Recent Advances in Epidural Analgesia

Overview

Journal Anesthesiol Res Pract

Publisher Wiley

Specialty Anesthesiology

Date 2011 Dec 17

PMID 22174708

Citations 6

Authors

Maria Bauer

John E George 3rd

John Seif

Ehab Farag

Affiliations

Soon will be listed here.

Abstract

Neuraxial anesthesia is a term that denotes all forms of central blocks, involving the spinal, epidural, and caudal spaces. Epidural anesthesia is a versatile technique widely used in anesthetic practice. Its potential to decrease postoperative morbidity and mortality has been demonstrated by numerous studies. To maximize its perioperative benefits while minimizing potential adverse outcomes, the knowledge of factors affecting successful block placement is essential. This paper will provide an overview of the pertinent anatomical, pharmacological, immunological, and technical aspects of epidural anesthesia in both adult and pediatric populations and will discuss the recent advances, the related rare but potentially devastating complications, and the current recommendations for the use of anticoagulants in the setting of neuraxial block placement.

Citing Articles

Comparative Study of 0.5% Bupivacaine, 0.5% Ropivacaine, and 0.75% Ropivacaine With Fentanyl as a Continuous Intraoperative Epidural Infusion on Post-operative Analgesia.

Pandey S, Borkar S, Monteiro J, Mathew S, Vernekar D, Barreto O Cureus. 2024; 16(5):e59477.

PMID: 38827008 PMC: 11142727. DOI: 10.7759/cureus.59477.

McCullagh M, Slattery D Br J Clin Pharmacol. 2019; 85(9):2155-2162.

PMID: 31219195 PMC: 6710498. DOI: 10.1111/bcp.14035.

An anatomical study of lumbar epidural catheterization.

Jiang H, Shi B, Xu S BMC Anesthesiol. 2015; 15:94.

PMID: 26099935 PMC: 4476177. DOI: 10.1186/s12871-015-0069-x.

The effect of addition of low dose fentanyl to epidural bupivacaine (0.5%) in patients undergoing elective caesarean section: A randomized, parallel group, double blind, placebo controlled study.

Parate L, Manjrekar S, Anandaswamy T, Manjunath B J Postgrad Med. 2014; 61(1):27-31.

PMID: 25511214 PMC: 4944362. DOI: 10.4103/0022-3859.147032.

Anesthesiologists, Anesthetics, and Cancer metastasis.

Garg R J Anaesthesiol Clin Pharmacol. 2014; 30(2):174-6.

PMID: 24803752 PMC: 4009634.

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