Epidural and CSE Anesthesia (Technique–Drugs)

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Abstract

“Last November, whilst giving a spinal anaesthetic, it occurred to me to block the nerves between the intervertebral spaces and the meninges rather than pierce the dura.” This is the first description on the intentional injection of anesthetic drugs in the lumbar epidural space, as described by the Spanish surgeon Fidel Pages in 1921 [1].

Keywords

Epidural Anesthesia Epidural Catheter Epidural Space Visceral Pain Ligamentum Flavum 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
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References

  1. 1.
    Pages MF. Segmental anestesia. Rev Sanid Mil. 1921;11:351–65.Google Scholar
  2. 2.
    Dogliotti AM. Research and clinical observations on spinal anesthesia: with special reference to the peridural technique. Anesth Analg. 1933;12:59–65.CrossRefGoogle Scholar
  3. 3.
    Graffagnino P, Seyler LW. Anesth Analg. 1939;18:48–51.Google Scholar
  4. 4.
    Dogliotti AM. Trattato di anestesia. Torino: UTET; 1935.Google Scholar
  5. 5.
    Moore DC. Regional block. Springfield: CH Thomas Publisher; 1953.Google Scholar
  6. 6.
    Bonica JJ. The management of pain. Philadelphia: Lea & Febiger; 1953.Google Scholar
  7. 7.
    Bromage PR. Epidural analgesia. 2nd ed. Philadelphia: WB Saunders Company; 1978.Google Scholar
  8. 8.
    Tsen LC. Neuraxial techniques for labor analgesia should be placed in the lateral position. Int J Obstet Anesth. 2008;17:146–52.CrossRefPubMedGoogle Scholar
  9. 9.
    Hamilton CL, Riley ET, Cohen SE. Changes in the position of epidural catheters associated with patient movement. Anesthesiology. 1997;86:778–84.CrossRefPubMedGoogle Scholar
  10. 10.
    Hamza J, Smida M, Benhamou D, et al. Parturient’s posture during epidural puncture affects the distance from skin to epidural space. J Clin Anesth. 1995;7:1–4.CrossRefPubMedGoogle Scholar
  11. 11.
    Vincent RD, Chestnut DH. Which position is more comfortable for the parturient during identification of the epidural space? Int J Obstet Anesth. 1991;1:9–11.CrossRefPubMedGoogle Scholar
  12. 12.
    Kim SH, Kim DY, Han JI, et al. Vertebral level of Tuffier's line measured by ultrasonography in parturients in the lateral decubitus position. Korean J Anesthesiol. 2014;67:181–5.CrossRefPubMedPubMedCentralGoogle Scholar
  13. 13.
    Beilin Y, Bernstein HH, Zucker-Pinchoff B. The optimal distance that a multiorifice epidural catheter should be threaded into the epidural space. Anesth Analg. 1995;81:301–3.PubMedGoogle Scholar
  14. 14.
    Dogliotti AM. Segmental peridural spinal anesthesia. A new method of block anesthesia. Am J Surg. 1933. April, 04Google Scholar
  15. 15.
    Grau T, Leipold RW, Horter J, et al. The lumbar epidural space in pregnancy : visualization by ultrasonography. Br J Anaesth. 2001;86:798–804.CrossRefPubMedGoogle Scholar
  16. 16.
    Grau T, Bartusseck E, Conradi R, et al. Ultrasound imaging improves learning curves in obstetric epidural anesthesia: a preliminary study. Can J Anaesth. 2003;50:1047–50.CrossRefPubMedGoogle Scholar
  17. 17.
    Balki M, Lee Y, Halpern S, et al. Ultrasound imaging of the lumbar spine in the transverse plane: the correlation between estimated and actual depth to the epidural space in obese parturients. Anesth Analg. 2009;108:1876–81.CrossRefPubMedGoogle Scholar
  18. 18.
    Carvalho JC. Ultrasound-facilitated epidurals and spinals in obstetrics. Anesthesiol Clin. 2008;26:145–58.CrossRefPubMedGoogle Scholar
  19. 19.
    Carmocia M. Testing the epidural catheter. Curr Opin Anaesthesiol. 2009;22:336–40.CrossRefGoogle Scholar
  20. 20.
    Guay J. The epidural test dose: a review. Anesth Analg. 2006;102:921–9.CrossRefPubMedGoogle Scholar
  21. 21.
    Camorcia M, Capogna G. Sensory assessment of epidural block for caesarean section: a systematic comparison of pinprick, cold and touch sensation. Eur J Anaesthesiol. 2006;23:611–7.CrossRefPubMedGoogle Scholar
  22. 22.
    Capogna G, Celleno D, Costantino P. Alkalinization improves the quality of lidocaine-fentanyl epidural anaesthesia for caesarean section. Can J Anaesth. 1993;40:425–30.CrossRefPubMedGoogle Scholar
  23. 23.
    Mercier F. Cesarean delivery fluid management. Curr Opin Anesthesiol. 2012;25:286–91.CrossRefGoogle Scholar
  24. 24.
    Veeser M, Hofman T, Toth R, et al. Vasopressors for the management of hypotension after spinal anesthesia for elective caesarean section. Systematic review and cumulative meta-analysis. Acta Anaesthesiol Scand. 2012;56:810–6.CrossRefPubMedGoogle Scholar
  25. 25.
    Lee A, Ngan Kee WD, Gin T. A quantitative, systematic review of randomized controlled trials of ephedrine versus phenylephrine for the management of hypotension during spinal anesthesia for cesarean delivery. Anesth Analg. 2002;94:920–6.CrossRefPubMedGoogle Scholar
  26. 26.
    Robson SC, Boys RJ, Rodeck C, Morgan B. Maternal and fetal haemodynamic effects of spinal and extradural anaesthesia for elective caesarean section. Br J Anaesth. 1992;68:54–9.CrossRefPubMedGoogle Scholar
  27. 27.
    Alahuhta S, Kangas-Saarela T, Hollmén AI, et al. Visceral pain during caesarean section under spinal and epidural anaesthesia with bupivacaine. Acta Anaesthesiol Scand. 1990;34:95–9.CrossRefPubMedGoogle Scholar
  28. 28.
    Capogna G, Celleno D. Improving epidural anesthesia during cesarean section: causes of maternal discomfort or pain during surgery. Int J Obstet Anesth. 1994;3:149–52.CrossRefPubMedGoogle Scholar
  29. 29.
    Horn EP, Schroeder F, Gottschalk A, et al. Active warming during cesarean delivery. Anesth Analg. 2002;94:409–15.PubMedGoogle Scholar
  30. 30.
    Skikuchi C, Tonozaki S, Gi E, et al. Shoulder-tip pain during cesarean section under combined spinal-epidural anesthesia. Masui. 2014;63:149–52.Google Scholar
  31. 31.
    Kim CS, Liu J, Know JY, et al. Venous air embolism during surgery, especially cesarean delivery. J Korean Med Sci. 2008;23:753–61.CrossRefPubMedPubMedCentralGoogle Scholar
  32. 32.
    Milne MK, Lawson JI. Epidural analgesia for caesarean section. A review of 182 cases. Br J Anaesth. 1973;45:1206–10.CrossRefPubMedGoogle Scholar
  33. 33.
    Hillyard SG, Bate TE, Corcoran TB, et al. Extending epidural analgesia for emergency caesarean section: a meta-analysis. Br J Anaesth. 2011;107:668–78.CrossRefPubMedGoogle Scholar
  34. 34.
    Gaiser RR, Cheek TG, Gutsche BB. Epidural lidocaine versus 2-chloroprocaine for fetal distress requiring urgent cesarean section. Int J Obstet Anesth. 1994;3:208–10.CrossRefPubMedGoogle Scholar
  35. 35.
    Malhotra S, Yentis S, Lucas N. Extending epidural analgesia for emergency caesarean section. Br J Anaesth. 2012;108:879–80.CrossRefPubMedGoogle Scholar
  36. 36.
    Allam J, Malhotra S, Hemingway C, et al. Epidural lidocaine–bicarbonate–adrenaline vs levobupivacaine for emergency caesarean section: a randomized controlled trial. Anaesthesia. 2008;63(243-9):37.Google Scholar
  37. 37.
    Tortosa JC, Parry NS, Mercier FJ. Efficacy of augmentation of epidural analgesia for caesarean section. Br J Anaesth. 2003;91:532–5.CrossRefPubMedGoogle Scholar
  38. 38.
    Dc C, Tan T. Conversion of epidural labour analgesia to epidural anesthesia for intrapartum cesarean delivery. Can J Anaesth. 2009;56:19–26.CrossRefGoogle Scholar
  39. 39.
    Eley V, Van Zundert A, Callaway L. What is the failure rate in extending labour analgesia in patients with a body mass index ≥ 40 kg/m2compared with patients with a body mass index < 30 kg/m2? A retrospective pilot study. BMC Anesthesiol. 2015;15:115.CrossRefPubMedPubMedCentralGoogle Scholar
  40. 40.
    Soresi AL. Episubdural anesthesia. Anesth Analg. 1937;16:306–10.Google Scholar
  41. 41.
    Joshi GP, McCaroll MC. Evaluation of combined spinal-epidural anesthesia using two different techniques. Reg Anesth. 1994;19:169–74.PubMedGoogle Scholar
  42. 42.
    Lyons G, Macdonald R, Mikl B. Combined epidural-spinal anaesthesia for caesarean section. Through the needle or in separate spaces? Anaesthesia. 1992;47:199–201.CrossRefPubMedGoogle Scholar
  43. 43.
    Rawal N, Schollin J, Wesstrom G. Epidural versus spinal epidural block for caesarean section. Acta Anaesthesiol Scand. 1988;32:61–6.CrossRefPubMedGoogle Scholar
  44. 44.
    Dirkes WE, Rosenberg J, Lund C, Kehlet H. The effect of subarachnoid lidocaine and combined subarachnoid lidocaine and epidural bupivacaine on electrical sensory thresholds. Reg Anesth. 1991;16:262–4.PubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  1. 1.Department of AnesthesiologyCittà di Roma HospitalRomeItaly

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