e-journal

Techniques of epidural block

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Abstract
Epidural blocks can be performed at any level from the cervical spine down to the sacral hiatus. A lumbar epidural can provide surgical anaesthesia and postoperative analgesia for sub-umbilical surgery, whereas a thoracic epidural will provide effective analgesia but not anaesthesia for thoracic and upper abdominal surgery. A bolus epidural injection will last 2e4 hours, using a long-acting local anaesthetic; for prolonged postoperative analgesia, an epidural catheter is inserted to allow continuous
infusion of a dilute local anaesthetic and opioid drug combination. Although a useful regional anaesthetic technique with significant patient benefits, an epidural is an invasive procedure, can be technically difficult, and has the potential to cause serious adverse events (direct needle
trauma to the spinal cord or the spinal nerve roots, vertebral canal haematoma and meningitis or epidural abscess) if not done to a high standard and managed appropriately. Epidural and caudal blockade have a number of synonyms. The terms ‘epidural’ (syn. extradural, peridural) and ‘caudal’ (syn. sacral epidural) are used in this article.

Keywords Anaesthetic technique; caudal; epidural; regional anaesthesia

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Informasi Detail

Judul Seri

ANAESTHESIA AND INTENSIVE CARE MEDICINE Volume 16:11 November 2015

No. Panggil

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Penerbit

: Elsevier Ltd., 2015

Deskripsi Fisik

ANAESTHESIA AND INTENSIVE CARE MEDICINE Volume 16:11 November 2015

Bahasa

English

ISBN/ISSN

1472–0299

Klasifikasi

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Tipe Isi

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Tipe Media

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Tipe Pembawa

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Edisi

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Subjek

ANASTESI

Info Detail Spesifik

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Pernyataan Tanggungjawab

ETY

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