[Spinal anesthesia with 2% plain lidocaine for ultrasonically guided vaginal oocyte retrieval]. 1996

S Omi, and K Yokoyama, and H Yoshikawa, and K Takahashi, and K Sato
Department of Anesthesiology, Daiichi Hospital, Nippon Medical School, Tokyo.

Spinal anesthesia with 3 ml of 2% plain lidocaine was administered to 10 women for ultrasonically guided vaginal oocyte retrieval. Spread of anesthesia was assessed by skin vasodilatation, change of skin texture, loss of goose flesh reflex, and loss of cold as well as pin-prick sensation, and we studied time to complete motor block, time to two-segment regression, time to full motor and sensory recovery, ambulation time, haemodynamic parameters, and postoperative complications. The highest sensory block assessed by pin-prick was up to Th 8.3 +/- 3.4 10 min following spinal anesthesia. All patients had complete motor block and this was achieved at 9.0 +/- 1.7 min. Times to two-segment regression, full motor and sensory recovery, and ambulation were 84.5 +/- 31.0, 147.5 +/- 24.7, 176.5 +/- 23.2, and 203.3 +/- 50.0 min, respectively. No serious side effects were observed during the operation and postoperatively. We concluded that 3 ml of 2% plain lidocaine provided adequate spinal anesthesia for ultrasonically guided vaginal oocyte retrieval.

UI MeSH Term Description Entries
D008012 Lidocaine A local anesthetic and cardiac depressant used as an antiarrhythmia agent. Its actions are more intense and its effects more prolonged than those of PROCAINE but its duration of action is shorter than that of BUPIVACAINE or PRILOCAINE. Lignocaine,2-(Diethylamino)-N-(2,6-Dimethylphenyl)Acetamide,2-2EtN-2MePhAcN,Dalcaine,Lidocaine Carbonate,Lidocaine Carbonate (2:1),Lidocaine Hydrocarbonate,Lidocaine Hydrochloride,Lidocaine Monoacetate,Lidocaine Monohydrochloride,Lidocaine Monohydrochloride, Monohydrate,Lidocaine Sulfate (1:1),Octocaine,Xylesthesin,Xylocaine,Xylocitin,Xyloneural
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D005260 Female Females
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
D000775 Anesthesia, Spinal Procedure in which an anesthetic is injected directly into the spinal cord. Anesthesias, Spinal,Spinal Anesthesia,Spinal Anesthesias
D000779 Anesthetics, Local Drugs that block nerve conduction when applied locally to nerve tissue in appropriate concentrations. They act on any part of the nervous system and on every type of nerve fiber. In contact with a nerve trunk, these anesthetics can cause both sensory and motor paralysis in the innervated area. Their action is completely reversible. (From Gilman AG, et. al., Goodman and Gilman's The Pharmacological Basis of Therapeutics, 8th ed) Nearly all local anesthetics act by reducing the tendency of voltage-dependent sodium channels to activate. Anesthetics, Conduction-Blocking,Conduction-Blocking Anesthetics,Local Anesthetic,Anesthetics, Topical,Anesthetic, Local,Anesthetics, Conduction Blocking,Conduction Blocking Anesthetics,Local Anesthetics,Topical Anesthetics
D014621 Vagina The genital canal in the female, extending from the UTERUS to the VULVA. (Stedman, 25th ed) Vaginas
D018587 Oocyte Donation Transfer of preovulatory oocytes from donor to a suitable host. Oocytes are collected, fertilized in vitro, and transferred to a host that can be human or animal. Ovum Donation,Donation, Oocyte,Donation, Ovum,Donations, Oocyte,Donations, Ovum,Oocyte Donations,Ovum Donations
D019160 Endosonography Ultrasonography of internal organs using an ultrasound transducer sometimes mounted on a fiberoptic endoscope. In endosonography the transducer converts electronic signals into acoustic pulses or continuous waves and acts also as a receiver to detect reflected pulses from within the organ. An audiovisual-electronic interface converts the detected or processed echo signals, which pass through the electronics of the instrument, into a form that the technologist can evaluate. The procedure should not be confused with ENDOSCOPY which employs a special instrument called an endoscope. The "endo-" of endosonography refers to the examination of tissue within hollow organs, with reference to the usual ultrasonography procedure which is performed externally or transcutaneously. Echo-Endoscopy,Endoscopic Ultrasonography,Endoscopy, Echo,Endoscopy, Ultrasonic,Ultrasonic Endoscopy,Ultrasonography, Endoscopic,Echo Endoscopies,Echo Endoscopy,Echo-Endoscopies,Endoscopic Ultrasonographies,Endoscopies, Echo,Endoscopies, Ultrasonic,Endosonographies,Ultrasonic Endoscopies,Ultrasonographies, Endoscopic

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