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2.
Local Reg Anesth ; 11: 111-113, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30538540

RESUMO

The occurrence of a needle breaking is a very rare complication of spinal anesthesia (SA). We report a case of a broken spinal needle occurring in a morbid obese pregnant woman during SA indicated for an emergent cesarean section. Multiple puncture attempts due to difficult identification of lumbar spine, associated with an inadequate use of the introducer, contributed to this complication. The recognition of predictive factors for difficult neuraxial anesthesia, the use of ultrasound in obese patients, and a properly executed technique may have allowed avoiding this complication.

4.
Paediatr Anaesth ; 19(1): 5-11, 2009 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-19076495

RESUMO

Anesthesia in developing countries deserves special attention. The most common technique is general anesthesia (with spontaneous or manually assisted ventilation). Nonmedical anesthetists with limited training and supervision and lacking the most common drugs and anesthetic equipment administer anesthesia, usually for emergency surgery. There are important safety issues, especially for pediatric anesthesia. Regarding pediatric surgery, the major workload is due to abdominal emergencies, mainly neonatal bowel obstruction or peritonitis due to typhoid perforation. The morbidity and mortality rate for these conditions is high.


Assuntos
Anestesia , Anestesiologia , Países em Desenvolvimento , África Subsaariana , Anestesia/métodos , Anestesia/normas , Anestesiologia/instrumentação , Anestesiologia/normas , Criança , Equipamentos Descartáveis/provisão & distribuição , Reutilização de Equipamento , Humanos , Avaliação de Resultados em Cuidados de Saúde , Recursos Humanos
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