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H Bhate

Publications and source records attributed to H Bhate.

6 recordsLinked to original sources
PubMed1992

[The combined plunger pressure-manometer method. A technique for identifying the peridural space].

The modified combined plunger pressure and manometer method (KSMM = Kombinierte Stempeldruck-Manometer-Methode) has proved to be a satisfactory alternative to the loss of resistance technique of Dogliotti. The method was tested for practicability and successful identification of the epidural space in 200 patients (80 of them pregnant) by physicians at different stages of their training. It makes it easy for young anaesthetists who are still in training and have not had much experience to learn to identify the epidural space. With this method the experienced operator can make an important contribution to the training of young doctors in epidural anaesthesia without fear of risks and failures.

Anesthesia, Epidural↗
PubMed1984

[Identification of the peridural space with the infusion method in relation to the incidence of inadvertent puncture of the dura].

In 868 cases the identification of the epidural space was performed by plugging a running infusion drip. After accurate identification of the epidural space the patient received either 0.5% or 0.75% bupivacaine without adrenalin for operations on the lower extremities, at the perineum and for lower and upper abdominal surgery. Analgesia was adequate . The only disadvantage of this method as with the "loss of resistance" technique consists in the fact that, if inadvertent dural puncture occurs, it is impossible to recognize the difference between the epidural and spinal space, because the saline solution might reach in any case into the spinal space. In the last 512 cases in which we used the "infusion" technique we observed only 5 patients with an inadvertent dural puncture. Thus the frequency of this complication was below 1%. This is - even according to the latest publications - quite a satisfactory result. An unidentified accidental dural puncture and associated complication did not occur.

Adolescent↗
PubMed1983

[Cerebral seizures during peridural anaesthesia (systemic reaction following bupivacaine 0.75%)].

In connection with operations on the lower extremities, in the perineum, for vascular surgery, for labour (cesarean section) and for abdominal surgery more than 800 patients were given lumbar epidural anesthesia with plain bupivacaine 0.5% and 100 patients with 0.75% bupivacaine without adrenaline. In one case we observed the dramatic complication of a cerebral convulsion following an epidural analgesia with bupivacaine 0.75% (total dose of 127.5 mg). The convulsion, which occurred to a female patient, can be attributed to possible intravascular injection in correlation with the high concentration of the local analgesic and its fast resorption. This specific complication was treated with 10 mg diazepam which was repeatedly injected intravascular in small doses. Moreover the patient was intubated for a short time and ventilated with pure oxygen in order to avoid a hypoxia of the brain.

Adult↗