Complication of the combined spinal epidural technique 2

Abstract

A recent letter studied different countries' positions in the field of anaesthesia in the period 1991 to year 2000 (Rahman et al. Anaesthesia 2002; 57: 1213-14). Among other things, the analysis elicited the top ranking 20 countries for research in the field of anaesthesia. Also, they revealed countries where research shares went down and up, respectively. The results were interesting, but one sentence puzzled me. The authors write: 'Journals not available in the Medline database for the entire 1991-2000 period were excluded (Acta Anaesthesiologica Scandinavica and Clinical Journal of Pain). To my knowledge, which is substantiated by a recent search in Medline, both journals have been available in the Medline database for the entire period (Table 1). I would be pleased if the authors could explain this difference.

Complication of combined spinal epidural needle

“…There was no damage to the tip of the Tuohy needle as previously reported. 1,2 Although no harm occurred, the procedure had to be repeated at another interspace as a single shot spinal using a #25 Whitacre needle. The surgery proceeded uneventfully.…”