BIOMAT Database Logo BIOMAT Database Logo

Temporal summation during extradural anaesthesia. 1995

M Curatolo, and S Petersen-Felix, and L Arendt-Nielsen, and M Fischer, and A M Zbinden
Institute of Anaesthesiology and Intensive Care, University of Bern, Switzerland.

We have investigated in 10 patients the effect of extradural anaesthesia on temporal summation by comparing pain thresholds to single and repeated (five impulses at 2 Hz) electrical stimuli and compared these tests with pinprick and cold stimulation. Bupivacaine 0.5% (20 ml) was injected at L2-3. After extradural anaesthesia the threshold to repeated stimuli was significantly lower than the threshold to single stimuli (P = 0.0007). Nine patients lost cold sensation and 10 patients pinprick sensation. Pain to single electrical stimulation disappeared in six patients and pain to repeated electrical stimulation in one. Pain may be evoked by temporal summation of repeated electrical stimuli even when pinprick sensation, cold sensation and pain to single electrical stimuli are inhibited. Thus temporal summation should be taken into consideration when extradural analgesia is assessed.

UI MeSH Term Description Entries
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010147 Pain Measurement Scales, questionnaires, tests, and other methods used to assess pain severity and duration in patients or experimental animals to aid in diagnosis, therapy, and physiological studies. Analgesia Tests,Analogue Pain Scale,Formalin Test,McGill Pain Questionnaire,Nociception Tests,Pain Assessment,Pain Intensity,Pain Severity,Tourniquet Pain Test,Visual Analogue Pain Scale,Analog Pain Scale,Assessment, Pain,McGill Pain Scale,Visual Analog Pain Scale,Analgesia Test,Analog Pain Scales,Analogue Pain Scales,Formalin Tests,Intensity, Pain,Measurement, Pain,Nociception Test,Pain Assessments,Pain Intensities,Pain Measurements,Pain Questionnaire, McGill,Pain Scale, Analog,Pain Scale, Analogue,Pain Scale, McGill,Pain Severities,Pain Test, Tourniquet,Questionnaire, McGill Pain,Scale, Analog Pain,Scale, Analogue Pain,Scale, McGill Pain,Severity, Pain,Test, Analgesia,Test, Formalin,Test, Nociception,Test, Tourniquet Pain,Tests, Nociception,Tourniquet Pain Tests
D011677 Punctures Incision of tissues for injection of medication or for other diagnostic or therapeutic procedures. Punctures of the skin, for example may be used for diagnostic drainage; of blood vessels for diagnostic imaging procedures. Micropunctures,Micropuncture,Puncture
D003080 Cold Temperature An absence of warmth or heat or a temperature notably below an accustomed norm. Cold,Cold Temperatures,Temperature, Cold,Temperatures, Cold
D004558 Electric Stimulation Use of electric potential or currents to elicit biological responses. Stimulation, Electric,Electrical Stimulation,Electric Stimulations,Electrical Stimulations,Stimulation, Electrical,Stimulations, Electric,Stimulations, Electrical
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000767 Anesthesia, Epidural Procedure in which an anesthetic is injected into the epidural space. Anesthesia, Extradural,Anesthesia, Peridural,Epidural Anesthesia,Anesthesias, Epidural,Anesthesias, Extradural,Anesthesias, Peridural,Epidural Anesthesias,Extradural Anesthesia,Extradural Anesthesias,Peridural Anesthesia,Peridural Anesthesias
D017288 Pain Threshold Amount of stimulation required before the sensation of pain is experienced. Pain Thresholds,Threshold, Pain,Thresholds, Pain

Related Publications

M Curatolo, and S Petersen-Felix, and L Arendt-Nielsen, and M Fischer, and A M Zbinden
Contribution of extradural temperature to shivering during extradural anaesthesia.
October 1986, British journal of anaesthesia,
M Curatolo, and S Petersen-Felix, and L Arendt-Nielsen, and M Fischer, and A M Zbinden
Temporal summation during dark adaptation.
March 1972, Journal of the Optical Society of America,
M Curatolo, and S Petersen-Felix, and L Arendt-Nielsen, and M Fischer, and A M Zbinden
Prinzmetal's variant angina during extradural anaesthesia.
September 1980, British journal of anaesthesia,
M Curatolo, and S Petersen-Felix, and L Arendt-Nielsen, and M Fischer, and A M Zbinden
Emotional reactions during lumbar extradural anaesthesia.
August 1980, Anaesthesia,
M Curatolo, and S Petersen-Felix, and L Arendt-Nielsen, and M Fischer, and A M Zbinden
Temporal summation during backward visual masking.
February 1969, Journal of the Optical Society of America,
M Curatolo, and S Petersen-Felix, and L Arendt-Nielsen, and M Fischer, and A M Zbinden
Intrathecal insertion of an extradural catheter during combined spinal-extradural anaesthesia.
January 1996, British journal of anaesthesia,
M Curatolo, and S Petersen-Felix, and L Arendt-Nielsen, and M Fischer, and A M Zbinden
Intrathecal insertion of an extradural catheter during combined spinal-extradural anaesthesia.
January 1996, British journal of anaesthesia,
M Curatolo, and S Petersen-Felix, and L Arendt-Nielsen, and M Fischer, and A M Zbinden
Glucose tolerance during surgery and extradural anaesthesia.
January 1979, British journal of anaesthesia,
M Curatolo, and S Petersen-Felix, and L Arendt-Nielsen, and M Fischer, and A M Zbinden
Patient management during extradural anaesthesia for obstetrics.
February 1975, British journal of anaesthesia,
M Curatolo, and S Petersen-Felix, and L Arendt-Nielsen, and M Fischer, and A M Zbinden
Extradural haematoma after continuous extradural anaesthesia.
July 1991, British journal of anaesthesia,
Copied contents to your clipboard!