The Role of Nerve Blocks in Management of Traumatic Cord Bladders: Spinal Anesthesia, Subarachnoid Alcohol Injections, Pudendal Nerve Anesthesia and Vesical Neck Anesthesia

Bors, Ernest; Comarr, A. Estin; Moulton, Stanley

doi:10.1016/s0022-5347(17)68810-4

Cited by 46 publications

(2 citation statements)

References 63 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Subarachnoid injection of alcohol/phenol: Alcohol injected into the subarachnoidal space was recommended to prevent bladder contraction in patients with SCI by converting a hyper-reflexic into an areflexic bladder. However, the results were unpredictable and did not persist [7]. The hope that phenolization would have a more selective effect on small rather than large fibres was not fulfilled, and the effect was even less persistent (6-12 months).…”

Section: Irreversible Proceduresmentioning

confidence: 99%

Denervation techniques

Madersbacher¹

2000

BJU International

View full text Add to dashboard Cite

The bladder can be denervated at several levels: centrally. at the level of the sacral nerves: peripherally, on the pelvic nerves; or in the bladder. by cutting the relevant structures. by injecting substances toxic to nerves. or by hyperbaric bladder distension. These procedures target the sensory or motor nerves to weaken or to interrupt the detrusor reflex arc. Most of the procedures introduced previously, e.g. bladder trans-section by open operation, endoscopic or transvesical phenolization, hyperbaric bladder distension. and peripheral denervation of the bladder, have now been abandoned. Although some of these techniques had a high initial success rate in abolishing detrusor overactivity and in controlling incontinence, the relapse rate within 18 months approached 100%. In the early 1950s, much of the denervation surgery was performed on sacral roots and

show abstract

Section: Irreversible Proceduresmentioning

confidence: 99%

Denervation techniques

Madersbacher¹

2000

BJU International

View full text Add to dashboard Cite

show abstract

“…3,4 A spinal anesthetic is used for orthopedic surgery on joints or bones of the leg and is also commonly used for any surgery bellow the umbilicus like groin hernia repair, hemorrhoid surgery, hysterectomy, cesarean section, prostate surgery, genital surgery. [5][6][7][8][9] Spinal anesthesia has indicated for surgery below the umbilicus but it has contraindication which ranges from absolute to relative. Patient refusal, infection at the site of injection, a true allergy to local anesthetic drugs, coagulopathy, and increased intracranial pressure are absolute while neurological disease, fixed cardiac output states, uncooperative, and aortic stenosis are the relative contraindications.…”

Section: Introductionmentioning

confidence: 99%

The Current Practice of Spinal Anesthesia in Anesthetists at a Comprehensive Specialized Hospital: A Single Center Observational Study

Hunie

Fenta

Teshome

2021

LRA

View full text Add to dashboard Cite

Background Spinal anesthesia block is the most widely practiced anesthesia technique due to its safety margin. It is an invasive procedure that could be associated with a variety of complications like total spinal, cardiovascular collapse, meningitis, paralysis, and even death. The aim of this study to assess the current practice of spinal anesthesia. Methods A Cross-sectional study design was conducted in Debre Tabor Comprehensive Specialized Hospital from November 01 to December 15, 2020. All anesthesia professionals who are working in the study Hospital were surveyed by the Purposive sampling technique. A standardized structured checklist prepared from recommendations of New York school of regional anesthesia guideline regarding the current Practice of spinal anesthesia was used to collect the data after taking written informed consent. Descriptive statistics were employed to summarize the results. Results A total of 24 anesthetists were observed of their practice before, during, and after administer of spinal anesthesia. All of the anesthetists were practicing the preparation and assembling of all necessary anesthesia equipments, resuscitation drugs, and basic monitors while all of the anesthetists did not wash their hands, wore a sterile gown, and draped the back of the patient with fenestrated drapes in a sterile fashion. Conclusion Most of the anesthesiology professionals in our setting have a good preparation of all necessary anesthesia equipments, and resuscitation drugs, while the assessment of patient’s emotional reaction and pain during injection, the skin preparation allowed to being dry and assessment of the degree of sensory and motor block of the patient were insufficient.

show abstract