Regional anaesthesia and cough effectiveness : a study in patients undergoing Caesarean section
We report the results of a study of the effects of spinal and epidural anaesthesia for Caesarean section on commonly used indicators of a patient's ability to cough effectively. Both spinal and epidural anaesthesia, after the achievement of a block adequate for surgery, were associated with sta...
Gespeichert in:
| Veröffentlicht in: | Anaesthesia 1991, Vol.46 (1), p.11-13 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 13 |
|---|---|
| container_issue | 1 |
| container_start_page | 11 |
| container_title | Anaesthesia |
| container_volume | 46 |
| creator | HARROP-GRIFFITHS, A. W RAVALIA, A BROWNE, D. A ROBINSON, P. N |
| description | We report the results of a study of the effects of spinal and epidural anaesthesia for Caesarean section on commonly used indicators of a patient's ability to cough effectively. Both spinal and epidural anaesthesia, after the achievement of a block adequate for surgery, were associated with statistically significant decreases (p less than 0.05) in all the respiratory variables recorded: forced vital capacity, forced expiratory volume in one second, peak expiratory flow rate and maximum expiratory pressure. We conclude that although the observed changes are unlikely to impair the normal patient's ability to cough effectively in these circumstances, there may be clinically significant impairment in the presence of an inadvertently high block or in a patient with pre-existing pulmonary disease. |
| doi_str_mv | 10.1111/j.1365-2044.1991.tb09304.x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_80451800</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>80451800</sourcerecordid><originalsourceid>FETCH-LOGICAL-c286t-51b42c0d683dc5d91774d25a42fa3fe4980d7d9ad7fa9d30b984d602292da64d3</originalsourceid><addsrcrecordid>eNpFkF1LwzAUhoMoc05_ghBEvGs9SdM28U6GXyAIotfhLEm3jC6dTSvu39uyoefmHHjPez4eQq4YpGyI23XKsiJPOAiRMqVY2i1AZSDSnyMy_ZOOyRQAsoQLUKfkLMY1AOOSyQmZMFlKYHJK9Ltb-iZgTTGgi93KRY9Dbalp-uWKuqpypvPfLrgY6R1FGrve7qgPdIudd6GLtA_WtcvGhyWdDzOwdRhoHG1NOCcnFdbRXRzyjHw-PnzMn5PXt6eX-f1rYrgsuiRnC8EN2EJm1uRWsbIUlucoeIVZ5YSSYEur0JYVKpvBQklhC-BccYuFsNmM3Oznbtvmqx8e0RsfjatrDK7po5YgciYHHDNyt280bRNj6yq9bf0G251moEe6eq1HhHpEqEe6-kBX_wzmy8OWfrFx9t-6xzno1wcdo8G6ajEYH__a8uFimcvsF88zhOk</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>80451800</pqid></control><display><type>article</type><title>Regional anaesthesia and cough effectiveness : a study in patients undergoing Caesarean section</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><source>EZB-FREE-00999 freely available EZB journals</source><source>Alma/SFX Local Collection</source><creator>HARROP-GRIFFITHS, A. W ; RAVALIA, A ; BROWNE, D. A ; ROBINSON, P. N</creator><creatorcontrib>HARROP-GRIFFITHS, A. W ; RAVALIA, A ; BROWNE, D. A ; ROBINSON, P. N</creatorcontrib><description>We report the results of a study of the effects of spinal and epidural anaesthesia for Caesarean section on commonly used indicators of a patient's ability to cough effectively. Both spinal and epidural anaesthesia, after the achievement of a block adequate for surgery, were associated with statistically significant decreases (p less than 0.05) in all the respiratory variables recorded: forced vital capacity, forced expiratory volume in one second, peak expiratory flow rate and maximum expiratory pressure. We conclude that although the observed changes are unlikely to impair the normal patient's ability to cough effectively in these circumstances, there may be clinically significant impairment in the presence of an inadvertently high block or in a patient with pre-existing pulmonary disease.</description><identifier>ISSN: 0003-2409</identifier><identifier>EISSN: 1365-2044</identifier><identifier>DOI: 10.1111/j.1365-2044.1991.tb09304.x</identifier><identifier>PMID: 1878018</identifier><identifier>CODEN: ANASAB</identifier><language>eng</language><publisher>Oxford: Blackwell</publisher><subject>Anesthesia ; Anesthesia, Epidural ; Anesthesia, Obstetrical ; Anesthesia, Spinal ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Cesarean Section ; Cough - physiopathology ; Female ; Forced Expiratory Volume - physiology ; Humans ; Local anesthesia. Pain (treatment) ; Medical sciences ; Peak Expiratory Flow Rate - physiology ; Posture ; Pregnancy ; Respiratory Mechanics - physiology ; Vital Capacity - physiology</subject><ispartof>Anaesthesia, 1991, Vol.46 (1), p.11-13</ispartof><rights>1992 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c286t-51b42c0d683dc5d91774d25a42fa3fe4980d7d9ad7fa9d30b984d602292da64d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4024,27923,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=5602858$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1878018$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>HARROP-GRIFFITHS, A. W</creatorcontrib><creatorcontrib>RAVALIA, A</creatorcontrib><creatorcontrib>BROWNE, D. A</creatorcontrib><creatorcontrib>ROBINSON, P. N</creatorcontrib><title>Regional anaesthesia and cough effectiveness : a study in patients undergoing Caesarean section</title><title>Anaesthesia</title><addtitle>Anaesthesia</addtitle><description>We report the results of a study of the effects of spinal and epidural anaesthesia for Caesarean section on commonly used indicators of a patient's ability to cough effectively. Both spinal and epidural anaesthesia, after the achievement of a block adequate for surgery, were associated with statistically significant decreases (p less than 0.05) in all the respiratory variables recorded: forced vital capacity, forced expiratory volume in one second, peak expiratory flow rate and maximum expiratory pressure. We conclude that although the observed changes are unlikely to impair the normal patient's ability to cough effectively in these circumstances, there may be clinically significant impairment in the presence of an inadvertently high block or in a patient with pre-existing pulmonary disease.</description><subject>Anesthesia</subject><subject>Anesthesia, Epidural</subject><subject>Anesthesia, Obstetrical</subject><subject>Anesthesia, Spinal</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Cesarean Section</subject><subject>Cough - physiopathology</subject><subject>Female</subject><subject>Forced Expiratory Volume - physiology</subject><subject>Humans</subject><subject>Local anesthesia. Pain (treatment)</subject><subject>Medical sciences</subject><subject>Peak Expiratory Flow Rate - physiology</subject><subject>Posture</subject><subject>Pregnancy</subject><subject>Respiratory Mechanics - physiology</subject><subject>Vital Capacity - physiology</subject><issn>0003-2409</issn><issn>1365-2044</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1991</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkF1LwzAUhoMoc05_ghBEvGs9SdM28U6GXyAIotfhLEm3jC6dTSvu39uyoefmHHjPez4eQq4YpGyI23XKsiJPOAiRMqVY2i1AZSDSnyMy_ZOOyRQAsoQLUKfkLMY1AOOSyQmZMFlKYHJK9Ltb-iZgTTGgi93KRY9Dbalp-uWKuqpypvPfLrgY6R1FGrve7qgPdIudd6GLtA_WtcvGhyWdDzOwdRhoHG1NOCcnFdbRXRzyjHw-PnzMn5PXt6eX-f1rYrgsuiRnC8EN2EJm1uRWsbIUlucoeIVZ5YSSYEur0JYVKpvBQklhC-BccYuFsNmM3Oznbtvmqx8e0RsfjatrDK7po5YgciYHHDNyt280bRNj6yq9bf0G251moEe6eq1HhHpEqEe6-kBX_wzmy8OWfrFx9t-6xzno1wcdo8G6ajEYH__a8uFimcvsF88zhOk</recordid><startdate>1991</startdate><enddate>1991</enddate><creator>HARROP-GRIFFITHS, A. W</creator><creator>RAVALIA, A</creator><creator>BROWNE, D. A</creator><creator>ROBINSON, P. N</creator><general>Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>1991</creationdate><title>Regional anaesthesia and cough effectiveness : a study in patients undergoing Caesarean section</title><author>HARROP-GRIFFITHS, A. W ; RAVALIA, A ; BROWNE, D. A ; ROBINSON, P. N</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c286t-51b42c0d683dc5d91774d25a42fa3fe4980d7d9ad7fa9d30b984d602292da64d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1991</creationdate><topic>Anesthesia</topic><topic>Anesthesia, Epidural</topic><topic>Anesthesia, Obstetrical</topic><topic>Anesthesia, Spinal</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Cesarean Section</topic><topic>Cough - physiopathology</topic><topic>Female</topic><topic>Forced Expiratory Volume - physiology</topic><topic>Humans</topic><topic>Local anesthesia. Pain (treatment)</topic><topic>Medical sciences</topic><topic>Peak Expiratory Flow Rate - physiology</topic><topic>Posture</topic><topic>Pregnancy</topic><topic>Respiratory Mechanics - physiology</topic><topic>Vital Capacity - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>HARROP-GRIFFITHS, A. W</creatorcontrib><creatorcontrib>RAVALIA, A</creatorcontrib><creatorcontrib>BROWNE, D. A</creatorcontrib><creatorcontrib>ROBINSON, P. N</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Anaesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>HARROP-GRIFFITHS, A. W</au><au>RAVALIA, A</au><au>BROWNE, D. A</au><au>ROBINSON, P. N</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Regional anaesthesia and cough effectiveness : a study in patients undergoing Caesarean section</atitle><jtitle>Anaesthesia</jtitle><addtitle>Anaesthesia</addtitle><date>1991</date><risdate>1991</risdate><volume>46</volume><issue>1</issue><spage>11</spage><epage>13</epage><pages>11-13</pages><issn>0003-2409</issn><eissn>1365-2044</eissn><coden>ANASAB</coden><abstract>We report the results of a study of the effects of spinal and epidural anaesthesia for Caesarean section on commonly used indicators of a patient's ability to cough effectively. Both spinal and epidural anaesthesia, after the achievement of a block adequate for surgery, were associated with statistically significant decreases (p less than 0.05) in all the respiratory variables recorded: forced vital capacity, forced expiratory volume in one second, peak expiratory flow rate and maximum expiratory pressure. We conclude that although the observed changes are unlikely to impair the normal patient's ability to cough effectively in these circumstances, there may be clinically significant impairment in the presence of an inadvertently high block or in a patient with pre-existing pulmonary disease.</abstract><cop>Oxford</cop><pub>Blackwell</pub><pmid>1878018</pmid><doi>10.1111/j.1365-2044.1991.tb09304.x</doi><tpages>3</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0003-2409 |
| ispartof | Anaesthesia, 1991, Vol.46 (1), p.11-13 |
| issn | 0003-2409 1365-2044 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_80451800 |
| source | MEDLINE; Access via Wiley Online Library; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Anesthesia Anesthesia, Epidural Anesthesia, Obstetrical Anesthesia, Spinal Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Cesarean Section Cough - physiopathology Female Forced Expiratory Volume - physiology Humans Local anesthesia. Pain (treatment) Medical sciences Peak Expiratory Flow Rate - physiology Posture Pregnancy Respiratory Mechanics - physiology Vital Capacity - physiology |
| title | Regional anaesthesia and cough effectiveness : a study in patients undergoing Caesarean section |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-29T01%3A04%3A14IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Regional%20anaesthesia%20and%20cough%20effectiveness%20:%20a%20study%20in%20patients%20undergoing%20Caesarean%20section&rft.jtitle=Anaesthesia&rft.au=HARROP-GRIFFITHS,%20A.%20W&rft.date=1991&rft.volume=46&rft.issue=1&rft.spage=11&rft.epage=13&rft.pages=11-13&rft.issn=0003-2409&rft.eissn=1365-2044&rft.coden=ANASAB&rft_id=info:doi/10.1111/j.1365-2044.1991.tb09304.x&rft_dat=%3Cproquest_cross%3E80451800%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=80451800&rft_id=info:pmid/1878018&rfr_iscdi=true |