br/tedesimplificado/tde_busca/arquivo.php?codArquivo=5097
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Universitat Autònoma de Barcelona
7.
Aguilera i Cuchillo, Lluís.
Pressió generada per la tos. tècniques alternatives de mesura i efectes de l’analgèsia epidural i la laparotomia mediana.
Degree: Departament de Cirurgia, 2019, Universitat Autònoma de Barcelona
URL: http://hdl.handle.net/10803/669350
► Background and objectives: Cough pressure (PCOUGH), as expression of expiratory muscle strength, is usually measured with esophageal (gold-standard) or gastric balloons, but these catheters can…
(more)
▼ Background and objectives: Cough pressure (PCOUGH), as expression of expiratory muscle strength, is usually measured with esophageal (gold-standard) or gastric balloons, but these catheters can be uncomfortable for the patient or their placement impractical. Furthermore, the effects of
epidural anesthesia and laparotomy on PCOUGH are unknown. This study aimed to: 1/ find alternatives to esophageal and gastric balloons to measure PCOUGH, 2/ measure the effect of
epidural analgesia on cough strength, and 3/ measure the effect of midline laparotomy on cough strength, without the interference of postoperative pain.
Methods: Prospective observational study of patients scheduled for colon surgery via midline laparotomy, and articulated in 3 protocols: 1/ Protocol 1 (9 patients): comparison of PCOUGH measurement in different anatomical locations (esophagus, stomach, superior vena cava, bladder and rectum), 2/ Protocol 2 (14 patients): measurement of the effects of thoracic
epidural bupivacaine 0.25% on PCOUGH and 3/ Protocol 3 (11 patients): measurement of the effects of midline laparotomy on PCOUGH, without the influence of pain or systemic anesthetic drugs. Prior to surgery, an
epidural catheter was placed at T8-T10 level as well as catheters in the anatomical locations under study. In supine position, patients were asked to cough as forcefully as possible while PCOUGH was recorded. Afterward,
epidural 0.25% bupivacaine with adrenaline 1:200.000 was administered until T6 sensory level was obtained, and PCOUGH was measured again. After surgery, the same dose of bupivacaine 0.25% used in Protocol 2 was administered and PCOUGH measurements were repeated. PCOUGH of the first studied subjects was measured in all anatomical locations and when results of Protocol 1 were obtained, the study was continued using the least unpleasant alternative catheter. The intraclass correlation coefficient, Bland–Altman plots and Wilcoxon signed-rank test were used as statistical analyses.
Results: PCOUGH [cmH2O, median (1st quartil, 3rd quartil)]: esophagus 112 (89,148), stomach 105 (92,156), superior vena cava 102 (91,149), bladder 118 (93,157), and rectum 103 (88,150), showing excellent within-site repeatability of the measurements (p < 0.001) and excellent agreement between pressures recorded at superior cava and rectum and recorded at esophagus (p < 0.004). Bladder pressure was precise but slightly higher. Rectal catheter was the least unpleasant alternative.
Epidural 0.25% bupivacaine decreased PCOUGH by 16% (p = 0.001), while significant changes in PCOUGH measurement were not observed after midline laparotomy.
Conclusions: PCOUGH can be measured in the esophagus, stomach, superior vena cava or rectum, since their values are similar. It can also be measured in the bladder, although the value will be slightly higher. The rectal catheter was the least unpleasant. Thoracic
epidural bupivacaine 0.25% (anesthetic level T6) significantly decreases cough pressure. Midline laparotomy does not change cough pressure if thoracic
epidural…
Advisors/Committee Members: [email protected] (authoremail), true (authoremailshow), Gallart i Gallego, Lluís (director).
Subjects/Keywords: Tos; Cough; Anèstesia epidural; Anestesia epidural; Epidural anesthesia; Laparatomia media; Laparotomia mediana; Midiline laparotomy; Ciències de la Salut; 617
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APA ·
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APA (6th Edition):
Aguilera i Cuchillo, L. (2019). Pressió generada per la tos. tècniques alternatives de mesura i efectes de l’analgèsia epidural i la laparotomia mediana. (Thesis). Universitat Autònoma de Barcelona. Retrieved from http://hdl.handle.net/10803/669350
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Aguilera i Cuchillo, Lluís. “Pressió generada per la tos. tècniques alternatives de mesura i efectes de l’analgèsia epidural i la laparotomia mediana.” 2019. Thesis, Universitat Autònoma de Barcelona. Accessed January 24, 2021.
http://hdl.handle.net/10803/669350.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Aguilera i Cuchillo, Lluís. “Pressió generada per la tos. tècniques alternatives de mesura i efectes de l’analgèsia epidural i la laparotomia mediana.” 2019. Web. 24 Jan 2021.
Vancouver:
Aguilera i Cuchillo L. Pressió generada per la tos. tècniques alternatives de mesura i efectes de l’analgèsia epidural i la laparotomia mediana. [Internet] [Thesis]. Universitat Autònoma de Barcelona; 2019. [cited 2021 Jan 24].
Available from: http://hdl.handle.net/10803/669350.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Aguilera i Cuchillo L. Pressió generada per la tos. tècniques alternatives de mesura i efectes de l’analgèsia epidural i la laparotomia mediana. [Thesis]. Universitat Autònoma de Barcelona; 2019. Available from: http://hdl.handle.net/10803/669350
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
8.
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
► 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)
▼ 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 (6th 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 (16th Edition):
Mendes, Catarina Cardoso Ferreira. “Estudo das potenciais vantagens da analgesia epidural em cirurgia ortopédica.” 2014. Thesis, RCAAP. Accessed January 24, 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 (7th Edition):
Mendes, Catarina Cardoso Ferreira. “Estudo das potenciais vantagens da analgesia epidural em cirurgia ortopédica.” 2014. Web. 24 Jan 2021.
Vancouver:
Mendes CCF. Estudo das potenciais vantagens da analgesia epidural em cirurgia ortopédica. [Internet] [Thesis]. RCAAP; 2014. [cited 2021 Jan 24].
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 de Lisboa
9.
Casquilho, Fernanda Maria da Silva.
A experiência e a satisfação com o parto e a confiança nos cuidados maternais.
Degree: 2008, Universidade de Lisboa
URL: http://www.rcaap.pt/detail.jsp?id=oai:repositorio.ul.pt:10451/906
► Tese de mestrado, Psicologia (Secção de Psicologia Clínica e da Saúde/Núcleo de Psicologia Clínica Dinâmica), Universidade de Lisboa, Faculdade de Psicologia e de Ciências da…
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▼ Tese de mestrado, Psicologia (Secção de Psicologia Clínica e da Saúde/Núcleo de Psicologia Clínica Dinâmica), Universidade de Lisboa, Faculdade de Psicologia e de Ciências da Educação, 2008
Este estudo tem como objectivo aprofundar o conhecimento relativo: 1) à possível influência do tipo de parto anestesia na avaliação da experiência de parto; 2) à possível influência da percepção materna acerca do parto na confiança para cuidar do seu bebé. 120 puérperas utentes da Maternidade Dr. Alfredo da Costa com idades compreendidas entre os 20 e 39 anos de idade, participaram nesta investigação no período compreendido entre 3 de Agosto e 4 de Setembro de 2008. Após consentimento informado, as participantes preencheram os seguintes questionários: Questionário sócio-demográfico, Questionário de Experiência e Satisfação com o Parto (QESP) (Costa, Figueiredo, Pacheco, Marques & Pais, 2004) e Mother and Baby Scales (MABS) (Wolke, 1995). Os resultados indicam que: a) as mulheres com parto eutócico e anestesia epidural conseguem um maior grau de relaxamento e experienciam de modo mais positivo o parto, em comparação com as mulheres com parto eutócico sem anestesia epidural, não tendo sido possível verificar se o mesmo acontece em relação às condições e cuidados prestados, à experiência positiva, ao suporte social, às preocupações e à vivência pós-parto, b) as mulheres com parto distócico por via instrumental e anestesia epidural experimentaram mais sentimentos negativos durante o trabalho de parto e parto, como medo, mal-estar e dor, mas consideram-se mais satisfeitas com a sua experiência de parto, de uma forma global, avaliandoo como mais positivo do que as mulheres com parto distócico por cesariana e anestesia epidural, c) tanto as mulheres com parto eutócico com anestesia epidural como as mulheres com parto eutócico sem anestesia epidural se sentem igualmente confiantes para cuidarem dos seus bebés e d) as mulheres com parto distócico por via instrumental com anestesia epidural sentem-se mais confiantes para cuidarem dos seus bebés, em comparação com as mulheres com parto distócico por cesariana com anestesia epidural. Verificou-se, também, a existência de uma correlação positiva entre a avaliação da experiência e satisfação da mulher com o parto e a confiança global da mãe para cuidar do seu bebé.
This study aims to deepen knowledge on: 1) the possible influence of the type of anesthesia in labor-evaluation of the experience of childbirth, 2) the possible influence of maternal perceptions about the birth upon the trust to take care of the baby. 120 newly mothers of the Maternity Dr. Alfredo da Costa aged between 20 and 39 years old, participated in this research in the period between Aug. 3 and Sept. 4, 2008. After informed consent, participants filled out questionnaires: the socio-demographic Questionnaire, the 'Childbirth Experience and Satisfaction Questionnaire' (QESP) (Costa, Figueiredo,Pacheco & Pais, 2004) and the Mother and Baby Scales (MABS) (Wolke, 1995). Results indicate: a) women with eutocic childbirth and…
Advisors/Committee Members: Justo, João Manuel Rosado de Miranda, 1958-.
Subjects/Keywords: Maternidade; Experiência de parto; Satisfação; Anestesia epidural
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APA (6th Edition):
Casquilho, F. M. d. S. (2008). A experiência e a satisfação com o parto e a confiança nos cuidados maternais. (Thesis). Universidade de Lisboa. Retrieved from http://www.rcaap.pt/detail.jsp?id=oai:repositorio.ul.pt:10451/906
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Casquilho, Fernanda Maria da Silva. “A experiência e a satisfação com o parto e a confiança nos cuidados maternais.” 2008. Thesis, Universidade de Lisboa. Accessed January 24, 2021.
http://www.rcaap.pt/detail.jsp?id=oai:repositorio.ul.pt:10451/906.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Casquilho, Fernanda Maria da Silva. “A experiência e a satisfação com o parto e a confiança nos cuidados maternais.” 2008. Web. 24 Jan 2021.
Vancouver:
Casquilho FMdS. A experiência e a satisfação com o parto e a confiança nos cuidados maternais. [Internet] [Thesis]. Universidade de Lisboa; 2008. [cited 2021 Jan 24].
Available from: http://www.rcaap.pt/detail.jsp?id=oai:repositorio.ul.pt:10451/906.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Casquilho FMdS. A experiência e a satisfação com o parto e a confiança nos cuidados maternais. [Thesis]. Universidade de Lisboa; 2008. Available from: http://www.rcaap.pt/detail.jsp?id=oai:repositorio.ul.pt:10451/906
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
10.
Pedron, Bruno Gregnanin.
Avaliação da administração peridural sacrococcígea e lombossacra de lidocaína e bupivacaína em coelhos.
Degree: Mestrado, Clínica Cirúrgica Veterinária, 2013, University of São Paulo
URL: http://www.teses.usp.br/teses/disponiveis/10/10137/tde-19112013-140614/
;
► A espécie leporina vem sendo utilizada de forma ampla como modelo experimental em diversas áreas da medicina e medicina veterinária. A escassez de estudos publicados…
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▼ A espécie leporina vem sendo utilizada de forma ampla como modelo experimental em diversas áreas da medicina e medicina veterinária. A escassez de estudos publicados nesta área torna questionável a utilização ética da espécie em experimentos cirúrgicos. O objetivo foi determinar a duração dos bloqueios motor e sensitivo da lidocaína e bupivacaína administradas pela via peridural sacrococcígea e lombossacra e seus efeitos cardiovasculares e respiratórios associados a anestesia geral inalatória em coelhos submetidos a orquiectomia. Foram utilizados 30 animais da espécie leporina, raça Nova Zelândia Branco, pesando entre 2,350 e 3,300 kg, distribuídos em cinco grupos experimentais. O grupo Lido LS recebeu 0,3 ml/kg de lidocaína a 2% pela via peridural lombossacra; o grupo Lido SC recebeu 0,3 ml/kg de lidocaína a 2% pela via peridural sacrococcígea; o grupo Bupi LS recebeu 0,3 ml/kg de bupivacaína a 0,5% pela via peridural lombossacra; o grupo Bupi SC recebeu 0,3 ml/kg de bupivacaína a 0,5% pela via peridural sacrococcígea e o grupo Controle recebeu 0,3 ml/kg de solução fisiológica pela via peridural lombossacra. A administração peridural foi realizada por meio de punção simples com agulha hipodérmica. Na primeira parte do experimento, os animais foram anestesiados com sevofluorano em oxigênio a 100% com auxílio de máscara, e após a administração do protocolo de cada grupo, os reflexos sensitivos foram testados por meio de pinçamento dos dermátomos cutâneos e dos dígitos dos membros pélvicos e cauda. Os reflexos motores foram avaliados por meio de escore de tônus muscular dos membros pélvicos e cauda. Esta fase teve como objetivo determinar a duração e padrão de dispersão do bloqueio sensitivo e motor. Duas semanas após a determinação da duração do bloqueio sensitivo e motor, os animais foram anestesiados com isofluorano em máscara, intubados, e a administração do mesmo protocolo de anestesia peridural foi realizada para a realização de orquiectomia. A frequência cardíaca, frequência respiratória, pressão arterial sistólica, média e diastólica, concentração de dióxido de carbono ao fim da expiração, concentração de isofluorano inspirado e expirado, saturação de oxihemoglobina e temperatura corpórea foram monitorados a cada 10 min durante 50 min. Logo após a administração peridural e ao fim do procedimento, uma amostra de sangue arterial foi colhida para avaliação hemogasométrica. A dispersão, avaliada pelo número de dermátomos bloqueados, nos grupos que receberam a administração lombossacra foi maior que nos grupos de administração sacrococcígea. O período médio de bloqueio sensitivo com a lidocaína foi de 70±13,78 min pela via lombossacra e 60,83±23,11 min pela via sacrococcígea. Com a administração de bupivacaína pela via lombossacra, a duração do bloqueio sensitivo foi de 199,16±15,30 min e pela via sacrococcígea foi de 168,33±44,57 min. O grupo controle teve maior consumo de anestésico geral e maior requerimento de analgésico trans-operatório e de fármacos vasoativos durante o procedimento, demonstrando analgesia…
Advisors/Committee Members: Cortopassi, Silvia Renata Gaido.
Subjects/Keywords: Anestesia; Anesthesia; Coelhos; Epidural; Peridural; Rabbits
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APA (6th Edition):
Pedron, B. G. (2013). Avaliação da administração peridural sacrococcígea e lombossacra de lidocaína e bupivacaína em coelhos. (Masters Thesis). University of São Paulo. Retrieved from http://www.teses.usp.br/teses/disponiveis/10/10137/tde-19112013-140614/ ;
Chicago Manual of Style (16th Edition):
Pedron, Bruno Gregnanin. “Avaliação da administração peridural sacrococcígea e lombossacra de lidocaína e bupivacaína em coelhos.” 2013. Masters Thesis, University of São Paulo. Accessed January 24, 2021.
http://www.teses.usp.br/teses/disponiveis/10/10137/tde-19112013-140614/ ;.
MLA Handbook (7th Edition):
Pedron, Bruno Gregnanin. “Avaliação da administração peridural sacrococcígea e lombossacra de lidocaína e bupivacaína em coelhos.” 2013. Web. 24 Jan 2021.
Vancouver:
Pedron BG. Avaliação da administração peridural sacrococcígea e lombossacra de lidocaína e bupivacaína em coelhos. [Internet] [Masters thesis]. University of São Paulo; 2013. [cited 2021 Jan 24].
Available from: http://www.teses.usp.br/teses/disponiveis/10/10137/tde-19112013-140614/ ;.
Council of Science Editors:
Pedron BG. Avaliação da administração peridural sacrococcígea e lombossacra de lidocaína e bupivacaína em coelhos. [Masters Thesis]. University of São Paulo; 2013. Available from: http://www.teses.usp.br/teses/disponiveis/10/10137/tde-19112013-140614/ ;
11.
Freire, Cesar Dias.
Avaliação da dispersão da bupivacaína na anestesia peridural em cães.
Degree: PhD, Anestesiologia, 2009, University of São Paulo
URL: http://www.teses.usp.br/teses/disponiveis/5/5152/tde-15062009-143051/
;
► O emprego da anestesia peridural em cães vem se tornando mais freqüente na prática clínica em comparação a anestesia geral. O aumento de publicações científicas…
(more)
▼ O emprego da anestesia peridural em cães vem se tornando mais freqüente na prática clínica em comparação a anestesia geral. O aumento de publicações científicas a respeito da técnica comprova esta afirmação. No entanto, a literatura referente à dispersão de bloqueio anestésico em relação à dose, concentração e volume utilizados é conflitante. O objetivo deste estudo foi avaliar a dispersão da bupivacaína no espaço peridural, analisando os bloqueios sensitivo, motor e autonômico, bem como seu comportamento na medula de cães. Para tanto, foram utilizados 20 cães fêmeas com pesos de 9,9 ± 1,9 kg e comprimento de coluna de 53,4 ± 5,1 cm, sendo divididos em 4 grupos de 5 animais. O volume administrado por grupo foi de 0,2; 0,4; 0,6; e 0,8 mL/kg de uma solução padrão de bupivacaína 0,25% e azul de metileno. Após inserção de cateter na artéria femoral e no espaço peridural lombossacro, com os animais em estação e acordados, foram administrados diferentes volumes da solução padrão. As avaliações foram feitas ao final da administração em 2, 5, 10, 15, 20 e 30 minutos. Além de FC e PAM, a avaliação do bloqueio sensitivo foi feita por pinçamento dos dermátomos acima das vértebras, da cauda, interdígito, ânus e vulva dos animais. O bloqueio motor foi avaliado observando-se o tempo para ocorrência de ataxia e de incapacidade de sustentação do próprio peso e diminuição do tônus muscular dos membros pélvicos e cauda. O bloqueio autonômico foi avaliado através da diferença das temperaturas cutâneas ao longo da coluna entre a basal e as aferidas aos 15 minutos. Após 30 minutos os animais foram eutanasiados e feitas laminectomias seriadas com exposição da medula espinhal para análise da mancha produzida pelo azul de metileno na duramater. Como resultados, observaram-se diminuição da FC dos 5 minutos até os 30 e de PAM dos 20 aos 30 minutos. Com 0,2 mL/kg de bupivacaína 0,25% foram bloqueados em média 5 dermátomos, 0,4 mL/kg bloqueou 14,2 dermátomos e 0,6 mL/kg bloqueou em média 20,2 dermátomos, sendo estatisticamente diferentes. Já 0,8 mL/kg bloqueou 21 dermátomos e não diferiu de 0,6. Aos 5 minutos, em média, ocorreu ação anestésica significativamente mais intensa até os 20 minutos, sugerindo inicio e final de ação do fármaco. Quando comparadas as tendências de insensibilização e diminuição de tônus muscular da região caudal dos animais, observou-se uma ação mais intensa e duradoura do bloqueio motor em relação ao sensitivo. Os tempos para aparecimento de ataxia e incapacidade de sustentação do peso foram maiores quanto maior o volume administrado do anestésico, e, em todos os grupos, a temperatura cutânea ao longo da coluna vertebral aumentou aos 15 minutos de anestesia no sentido caudo-cranial. A mancha de azul de metileno foi crescente com o aumento de volume de 0,2 a 0,4 mL/kg e não dispersou mais com a aplicação de mais anestésico. Concluiu-se que quanto maior o volume de bupivacaína 0,25% administrada, mais cranial é o bloqueio sensitivo, até um limite de 0,6 mL/kg, e maior sua dispersão, até um limite de 0,4 mL/kg. Ou seja,…
Advisors/Committee Members: Torres, Marcelo Luis Abramides.
Subjects/Keywords: Anestesia epidural/veterinária; Anesthesia epidural/veterinary; Azul de metileno; Bupivacaína; Bupivacaine; Cães; Dogs; Methylene blue
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APA ·
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MLA ·
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Manager
APA (6th Edition):
Freire, C. D. (2009). Avaliação da dispersão da bupivacaína na anestesia peridural em cães. (Doctoral Dissertation). University of São Paulo. Retrieved from http://www.teses.usp.br/teses/disponiveis/5/5152/tde-15062009-143051/ ;
Chicago Manual of Style (16th Edition):
Freire, Cesar Dias. “Avaliação da dispersão da bupivacaína na anestesia peridural em cães.” 2009. Doctoral Dissertation, University of São Paulo. Accessed January 24, 2021.
http://www.teses.usp.br/teses/disponiveis/5/5152/tde-15062009-143051/ ;.
MLA Handbook (7th Edition):
Freire, Cesar Dias. “Avaliação da dispersão da bupivacaína na anestesia peridural em cães.” 2009. Web. 24 Jan 2021.
Vancouver:
Freire CD. Avaliação da dispersão da bupivacaína na anestesia peridural em cães. [Internet] [Doctoral dissertation]. University of São Paulo; 2009. [cited 2021 Jan 24].
Available from: http://www.teses.usp.br/teses/disponiveis/5/5152/tde-15062009-143051/ ;.
Council of Science Editors:
Freire CD. Avaliação da dispersão da bupivacaína na anestesia peridural em cães. [Doctoral Dissertation]. University of São Paulo; 2009. Available from: http://www.teses.usp.br/teses/disponiveis/5/5152/tde-15062009-143051/ ;
Universidade Federal de Santa Maria
12.
Paulo de Tarso de Oliveira Leme Junior.
MÚSCULO AUTÓGENO NA HEMOSTASIA TEMPORÁRIA DO PLEXO VENOSO VERTEBRAL VENTRAL DE COELHOS SUBMETIDOS Á HEMILAMINECTOMIA TORACOLOMBAR.
Degree: 2012, Universidade Federal de Santa Maria
URL: http://coralx.ufsm.br/tede/tde_busca/arquivo.php?codArquivo=5168
► A hemorragia é uma preocupação importante em pacientes submetidos a intervenção cirúrgica descompressiva da medula espinhal ou de estabilização na coluna vertebral. O objetivo desse…
(more)
▼ A hemorragia é uma preocupação importante em pacientes submetidos a intervenção cirúrgica descompressiva da medula espinhal ou de estabilização na coluna vertebral. O objetivo desse experimento foi documentar a evolução pós-operatória de coelhos Nova Zelândia que sofreram hemilaminectomia (T13-L1) e receberam um segmento de músculo autógeno como agente hemostático dentro do canal vertebral. Os animais foram separados em seis grupos sendo os grupos A e B controle, C e D tratados com diminuição de 25% do canal medular e E e F tratados com diminuição de 50% do canal medular. Todos os coelhos tiveram avaliação neurológica diária até a eutanásia. Aqueles dos grupos A, C e E sofreram eutanásia aos 14 dias de pós-operatório e os demais (B, D e E) aos 28 dias. Os segmentos T11-L3 da coluna vertebral contendo a medula espinhal de todos os coelhos foram coletados e enviados para exame histopatológico. Para avaliação neurológica no pós-operatório, os animais foram classificados diariamente pela escala de Tarlov e os resultados foram comparados entre eles pelo teste não paramétrico de Kruskal-Wallis para cada tempo (dia). Não houve diferença estatística da avaliação neurológica entre os grupos estudados. O exame histopatológico demonstrou a presença do músculo transplantado no canal vertebral e a compressão da medula espinhal provocada pelo enxerto.
The objective of this experiment was to document the postoperative evolution of New Zealand rabbits that underwent a hemi laminectomy surgery (T13-L1) and received a graft of autogenous muscle as an hemostatic agent into the spinal canal. These animals were followed for a period of 14 and 28 days with daily neurological assessments and, at the end of their follow-up period, were euthanized in order to remove the graft site to be examined microscopically. The animals were divided into 6 groups such as the control group A and B, C and D treated with 25% decrease of the medullary canal and, E and F treated with 50% decrease of the medullary canal. All groups were evaluated neurologically every day until euthanasia. Groups A, C and E were euthanized at 14 days after the surgery and groups B, D and F at 28 days. The segments T11-L3 vertebral column of all the rabbits were collected and sent for histopathological examination. In order to evaluate the neurological postoperative effect, the animals were classified daily by the Tarlov scale and the results were compared by nonparametric Kruskal-Wallis test for each time (days). There was no statistical difference among the groups. Histopathological examination showed the presence of muscle grafted in the spinal canal and the spinal cord compression caused by the graft.
Advisors/Committee Members: Alexandre Mazzanti, Aury Nunes de Moraes, Alceu Gaspar Raiser.
Subjects/Keywords: fibrose epidural; cirurgia; medula espinhal; hemostasia; MEDICINA VETERINARIA; spinal cord surgery; hemostasis; epidural fibrosis
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APA ·
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CSE |
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APA (6th Edition):
Junior, P. d. T. d. O. L. (2012). MÚSCULO AUTÓGENO NA HEMOSTASIA TEMPORÁRIA DO PLEXO VENOSO VERTEBRAL VENTRAL DE COELHOS SUBMETIDOS Á HEMILAMINECTOMIA TORACOLOMBAR. (Thesis). Universidade Federal de Santa Maria. Retrieved from http://coralx.ufsm.br/tede/tde_busca/arquivo.php?codArquivo=5168
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Junior, Paulo de Tarso de Oliveira Leme. “MÚSCULO AUTÓGENO NA HEMOSTASIA TEMPORÁRIA DO PLEXO VENOSO VERTEBRAL VENTRAL DE COELHOS SUBMETIDOS Á HEMILAMINECTOMIA TORACOLOMBAR.” 2012. Thesis, Universidade Federal de Santa Maria. Accessed January 24, 2021.
http://coralx.ufsm.br/tede/tde_busca/arquivo.php?codArquivo=5168.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Junior, Paulo de Tarso de Oliveira Leme. “MÚSCULO AUTÓGENO NA HEMOSTASIA TEMPORÁRIA DO PLEXO VENOSO VERTEBRAL VENTRAL DE COELHOS SUBMETIDOS Á HEMILAMINECTOMIA TORACOLOMBAR.” 2012. Web. 24 Jan 2021.
Vancouver:
Junior PdTdOL. MÚSCULO AUTÓGENO NA HEMOSTASIA TEMPORÁRIA DO PLEXO VENOSO VERTEBRAL VENTRAL DE COELHOS SUBMETIDOS Á HEMILAMINECTOMIA TORACOLOMBAR. [Internet] [Thesis]. Universidade Federal de Santa Maria; 2012. [cited 2021 Jan 24].
Available from: http://coralx.ufsm.br/tede/tde_busca/arquivo.php?codArquivo=5168.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Junior PdTdOL. MÚSCULO AUTÓGENO NA HEMOSTASIA TEMPORÁRIA DO PLEXO VENOSO VERTEBRAL VENTRAL DE COELHOS SUBMETIDOS Á HEMILAMINECTOMIA TORACOLOMBAR. [Thesis]. Universidade Federal de Santa Maria; 2012. Available from: http://coralx.ufsm.br/tede/tde_busca/arquivo.php?codArquivo=5168
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Universidade Federal de Santa Maria
13.
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 ·
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MLA ·
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CSE |
Export
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APA (6th 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 (16th 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 January 24, 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 (7th Edition):
Freitas, Gabrielle Coelho. “ANALGESIA EPIDURAL COM MORFINA OU BUPRENORFINA EM PÔNEIS SUBMETIDOS À SINOVITE CARPAL COM LIPOPOLISSACARÍDEO.” 2009. Web. 24 Jan 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 Jan 24].
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
14.
Moisés, Elaine Christine Dantas.
Estudo farmacocinético e análise da distribuição transplacentária da lidocaína e seu metabólito na assistência anestésica via peridural de gestantes diabéticas gestacionais.
Degree: PhD, Ginecologia e Obstetrícia, 2008, University of São Paulo
URL: http://www.teses.usp.br/teses/disponiveis/17/17145/tde-26092013-162603/
;
► O bloqueio peridural com lidocaína, bupivacaína e fentanila representa um dos procedimentos anestésicos mais utilizados em obstetrícia, fato que justifica o estudo farmacocinético destes fármacos…
(more)
▼ O bloqueio peridural com lidocaína, bupivacaína e fentanila representa um dos procedimentos anestésicos mais utilizados em obstetrícia, fato que justifica o estudo farmacocinético destes fármacos nessas condições. Os objetivos deste trabalho foram investigar a farmacocinética e a análise da transferência placentária da lidocaína e seu metabólito monoetilglicinaxilidida (MEGX) em gestantes normais e com diabetes mellitusgestacional (DMG), submetidas a anestesia peridural com lidocaína, bem como, avaliar a influência das alteraçõesfisiopatológicas da diabetes gestacional sobre os parâmetros farmacocinéticos desta droga e de seu metabólito. Foram avaliadas dez gestantes normais (grupo 1) e seis gestantes com DMG (grupo 2), todas de termo. Todas receberam cloridrato de lidocaína a 2% sem vasoconstrictor, em dose pré-determinada, por via loco-regional peridural. Na seqüência foram coletadas amostras sanguíneas maternas nos tempos 1 minuto, 5, 15, 30, 45, 60, 120, 240, 360, 480, 600, 720 e 840 minutos e amostras de sangue do espaço interviloso placentário, de artéria e veia umbilical para determinação das concentraçõesde lidocaína e MEGX por cromatografia e a análise farmacocinética. Com base nas concentrações maternas e fetais no momento do nascimento foram determinadas as relações entre os compartimentos maternos e fetais destes fármacos e taxa de extração fetal. As medianas dos parâmetros farmacocinéticos da lidocaína para os grupos 1 e 2 foram, respectivamente: Cmax 879,11 e 1145,58 ng/mL, t1/2 ?202,09 e 272,16 min, ?0,0034 e 0,0025 min -1 , AUC 0-? 256013,50 e 455950,97 ng.min/mL, Cl/f/kg 10,61 e 5,64 mL/min/kg, Vd/f/kg 3255,24 e 2188,304 mL/kg. As medianas dos parâmetros farmacocinéticos do MEGX para os grupos 1 e 2 foram, respectivamente: Cmax 82,71 e 141,38 ng/mL, Tmax 44,71 e 193,14 min, t1/2 ?7,64 e 59,77 min, ?0,097 e 0,012 min -1 , t1/2 ?247,28 e 492,20 min, ? 0,0028 e 0,0016 min -1 , AUC 0-? 29906,71 e 108229,19 ng.min/mL. A mediana do tempo de latência entre a administração da droga e o nascimento foi de 28,5 min e 28 min nos grupos 1 e 2, respectivamente. As medianas das relações entre os compartimentos maternos e fetais para a lidocaína nos grupos 1 e 2 foram, respectivamente: relação veia umbilical / sangue materno periférico: 0,60 e 0,46; relação espaço interviloso / materna: 1,01 e 0,88; relação artéria umbilical/ veia umbilical: 0,77 e 0,91; relação veia umbilical / espaço interviloso: 0,53 e 0,51. As medianas nos grupos 1 e 2 para o MEGX foram, respectivamente: relação feto / materna 0,43 e 0,97; relação espaço interviloso / materna: 0,64 e 0,90; relação artéria umbilical/ veia umbilical: 1,09 e 0,99; relação veia umbilical / espaço interviloso: 0,55 e 0,78. Os dados desse estudo permitem concluir que o clearanceaparente da lidocaína e do MEGX mostraram-se reduzidos nas pacientes diabéticas em relação às normais, sugerindo que o DMG inibe as isoformas CYP1A2 / CYP3A4, responsáveis pela metabolização desse fármaco e de seus metabólitos. O DMG não afetou o transporte…
Advisors/Committee Members: Cunha, Sergio Pereira da.
Subjects/Keywords: Anestesia obstétrica; Epidural rote; Farm; Gravidez; Lidocaína; Lidocaine; MEGX; MEGX; Monoethylglycineaxilidide; Monoetilglicinaxilidida; Obstetrical anesthesia; Pregnancy; Via epidural
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APA (6th Edition):
Moisés, E. C. D. (2008). Estudo farmacocinético e análise da distribuição transplacentária da lidocaína e seu metabólito na assistência anestésica via peridural de gestantes diabéticas gestacionais. (Doctoral Dissertation). University of São Paulo. Retrieved from http://www.teses.usp.br/teses/disponiveis/17/17145/tde-26092013-162603/ ;
Chicago Manual of Style (16th Edition):
Moisés, Elaine Christine Dantas. “Estudo farmacocinético e análise da distribuição transplacentária da lidocaína e seu metabólito na assistência anestésica via peridural de gestantes diabéticas gestacionais.” 2008. Doctoral Dissertation, University of São Paulo. Accessed January 24, 2021.
http://www.teses.usp.br/teses/disponiveis/17/17145/tde-26092013-162603/ ;.
MLA Handbook (7th Edition):
Moisés, Elaine Christine Dantas. “Estudo farmacocinético e análise da distribuição transplacentária da lidocaína e seu metabólito na assistência anestésica via peridural de gestantes diabéticas gestacionais.” 2008. Web. 24 Jan 2021.
Vancouver:
Moisés ECD. Estudo farmacocinético e análise da distribuição transplacentária da lidocaína e seu metabólito na assistência anestésica via peridural de gestantes diabéticas gestacionais. [Internet] [Doctoral dissertation]. University of São Paulo; 2008. [cited 2021 Jan 24].
Available from: http://www.teses.usp.br/teses/disponiveis/17/17145/tde-26092013-162603/ ;.
Council of Science Editors:
Moisés ECD. Estudo farmacocinético e análise da distribuição transplacentária da lidocaína e seu metabólito na assistência anestésica via peridural de gestantes diabéticas gestacionais. [Doctoral Dissertation]. University of São Paulo; 2008. Available from: http://www.teses.usp.br/teses/disponiveis/17/17145/tde-26092013-162603/ ;
15.
Guilherme Costa Jacobina.
Uso da ropivacaína ou levobupivacaína na anestesia epidural toraco-lombar em cães.
Degree: 2009, Federal University of Uberlândia
URL: http://www.bdtd.ufu.br//tde_busca/arquivo.php?codArquivo=2907
► Baseado no avanço das técnicas anestésicas atuais, faz se mister a experimentação de novos anestésicos locais. A ropivacaína e a levobupivacaína, são formulações recentes do…
(more)
▼ Baseado no avanço das técnicas anestésicas atuais, faz se mister a experimentação de novos anestésicos locais. A ropivacaína e a levobupivacaína, são formulações recentes do grupamento amida, de longa duração, e apresentam menor toxicidade que bupivacaína. A anestesia epidural torácica ainda é pouco explorada na Medicina Veterinária atual. O objetivo deste estudo foi comparar estes dois anestésicos locais, na anestesia epidural toraco-lombar. Para tal, utilizaram-se 16 animais que em estudo padronizado e cego foram submetidos à anestesia epidural por meio do cateter epidural posicionado próximo a T13-L1. Foram divididos em dois grupos (n=8) tratados com ropivacaína 0,5% (GR) ou levobupivacaína 0,5% (GL) ambos na dose de 2mg/kg. Avaliou-se a freqüência cardíaca (FC) e respiratória (f), pressão arterial média (PAM), sistólica (PAS), diastólica (PAD), período de latência motora e sensitiva, tempo de bloqueio motor e sensitivo, extensão cranial e caudal do bloqueio, além de verificar a possibilidade de efeitos adversos. Ambos os grupos apresentaram perfis clínicos similares dentro dos padrões fisiológicos, exceto pela significativa redução na pressão arterial. O GL apresentou maior tempo de bloqueio motor (477,565,2) minutos comparado ao GR (271,397,17) minutos. Os dois tratamentos promoveram analgesia adequada em todos os dermátomos avaliados nas regiões torácica e lombar.
Based on current progress of the anesthetic techniques, it is necessary to experiment with new local anesthetics. Ropivacaine and levobupivacaine are recent formulations of long duration, the amide group, which have lower toxicity that bupivacaine. The thoracic epidural anesthesia is still little explored in Veterinary Medicine today. The purpose of this study was to compare these two local anesthetics in the lumbar-thoracic epidural anesthesia. Study standardized, blind, was performed in 16 dogs, subjected to epidural anesthesia through epidural catheter placed near the T13-L1, into two groups (n = 8), treated with ropivacaine 0.5% (GR) or levobupivacaine 0.5%(GL) both at dose 2mg/kg. We evaluated the heart rate (HR) and respiratory (f), mean arterial pressure (MAP), systolic (SAP), diastolic (DAP), motor and sensory latency period, duration of sensory and motor block, cranial and caudal extension of the blockade, as well as assess side effects. Both groups had similar clinical profiles inside from the standards physiology except by reduction on arterial pressure. The GL showed higher motor block (477.565.2) minutes compared to GR (271.397.17) minutos. Both treatments promoted excellent analgesia dermatomes evaluated in all regions of thoracic and lumbar.
Advisors/Committee Members: Cirilo Antonio de Paula Lima, Hudson Armando Nunes Canabrava, Anderson Farias.
Subjects/Keywords: Cães; Epidural; Levobupivacaína; Ropivacaína; Toraco-lombar; MEDICINA VETERINARIA; Anestesia veterinária; Anestesia local; Dogs; Epidural; Levobupivacaine; Ropivacaine; Thoracic-lumbar
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APA (6th Edition):
Jacobina, G. C. (2009). Uso da ropivacaína ou levobupivacaína na anestesia epidural toraco-lombar em cães. (Thesis). Federal University of Uberlândia. Retrieved from http://www.bdtd.ufu.br//tde_busca/arquivo.php?codArquivo=2907
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Jacobina, Guilherme Costa. “Uso da ropivacaína ou levobupivacaína na anestesia epidural toraco-lombar em cães.” 2009. Thesis, Federal University of Uberlândia. Accessed January 24, 2021.
http://www.bdtd.ufu.br//tde_busca/arquivo.php?codArquivo=2907.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Jacobina, Guilherme Costa. “Uso da ropivacaína ou levobupivacaína na anestesia epidural toraco-lombar em cães.” 2009. Web. 24 Jan 2021.
Vancouver:
Jacobina GC. Uso da ropivacaína ou levobupivacaína na anestesia epidural toraco-lombar em cães. [Internet] [Thesis]. Federal University of Uberlândia; 2009. [cited 2021 Jan 24].
Available from: http://www.bdtd.ufu.br//tde_busca/arquivo.php?codArquivo=2907.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Jacobina GC. Uso da ropivacaína ou levobupivacaína na anestesia epidural toraco-lombar em cães. [Thesis]. Federal University of Uberlândia; 2009. Available from: http://www.bdtd.ufu.br//tde_busca/arquivo.php?codArquivo=2907
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Universidade Federal de Santa Maria
16.
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
► 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)
▼ 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 (6th 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 (16th 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 January 24, 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 (7th Edition):
Pohl, Virgínia Heinze. “ANESTESIA EPIDURAL COM ALFA 2-AGONISTAS E LIDOCAÍNA PARA REALIZAÇÃO DE OVARIOSSALPINGOHISTERECTOMIA EM CADELAS.” 2010. Web. 24 Jan 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 Jan 24].
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
Universitat Autònoma de Barcelona
17.
Ramió Iglesias, Laura.
Anestèsia regional per a endarterectomia carotídia. 6 anys d’experiència.
Degree: Departament de Cirurgia, 2019, Universitat Autònoma de Barcelona
URL: http://hdl.handle.net/10803/667897
► Introduction: Carotid stenosis is the cause of 20-25% of all vascular cerebral accidents of ischemic origin. Carotid endarterectomy (CE) is still the gold standard in…
(more)
▼ Introduction: Carotid stenosis is the cause of 20-25% of all vascular cerebral accidents of ischemic origin. Carotid endarterectomy (CE) is still the gold standard in patients with a high degree stenosis of the internal carotid artery for carotid revascularization and subsequent cerebral stroke prevention.
Looking for the ideal anaesthetic technique for CE procedures has been a continuous debate since the first intervention. Scientific evidences show that different anaesthetic techniques are not comparable neither in safety nor in quality .
Thus, and with the presumption that the best results could be obtained from one cervical
epidural anaesthesia combined with anaesthesia of the superficial cervical plexus, a new multidisciplinary protocol was implemented in our setting.
Our choice was based on the maximum anaesthetic-analgesic coverage of the combination of the two techniques (peridural anesthesia plus superficial cervical plexus), on a greater hemodynamic stability and on the reduction of hospital stay of the regional vs. general anaesthesia. Our main objective is to describe the analgesic-anesthetic quality of the tecnical.
Material and methods: It is an observational, descriptive and retrospective study. We retrospectively analysed during a period of 6 years (2009-2015) all patients undergoing carotid endarterectomy (CE). In order to compare hospital stay, data from patients who underwent the same procedure under general anaesthesia between 2003 and 2008 were analysed retrospectively.
Results: A total of 88 patients in the regional anaesthesia group and 30 patients in the general anaesthesia group were included. In terms of anaesthetic quality variables, we observed that 4.5% of patients required complementary local anaesthetic dosage and 11.2% complementary opioids. No patient developed MI at 30 days. In 3.4% of cases, one conversion to general anaesthesia was required. Regarding to anaesthetic technique safety, no vital complications were observed. There was a reduction of hospital length of stay of 2 days in the regional anaesthesia group. The cost of these two days plus material savings represented a saving between 1688.16 and 2978.26 euros per patient.
Conclusions: A good anaesthetic-analgesic quality of the regional anesthesia technique was observed due to the following findings: less intraoperative infiltration requirements by the surgeon, less use of intraoperative opioids, no incidence of postoperative MI and less conversion into general anaesthesia. There were only a few complications related to the regional anaesthetic technique without severity. We observed savings in procedure costs due to a shorter hospital stay and to reduced material use in the regional group.
Advisors/Committee Members: [email protected] (authoremail), true (authoremailshow), Moret Ruiz, Enrique (director), Casas García, Irma (director), Balibrea del Castillo, José María (tutor).
Subjects/Keywords: Anestèsia regional; Anestesia regional; Regional anaesthesia; Epidural cervical; Cervical epidural; Endarterectomiacarotídia; Endarterectomiacarotidia; Carotid endarterectomy; Ciències de la Salut; 616.1
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APA (6th Edition):
Ramió Iglesias, L. (2019). Anestèsia regional per a endarterectomia carotídia. 6 anys d’experiència. (Thesis). Universitat Autònoma de Barcelona. Retrieved from http://hdl.handle.net/10803/667897
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Ramió Iglesias, Laura. “Anestèsia regional per a endarterectomia carotídia. 6 anys d’experiència.” 2019. Thesis, Universitat Autònoma de Barcelona. Accessed January 24, 2021.
http://hdl.handle.net/10803/667897.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Ramió Iglesias, Laura. “Anestèsia regional per a endarterectomia carotídia. 6 anys d’experiència.” 2019. Web. 24 Jan 2021.
Vancouver:
Ramió Iglesias L. Anestèsia regional per a endarterectomia carotídia. 6 anys d’experiència. [Internet] [Thesis]. Universitat Autònoma de Barcelona; 2019. [cited 2021 Jan 24].
Available from: http://hdl.handle.net/10803/667897.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Ramió Iglesias L. Anestèsia regional per a endarterectomia carotídia. 6 anys d’experiència. [Thesis]. Universitat Autònoma de Barcelona; 2019. Available from: http://hdl.handle.net/10803/667897
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
18.
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)
▼ 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 (6th 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 (16th 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 January 24, 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 (7th Edition):
Χλωροπούλου, Πελαγία - Παρασκευή. “Διερεύνηση των παραγόντων φλεγμονώδους αντίδρασης του επισκληρίδιου καθετήρα κατά την επισκληρίδια αναισθησία και αναλγησία.” 2013. Web. 24 Jan 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 Jan 24].
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
19.
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)
▼ 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 (6th 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 (16th 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 January 24, 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 (7th 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. 24 Jan 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 Jan 24].
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
Rhode Island College
20.
Keker, Lana.
Comparison of Outcomes of Combined Thoracic Epidural Anesthesia with General Anesthesia Versus General Anesthesia During Coronary Artery Bypass Graft Surgery.
Degree: MSN, 2016, Rhode Island College
URL: https://digitalcommons.ric.edu/etd/172
► Coronary artery bypass graft (CABG) surgery is the most common type of heart surgery in the United States. The main benefit of CABG surgery…
(more)
▼ Coronary artery bypass graft (CABG) surgery is the most common type of heart surgery in the United States. The main benefit of CABG surgery is a significant decrease in myocardial infarction rate, while the most common complications of CABG are myocardial damage and atrial fibrillation. The incorporation of epidural anesthesia occurred in order to decrease sympathetic nervous system response during CABG but has not been extensively studied. A systematic review was conducted to compare the cardiovascular outcomes of the addition of thoracic epidural anesthesia to the anesthetic plan versus general anesthesia as a solo technique during coronary artery bypass grafting surgery. The PubMed database was searched to identify randomized controlled trials in adult patients undergoing CABG with implementation of thoracic epidural anesthesia versus general anesthesia only. Seven studies involving 668 participants met the criteria. A previously published meta- analysis of randomized controlled trials was also included. The Preferred Reporting Items for Systematic Review (PRISMA) checklist was utilized to extrapolate and synthetize the data. The Critical Appraisal Sheet for Controlled Randomized Studies was adapted from the FRISBE tool in order to compare both within and across the studies. Two outcomes were measured: the degree of cardiac damage that was represented by troponin level and atrial fibrillation rate. The limited evidence suggested that thoracic epidural anesthesia does not provide cardioprotective benefits in adult patients undergoing CABG. The results of the study should be interpreted with caution due to the limited information available and heterogeneity of the studies. The question of whether thoracic epidural anesthesia provides cardioprotective functions requires further investigation. Taking into consideration the results of this study, it is not recommended to use the epidural anesthesia as an adjunct technique on the routine basis during CABG until more information is available.
Subjects/Keywords:
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APA (6th Edition):
Keker, L. (2016). Comparison of Outcomes of Combined Thoracic Epidural Anesthesia with General Anesthesia Versus General Anesthesia During Coronary Artery Bypass Graft Surgery. (Masters Thesis). Rhode Island College. Retrieved from https://digitalcommons.ric.edu/etd/172
Chicago Manual of Style (16th Edition):
Keker, Lana. “Comparison of Outcomes of Combined Thoracic Epidural Anesthesia with General Anesthesia Versus General Anesthesia During Coronary Artery Bypass Graft Surgery.” 2016. Masters Thesis, Rhode Island College. Accessed January 24, 2021.
https://digitalcommons.ric.edu/etd/172.
MLA Handbook (7th Edition):
Keker, Lana. “Comparison of Outcomes of Combined Thoracic Epidural Anesthesia with General Anesthesia Versus General Anesthesia During Coronary Artery Bypass Graft Surgery.” 2016. Web. 24 Jan 2021.
Vancouver:
Keker L. Comparison of Outcomes of Combined Thoracic Epidural Anesthesia with General Anesthesia Versus General Anesthesia During Coronary Artery Bypass Graft Surgery. [Internet] [Masters thesis]. Rhode Island College; 2016. [cited 2021 Jan 24].
Available from: https://digitalcommons.ric.edu/etd/172.
Council of Science Editors:
Keker L. Comparison of Outcomes of Combined Thoracic Epidural Anesthesia with General Anesthesia Versus General Anesthesia During Coronary Artery Bypass Graft Surgery. [Masters Thesis]. Rhode Island College; 2016. Available from: https://digitalcommons.ric.edu/etd/172
Universidade do Rio Grande do Sul
21.
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 (6th 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 (16th 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 January 24, 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 (7th 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. 24 Jan 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 Jan 24].
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
22.
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/
;
► 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)
▼ 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 (6th 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 (16th 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 January 24, 2021.
http://www.teses.usp.br/teses/disponiveis/10/10137/tde-05082013-154041/ ;.
MLA Handbook (7th 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. 24 Jan 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 Jan 24].
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/ ;
23.
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 (6th 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 (16th 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 January 24, 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 (7th 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. 24 Jan 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 Jan 24].
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
University of Louisville
24.
Mesbah, Samineh.
Automatic signal and image-based assessments of spinal cord injury and treatments.
Degree: PhD, 2019, University of Louisville
URL: 10.18297/etd/3174
;
https://ir.library.louisville.edu/etd/3174
► Spinal cord injury (SCI) is one of the most common sources of motor disabilities in humans that often deeply impact the quality of life…
(more)
▼ Spinal cord injury (SCI) is one of the most common sources of motor disabilities in humans that often deeply impact the quality of life in individuals with severe and chronic SCI. In this dissertation, we have developed advanced engineering tools to address three distinct problems that researchers, clinicians and patients are facing in SCI research. Particularly, we have proposed a fully automated stochastic framework to quantify the effects of SCI on muscle size and adipose tissue distribution in skeletal muscles by volumetric segmentation of 3-D MRI scans in individuals with chronic SCI as well as non-disabled individuals. We also developed a novel framework for robust and automatic activation detection, feature extraction and visualization of the spinal cord
epidural stimulation (scES) effects across a high number of scES parameters to build individualized-maps of muscle recruitment patterns of scES. Finally, in the last part of this dissertation, we introduced an EMG time-frequency analysis framework that implements EMG spectral analysis and machine learning tools to characterize EMG patterns resulting in independent or assisted standing enabled by scES, and identify the stimulation parameters that promote muscle activation patterns more effective for standing. The neurotechnological advancements proposed in this dissertation have greatly benefited SCI research by accelerating the efforts to quantify the effects of SCI on muscle size and functionality, expanding the knowledge regarding the neurophysiological mechanisms involved in re-enabling motor function with
epidural stimulation and the selection of stimulation parameters and helping the patients with complete paralysis to achieve faster motor recovery.
Advisors/Committee Members: El-Baz, Ayman, Inanc, Tamer, Harkema, Susan, Nasraoui, Olfa, Faul, Andre.
Subjects/Keywords: spinal cord injury; epidural stimulation; MRI; EMG; Biomedical
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APA (6th Edition):
Mesbah, S. (2019). Automatic signal and image-based assessments of spinal cord injury and treatments. (Doctoral Dissertation). University of Louisville. Retrieved from 10.18297/etd/3174 ; https://ir.library.louisville.edu/etd/3174
Chicago Manual of Style (16th Edition):
Mesbah, Samineh. “Automatic signal and image-based assessments of spinal cord injury and treatments.” 2019. Doctoral Dissertation, University of Louisville. Accessed January 24, 2021.
10.18297/etd/3174 ; https://ir.library.louisville.edu/etd/3174.
MLA Handbook (7th Edition):
Mesbah, Samineh. “Automatic signal and image-based assessments of spinal cord injury and treatments.” 2019. Web. 24 Jan 2021.
Vancouver:
Mesbah S. Automatic signal and image-based assessments of spinal cord injury and treatments. [Internet] [Doctoral dissertation]. University of Louisville; 2019. [cited 2021 Jan 24].
Available from: 10.18297/etd/3174 ; https://ir.library.louisville.edu/etd/3174.
Council of Science Editors:
Mesbah S. Automatic signal and image-based assessments of spinal cord injury and treatments. [Doctoral Dissertation]. University of Louisville; 2019. Available from: 10.18297/etd/3174 ; https://ir.library.louisville.edu/etd/3174
25.
Hsieh, Fu-Han.
Robot-driven epidural spinal cord stimulation compared with conventional stimulation in adult spinalized rats.
Degree: 2011, Drexel University
URL: http://hdl.handle.net/1860/3653
► Epidural stimulation to trigger locomotion is a promising treatment after spinal cord injury (SCI). Continuous stimulation during locomotion is the conventional method. To improve recovery,…
(more)
▼ Epidural stimulation to trigger locomotion is a promising treatment after spinal cord injury (SCI). Continuous stimulation during locomotion is the conventional method. To improve recovery, we designed and tested an innovative robot-driven epidural stimulation method, coupled with a trunk-based neurorobotic system. The system was tested in rats, and the results were compared with the results of the neurorobotic therapy combined with the conventional epidural stimulation method, and with robotic rehabilitation alone. The rats had better recovery after treatment with the robot-driven epidural stimulation than conventional stimulation or controls in our neurorobotic rehabilitation system.
Ph.D., Biomedical Engineering – Drexel University, 2011
Advisors/Committee Members: Giszter, Simon Francis, 1957-.
Subjects/Keywords: Biomedical engineering; Spinal Cord – Wounds and injuries; Epidural stimulation
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APA ·
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APA (6th Edition):
Hsieh, F. (2011). Robot-driven epidural spinal cord stimulation compared with conventional stimulation in adult spinalized rats. (Thesis). Drexel University. Retrieved from http://hdl.handle.net/1860/3653
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Hsieh, Fu-Han. “Robot-driven epidural spinal cord stimulation compared with conventional stimulation in adult spinalized rats.” 2011. Thesis, Drexel University. Accessed January 24, 2021.
http://hdl.handle.net/1860/3653.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Hsieh, Fu-Han. “Robot-driven epidural spinal cord stimulation compared with conventional stimulation in adult spinalized rats.” 2011. Web. 24 Jan 2021.
Vancouver:
Hsieh F. Robot-driven epidural spinal cord stimulation compared with conventional stimulation in adult spinalized rats. [Internet] [Thesis]. Drexel University; 2011. [cited 2021 Jan 24].
Available from: http://hdl.handle.net/1860/3653.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Hsieh F. Robot-driven epidural spinal cord stimulation compared with conventional stimulation in adult spinalized rats. [Thesis]. Drexel University; 2011. Available from: http://hdl.handle.net/1860/3653
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
26.
Goodman, James Michael Jr.
Control of Isometric Hindlimb Ground Reaction Forces with Acute Epidural Spinal Cord and Cauda Equina Stimulation in the Rat.
Degree: 2013, Drexel University
URL: http://hdl.handle.net/1860/4237
► Spinal cord injury (SCI) results in loss of motor function below the site of injury. So far, epidural spinal cord stimulation (ESCS) aimed at restoring…
(more)
▼ Spinal cord injury (SCI) results in loss of motor function below the site of injury. So far,
epidural spinal cord stimulation (ESCS) aimed at restoring motor function have focused heavily on using intact limbs and spinal circuits below the site of SCI to restore rhythmic locomotor activity. This study seeks to develop a stimulus device to control non-rhythmic movements with ESCS in rats and to understand the effects of stimulation on hindlimb movements. This study has four aims. The first is to design a system that can administer ESCS and record isometric ground reaction forces evoked by the rat hindlimb during ESCS. The second is to map tonic hindlimb response types, such as flexion or extension, to ESCS locations in the rat spinal cord that do not overlap with the most common stimulus site for eliciting locomotion. The third is to determine the sensitivity of hindlimb response parameters to stimulus parameters. The fourth is to identify the effects of spinal status (transected or healthy) and spinal cord hydration (mineral oil or physiologic saline) on responses to ESCS. For the first aim, the objectives of the design were to ensure isometric forces were generated by ESCS, to record ground reaction forces under the targeted hindlimb within a particular tolerance, to permit sufficient precision of ESCS electrode position along the length of the cord, and to coordinate stimulation, force measurement, and saving data with a software interface. For the second and third aims, transected and normal rats were anesthetized and electrodes were lowered onto the dural surface of the spinal cord, which was exposed from vertebral L1 to L6.Isometric force measurements in response to ESCS were recorded from the affected hindlimb. Stimulation sites encompassed both the spinal cord and cauda equina to observe both extensor and flexor forces in response to stimulation. The results of this study showed that we were able to record isometric forces from a novel Spinal Cord Stimulator System. In addition, stimulation of the cord underlying vertebral L2 and L3 results in extension-like hindlimb forces, and that stimulation at vertebral L4 and L5 results in flexion-like hindlimb forces. Furthermore, force magnitude was significantly correlated with stimulus current amplitude, and hindlimb response duration was well correlated with stimulus train duration, confirming the hypothesized correlation of ESCS parameters to limb force magnitude and duration. There were no differences in thresholds or correlations among groups, although the ratio of gross flexor or extensor force responses with respect to total stimulus trials was different among groups. The group with the most reliable rate of vertical hindlimb force responses was the transect-saline group, which is the group that corresponds most closely to a SCI condition. This study demonstrates a map of gross extensor and flexor force responses along the spinal cord and cauda equina of the rat, and also demonstrates that the response magnitude and duration are sensitive enough to control from…
Advisors/Committee Members: Moxon, Karen A..
Subjects/Keywords: Biomedical engineering; Epidural stimulation; Spinal Cord – Wounds and injuries – Treatment
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APA ·
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Export
to Zotero / EndNote / Reference
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APA (6th Edition):
Goodman, J. M. J. (2013). Control of Isometric Hindlimb Ground Reaction Forces with Acute Epidural Spinal Cord and Cauda Equina Stimulation in the Rat. (Thesis). Drexel University. Retrieved from http://hdl.handle.net/1860/4237
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Goodman, James Michael Jr. “Control of Isometric Hindlimb Ground Reaction Forces with Acute Epidural Spinal Cord and Cauda Equina Stimulation in the Rat.” 2013. Thesis, Drexel University. Accessed January 24, 2021.
http://hdl.handle.net/1860/4237.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Goodman, James Michael Jr. “Control of Isometric Hindlimb Ground Reaction Forces with Acute Epidural Spinal Cord and Cauda Equina Stimulation in the Rat.” 2013. Web. 24 Jan 2021.
Vancouver:
Goodman JMJ. Control of Isometric Hindlimb Ground Reaction Forces with Acute Epidural Spinal Cord and Cauda Equina Stimulation in the Rat. [Internet] [Thesis]. Drexel University; 2013. [cited 2021 Jan 24].
Available from: http://hdl.handle.net/1860/4237.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Goodman JMJ. Control of Isometric Hindlimb Ground Reaction Forces with Acute Epidural Spinal Cord and Cauda Equina Stimulation in the Rat. [Thesis]. Drexel University; 2013. Available from: http://hdl.handle.net/1860/4237
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
27.
Mehrotra, Sandeep.
The study of epidural anaesthesia in paediatric
surgery; -.
Degree: anaesthesilogy, 1998, Bundelkhand University
URL: http://shodhganga.inflibnet.ac.in/handle/10603/12341
Subjects/Keywords: anaesthesia; epidural; paediatric; surgery
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APA (6th Edition):
Mehrotra, S. (1998). The study of epidural anaesthesia in paediatric
surgery; -. (Thesis). Bundelkhand University. Retrieved from http://shodhganga.inflibnet.ac.in/handle/10603/12341
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Mehrotra, Sandeep. “The study of epidural anaesthesia in paediatric
surgery; -.” 1998. Thesis, Bundelkhand University. Accessed January 24, 2021.
http://shodhganga.inflibnet.ac.in/handle/10603/12341.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Mehrotra, Sandeep. “The study of epidural anaesthesia in paediatric
surgery; -.” 1998. Web. 24 Jan 2021.
Vancouver:
Mehrotra S. The study of epidural anaesthesia in paediatric
surgery; -. [Internet] [Thesis]. Bundelkhand University; 1998. [cited 2021 Jan 24].
Available from: http://shodhganga.inflibnet.ac.in/handle/10603/12341.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Mehrotra S. The study of epidural anaesthesia in paediatric
surgery; -. [Thesis]. Bundelkhand University; 1998. Available from: http://shodhganga.inflibnet.ac.in/handle/10603/12341
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Universidade de Lisboa
28.
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
► 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)
▼ 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 patient-controlled epidural analgesia (PCEA) foi descrita por Gambling et al. em 1988. Esta técnica quando comparada com a tradicional continuous epidural infusion (CEI) garante o mesmo nível de analgesia reduzindo o número de doses de resgate, o consumo total de anestésico e ainda a diminuição do bloqueio motor. Apesar da PCEA possibilitar uma maior autonomia e representar uma alternativa às técnicas mais tradicionais, não existe ainda consenso quanto ao regime ideal para a sua utilização. O uso de uma perfusão epidural de base em associação com a PCEA permanece controversa, assim como a dose ideal do bólus e o seu intervalo de lockout correspondente. Novos estudos sugerem a utilização da PCEA em associação com bólus mandatórios intermitentes, monitorizados por programas informáticos baseados na dose-resposta de cada parturiente.
Patient-controlled epidural analgesia (PCEA) was first described by Gambling et al. in 1988. When compared with the traditional continuous epidural infusion (CEI) technique, the PCEA provide the same analgesia level, reducing the number of clinician top-ups, analgesic consumption and motor block. Although PCEA allows autonomy and represents an alternative to the traditional technics, the optimal regime has not been established. The requirement of a background infusion, the ideal bolus size and corresponding lockout interval remains controversial. New studies suggests an association of PCEA and intermittent mandatory bolus monitored by a computer program based on dose-response of each parturient.
Advisors/Committee Members: Lança, Filipa.
Subjects/Keywords: Analgesia; Parto; Epidural; Anestesiologia; Domínio/Área Científica::Ciências Médicas
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APA (6th 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 (16th Edition):
Saraiva, Raquel Eduarda Esteves, 1992-. “Patient-controlled epidural analgesia na manutenção da analgesia do trabalho de parto.” 2016. Thesis, Universidade de Lisboa. Accessed January 24, 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 (7th Edition):
Saraiva, Raquel Eduarda Esteves, 1992-. “Patient-controlled epidural analgesia na manutenção da analgesia do trabalho de parto.” 2016. Web. 24 Jan 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 Jan 24].
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
29.
Guijosa García, Rosa.
Comportamiento clínico y epidemiológico de la cefalea postpunción accidental de duramadre en pacientes obstétricas
.
Degree: 2004, Universidad Veracruzana
URL: http://cdigital.uv.mx/handle/123456789/32328
Subjects/Keywords: Anestesia epidural;
Cefalea pospunción;
Obstetricia
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APA (6th Edition):
Guijosa García, R. (2004). Comportamiento clínico y epidemiológico de la cefalea postpunción accidental de duramadre en pacientes obstétricas
. (Masters Thesis). Universidad Veracruzana. Retrieved from http://cdigital.uv.mx/handle/123456789/32328
Chicago Manual of Style (16th Edition):
Guijosa García, Rosa. “Comportamiento clínico y epidemiológico de la cefalea postpunción accidental de duramadre en pacientes obstétricas
.” 2004. Masters Thesis, Universidad Veracruzana. Accessed January 24, 2021.
http://cdigital.uv.mx/handle/123456789/32328.
MLA Handbook (7th Edition):
Guijosa García, Rosa. “Comportamiento clínico y epidemiológico de la cefalea postpunción accidental de duramadre en pacientes obstétricas
.” 2004. Web. 24 Jan 2021.
Vancouver:
Guijosa García R. Comportamiento clínico y epidemiológico de la cefalea postpunción accidental de duramadre en pacientes obstétricas
. [Internet] [Masters thesis]. Universidad Veracruzana; 2004. [cited 2021 Jan 24].
Available from: http://cdigital.uv.mx/handle/123456789/32328.
Council of Science Editors:
Guijosa García R. Comportamiento clínico y epidemiológico de la cefalea postpunción accidental de duramadre en pacientes obstétricas
. [Masters Thesis]. Universidad Veracruzana; 2004. Available from: http://cdigital.uv.mx/handle/123456789/32328
30.
Kallidaikurichi Srinivasan, Karthikeyan.
Improving safety, efficiency and efficacy of neuraxial blockade through enhanced operator peformance.
Degree: 2016, University College Cork
URL: http://hdl.handle.net/10468/4010
► The objective of this thesis was to enhance operator performance to improve efficiency, safety and efficacy of neuraxial blocks. Methodology Efficiency In study 1 and…
(more)
▼ The objective of this thesis was to enhance operator performance to improve efficiency, safety and efficacy of neuraxial blocks. Methodology Efficiency In study 1 and 1a, a metric based assessment tool for labour
epidural catheter placement was developed and validated. The effect of proficiency based progression training (PBP) in provision of labour
epidural analgesia was then studied. Safety Study 2 was undertaken to improve the accuracy of palpated landmarks for administering spinal anaesthesia in patients undergoing caesarean section. Efficacy In study 3, clinically relevant association and correlation(s) between i. ultrasound images and ii. Magnetic Resonance Imaging (MRI) of lumbar spine was studied. In study 4a and 4b, landmark-guided midline approach was compared to pre-procedure ultrasound guided paramedian techniques in spinal anaesthesia. Results PBP (study 1, 1a, n=17) group had a significantly (p= 0.04) lower failure rate (13.3%) compared to simulation only group (28.7%). Study 2 (n=112) showed that inserting the spinal needle below the intercristal line significantly reduces the incidence of spinal anaesthesia performed at or above L2-3 interspace compared to at or above intercristal line (absolute risk reduction of 38.2%, p<0.001). In study 3 it was observed that the odds of obtaining a poor view in neuraxial ultrasound was seven times higher in the presence of facet joint degeneration (95% CI 1.7-28.9, p=0.007). Study 4a (n=100), it was observed that the number of passes to achieve successful dural tap was significantly lower in the ultrasound group (mean 4, SD 4) compared to the conventional group (mean 8.2, SD 12.3).In study 4b (n=120), we found no difference between groups in the number of passes or attempts to achieve successful dural puncture when L5S1 paramedian space was selectively used in the ultrasound group. Conclusion Significant improvements in safety, efficiency and efficacy of neuraxial blocks were demonstrated.
Advisors/Committee Members: Iohom, Gabriella, Lee, Peter, Shorten, George D..
Subjects/Keywords: Neuraxial ultrasound; Spinal anaesthesia; Proficiency based progression; Labor epidural
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APA (6th Edition):
Kallidaikurichi Srinivasan, K. (2016). Improving safety, efficiency and efficacy of neuraxial blockade through enhanced operator peformance. (Thesis). University College Cork. Retrieved from http://hdl.handle.net/10468/4010
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Kallidaikurichi Srinivasan, Karthikeyan. “Improving safety, efficiency and efficacy of neuraxial blockade through enhanced operator peformance.” 2016. Thesis, University College Cork. Accessed January 24, 2021.
http://hdl.handle.net/10468/4010.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Kallidaikurichi Srinivasan, Karthikeyan. “Improving safety, efficiency and efficacy of neuraxial blockade through enhanced operator peformance.” 2016. Web. 24 Jan 2021.
Vancouver:
Kallidaikurichi Srinivasan K. Improving safety, efficiency and efficacy of neuraxial blockade through enhanced operator peformance. [Internet] [Thesis]. University College Cork; 2016. [cited 2021 Jan 24].
Available from: http://hdl.handle.net/10468/4010.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Kallidaikurichi Srinivasan K. Improving safety, efficiency and efficacy of neuraxial blockade through enhanced operator peformance. [Thesis]. University College Cork; 2016. Available from: http://hdl.handle.net/10468/4010
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
◁ [1] [2] [3] [4] [5] [6] ▶
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Open Access Theses and Dissertations
