Transcript of COMPLICACIONES DE RAQUIDEA. COMPLICACIONES DE CEFALEA POST-PUNCIÓN LUMBAR Complicación mas común. Intracranial hypotension syndrome: A post dural puncture headache?Síndrome Se describen 2 pacientes con cefalea ortostática y alteraciones neurológicas severas luego de anestesia epidural y espinal que fueron Anestesia raquídea. Post-dural puncture headache continues to be a significant cause of morbidity in parturients. Despite being a , Cefalea post punción dural en embarazadas sometidas a cesárea con anestesia raquidea¿ problema actual o pasado?
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Anest Analg Reanim [online]. The physiology of these changes was studied years ago in animal and experimental human models. At present, transthoracic echocardiography TTE can be a useful and modern noninvasive monitor to study what happens with cardiac output CO after a subarachnoid block in daily clinical practice.
To evaluate the behavior of the CO with the use of TTE after the installation of a spinal anesthesia. We prospectively studied ASA I patients proposed for surgery under spinal anesthesia.
COMPLICACIONES DE RAQUIDEA by Natalia Andrea Betancur Espinosa on Prezi
The baseline CO was studied using the left parasternal window where the diameter of the left ventricular outflow tract was measured and its area was calculated. Then from the apical window in five chamber view the integral of the maximum velocity of the outflow tract IVT was measured with continuous Doppler.
Spinal anesthesia was then installed using a mixture standardized with 0.
The same echocardiographic examination was done once the installation of the spinal block was verified. We studied 52 patients, in only 2 there were no satisfactory echocardiographic windows. The average age was In all cases, surgery was performed with the spinal block.
The level of blockade reached was T6 in The variations of the systolic, diastolic and heart rate had a statistically significant decrease.
No significant difference was observed in the CO before and after spinal anesthesia.
The maximum sensory height of the subarachnoid block did not correlate with ppst decrease in MAP or echocardiographic parameters. Spinal anesthesia produced decreased hemodynamic parameters.
The use of intraoperative transthoracic echocardiography allowed the direct and real study of cardiovascular physiology and showed that despite the drop in blood pressure and heart rate, the CO tended to remain, probably due to other compensation mechanisms such as increased myocardial contractility and improvement of diastolic function.
In the future, TTE can be a study tool to evaluate what happens with different anesthetic drugs and different types of patients obstetric, cardiopathic. Transthoracic echocardiography; spinal anesthesia; hemodynamics.