Neuraxial anesthesia spinal. Medical search. Frequent questions

Epidural or spinal hematomas may occur in patients who are anticoagulated with low molecular weight heparins (LMWH) or heparinoids and are receiving neuraxial anesthesia or undergoing spinal puncture. (rxlist.com)
Epidural or spinal hematomas have occurred in patients treated with XARELTO ® who are receiving neuraxial anesthesia or undergoing spinal puncture. (janssencarepath.com)

James Leonard Corning (1855 - 1923) was an American neurologist, mainly known for his early experiments on neuraxial blockade in New York City. (wikipedia.org)
His experiments are the first published descriptions of the principle of neuraxial blockade. (wikipedia.org)
Can use of a visual image in conjunction with verbal instructions improve successful positioning for neuraxial blockade? (medscape.com)
4 is a welcome addition to the obstetric anesthesia literature because it is the first study to examine the optimal degree of neuraxial blockade required to facilitate successful external cephalic version. (anesthesiaexperts.com)
Population pharmacokinetics of levobupivacaine were estimated after spinal blockade in a cohort of neonates and infants (n = 25, postnatal age 5-18 weeks, gestation 21-41 weeks, weight 2.4-6 kg). (smarttots.org)
Neural blockade towards the T to L spinal segments is critical to alleviate the pain of uterine contraction and cervical dilation, whereas blockade of the sacral dermatomes S to S is necessary to block the soreness of vaginal and perineal distention. (tcr-signal.com)

This case provides an opportunity to discuss the implications of sleep deprivation, especially in high-risk settings such as anesthesia care and obstetric care, and approaches to improve patient safety during labor and delivery. (ahrq.gov)
Velvovski showed that obstetric psychoprophylaxis was a useful substitute for poorly administered labor anesthesia of the era. (medscape.com)
Previous research showed the use of supraglottic airways in obstetric anesthesia. (frontiersin.org)
Although previous studies have reported the successful use of the LMA in cesarean section, the role of LMA in obstetric general anesthesia is, to date, still highly debatable ( 12 - 17 ). (frontiersin.org)
Research on obstetric anesthesia should focus on reducing anesthesia-related morbidity and ensuring the safety of both the mother and neonate. (frontiersin.org)
From 2012-2014, she came to Canada, specifically the University of British Columbia, in order to complete a fellowship in Obstetric Anesthesia and in General with a focus in Regional Anesthesia. (uwo.ca)
International Journal of Obstetric Anesthesia. (uwo.ca)
Our study is aimed at analyzing obese obstetric patients who received neuraxial analgesia for labor at a tertiary hospital and assessing aspects related to the technique and its success. (scielo.br)
Epidurals and spinal blocks require neuraxial anesthesia, which is used in a variety of clinical situations, including surgical, obstetric, and procedural. (kyanesthesiagroup.com)

She reported intolerable labor pain and requested neuraxial analgesia. (ahrq.gov)

After applying the exclusion criteria, 80 patients underwent spinal anesthesia combined with sedation (Group 1) and 62 women underwent epidural anesthesia combined with general anesthesia (Group 2). (scielo.br)

Patients are greeted by a member of the anesthesia care team, and, following a discussion of the procedure and expected benefits and risks, written informed consent is obtained. (asra.com)
Consider these risks when scheduling patients for spinal procedures. (rxlist.com)
We included all patients who underwent general anesthesia for cesarean section between January 2010 and December 2019. (frontiersin.org)
Following ethical approval by the Ethics Committee of Peking University First Hospital (No. 2021-226, date of approval: 23 June 2021, Chairman: Professor Yanyan Yu), a retrospective cohort study was carried out on patients who received general anesthesia for cesarean section over a period of 10 years (January 2010 to December 2019). (frontiersin.org)
The American Society for Regional Anesthesia and Pain Medicine has specific guidelines for treatment of these patients when they undergo neuraxial anesthetic procedures. (nih.gov)
Although some anesthetists and surgeons may be reluctant to use regional anesthesia for both emergent and elective ventral hernia repair, this may represent an excellent option in obese patients with a high respiratory risk. (springermedizin.at)
Accuracy of the SpineNav3D ultrasound technology in estimating the epidural space depth for epidural and spinal insertion in pregnant obese patients. (rivannamedical.com)
A randomized comparison between Accuro and palpation-guided spinal anesthesia for obese patients undergoing orthopedic surgery. (rivannamedical.com)
Qasem F, Singh SI, Alsaharty A, Sebbag I, Sharma M, Khemani E. Improving Patients' Experience Undergoing Spinal Anesthesia for Cesarean Delivery: A Quality Improvement Initiative. (uwo.ca)
The sample consisted of 60 ASA patients I to III, submitted to orthopedic surgery of lower limbs and lower abdomen under spinal anesthesia. (bvsalud.org)
The researchers conducted a randomized clinical trial protocol to assess autonomic function at motor recovery in patients receiving spinal anesthesia with isobaric bupivacaine alone or clonidine-associated isobaric bupivacaine. (bvsalud.org)
Thus, an early performance of epidural analgesia turns out to be essential to control labor pain and to avoid a general anesthesia in such high-risk patients. (scielo.br)
Abstract Introduction Spinal anesthesia combined with sedation and general anesthesia combined with epidural are two techniques often used for patients undergoing abdominal hysterectomy. (scielo.br)
A single-center retrospective cohort study comparing neuraxial analgesia techniques for labor and delivery pain management before and after the onset of the COVID-19 pandemic and in patients with and without SARS-CoV-2 ( severe acute respiratory syndrome coronavirus 2 ) at a maternity hospital in Dallas, Texas , with a large delivery service. (bvsalud.org)
Of 10,971 patients who received neuraxial analgesia for labor, 5,528 were delivered in 2019 and 5,443 in 2020. (bvsalud.org)
The advantages of a DPE, specifically the ability to confirm epidural placement using a small gauge spinal needle , likely led to an increase in the placement of this neuraxial in SARS-CoV-2 -positive patients . (bvsalud.org)
Patients using ACEIs or ARBs have been reported to be prone to hypotension during the administration of anesthesia. (medscape.com)
Perioperative incidence of airway obstructive and hypoxemic events in patients with confirmed or suspected sleep apnea - a prospective, randomized pilot study comparing propofol/remifentanil and sevoflurane/remifentanil anesthesia. (medscape.com)
Anesthesia in these patients carries the risk of aspiration, altered response to muscle relaxants and opioids, ventilatory depression, and neurotoxicity to local anesthetics. (springeropen.com)
Thoracic segmental spinal anesthesia may be a viable alternative to general anesthesia in upper abdominal surgeries in ALS patients. (springeropen.com)
Complications in post-operative neurosurgical patients include skin and soft-tissue infections, calvarial or vertebral osteomyelitis, meningitis, subdural empyema, spinal epidural and cerebral abscesses, and infections requiring the removal of implanted hardware or devices. (touchneurology.com)
19 Is There a Best Approach for Patients With Difficult Airways: Regional Versus General Anesthesia? (icebe.es)
40 Should Regional Anesthesia Be Used for Orthopedic Trauma Patients? (icebe.es)
53 When Should Regional Anesthesia Be Used in Pediatric Patients? (icebe.es)
Kentucky Anesthesia Group believes that patients should have the best care before, during and after surgery. (kyanesthesiagroup.com)
Patients who receive regional anesthesia have less nausea, recover more quickly immediately after surgery and sleep better overnight compared to patients who do not have regional anesthesia. (kyanesthesiagroup.com)
Based on this case study, we suggest that ultrasound can be very useful in regional anesthesia for severely obese patients. (kosinmedj.org)
1 When it comes to administering anesthesia to super-super obese patients, there are many factors to consider. (kosinmedj.org)
2 Therefore, surgery in such patients is often performed under regional anesthesia. (kosinmedj.org)

Then the doctor decides what type of anesthesia is best for the patient. (shsthepapercut.com)
Most people know this type of anesthesia because it's also called an epidural or a spinal. (shsthepapercut.com)
Regional anesthesia is a targeted type of anesthesia. (kyanesthesiagroup.com)

The anesthesia care provider, who was 32 hours into a 48-hour call shift and had only had 3 hours of sleep in the prior 32 hours, performed L3-4 combined spinal epidural analgesia for labor and delivery. (ahrq.gov)
The use of epidural analgesia for labor has grown significantly over the past decades in the United States, and most women now request anesthesia services for the management of pain during labor. (medscape.com)

Background and Aims Spinal hematomas after neuraxial anesthesia can have devastating consequences. (bmj.com)

This article contains descriptions of numerous anesthetic and analgesic techniques to assist the birthing process, including intravenous analgesia, peripheral nerve blocks, neuraxial anesthesia, and general anesthesia. (medscape.com)
Kentucky Anesthesia Group anesthesiologists often combine regional anesthesia with intravenous sedation, which can allow you to sleep during surgery. (kyanesthesiagroup.com)

The Cochran-Mantel-Haenszel test was used to assess the association between neuraxial technique and accidental dural puncture or postdural puncture headache . (bvsalud.org)
There was no difference in the frequency of neuraxial analgesia techniques or the rates of accidental dural puncture or postdural puncture headaches comparing all deliveries in 2019 to 2020. (bvsalud.org)
Rates of postdural puncture headaches and accidental dural puncture after neuraxial placement did not change. (bvsalud.org)
PURPOSE OF REVIEW: Postdural puncture headache remains the most frequent complication of neuraxial anesthesia. (uky.edu)

We aimed to assess the maternal and neonatal outcomes when the LMA Supreme was used for cesarean section under general anesthesia. (frontiersin.org)
The LMA Supreme was not associated with higher adverse maternal and neonatal outcomes when compared to an endotracheal tube for cesarean section under general anesthesia. (frontiersin.org)
In this report, we describe a case of myoclonus-like involuntary movement of the upper extremities in a patient undergoing a planned repeat cesarean section under spinal anesthesia with bupivacaine that completely subsided after administration of 2 mg of midazolam. (ekja.org)

Regional anesthesia is used extensively for various purposes, including as a primary anesthetic technique for surgery, as an analgesic modality to manage pain in the perioperative period, and as an analgesic modality for various other forms of acute and/or chronic pain. (medscape.com)
The use of perioperative regional anesthesia has many possible advantages. (medscape.com)
both anesthesia methods may also reduce perioperative hypercoagulability that occurs as a result of the surgical stress response. (medscape.com)
To assess cardiac autonomic modulation during perioperative hypotension caused by subarachnoid anesthesia. (bvsalud.org)

In this paper, the authors present a case in which the current American Society for Regional Anesthesia and Pain Medicine guidelines were strictly followed with respect to withholding and reintroducing warfarin and enoxaparin after an epidural steroid injection, but the patient nevertheless developed a spinal epidural hematoma requiring emergency surgical evacuation. (nih.gov)
Through analysis of a clinical case, we aimed to identify possible factors involved in the occurrence and early detection of a spinal hematoma during epidural analgesia. (bmj.com)
On the third postoperative day, back pain and lower limb weakness prompted a spinal MRI, which revealed a T6-T8 epidural hematoma ( Figure 1 ). (bmj.com)
Conclusions Interaction between otherwise minor risk factors can contribute to spinal epidural hematoma after epidural block. (bmj.com)
Spinal or epidural blood clots (hematoma). (pharmacyhq.com)

In a randomized fashion, the investigators assessed the effect of four intrathecal bupivacaine doses (2.5, 5.0, 7.5, and 10.0 mg) combined with fentanyl 15 μg as part of a combined spinal-epidural anesthetic technique to facilitate external cephalic version. (anesthesiaexperts.com)

Local anesthesia in General Medicine and Surgery. (wikipedia.org)
Regional anesthesia can reduce operative anesthetic requirements and in some cases allow avoidance of general anesthesia altogether. (medscape.com)
This can be beneficial to a variety of patient populations, including those at risk for cognitive dysfunction after general anesthesia. (medscape.com)
IT opioids can be administered as an adjunct to general anesthesia (e.g., for scoliosis surgery) or combined with local anesthetics and administered during spinal anesthesia (e.g., for total hip arthroplasty). (medscape.com)
General anesthesia may increase the operative risk, especially in morbidly obese and COVID-19-positive individuals. (springermedizin.at)
Reduces blood loss: In total hip arthroplasty (THA), studies have demonstrated that both spinal and epidural anesthesia tend to have approximately a 30% reduction in intraoperative blood loss compared with general anesthesia , owing to lower arterial and venous pressures. (medscape.com)
Avoids common adverse effects of general anesthesia: Such adverse effects include nausea, sore throat, alteration of mental status, and cognitive dysfunction. (medscape.com)
Surgery was performed under general anesthesia and a thoracic epidural block, and the epidural catheter was used for postoperative analgesia. (bmj.com)
JAPC accepts articles from all corners of anesthesia, including general and regional anesthesia, intensive care and pain therapy, anesthetic administration, pharmacokinetics, preoperative and postoperative contemplations. (annexpublishers.co)
Unusual elevation in Entropy but not in PSI during general anesthesia: a case report. (medscape.com)
Isolating the anesthesia to a particular body area helps avoid the potential problems that may accompany a general anesthetic. (healthykneesclub.com)
Most likely, you will be given spinal or general anesthesia so that youâll sleep through the surgery and wonât feel any pain or discomfort during the procedure. (healthykneesclub.com)
General anesthesia is used for major surgeries. (shsthepapercut.com)
General anesthesia is a liquid medication that is put in an IV and then the doctor also uses different gases. (shsthepapercut.com)
48 Anesthesia for Cesarean Delivery-Regional or General? (icebe.es)
Regional anesthesia can be used instead of general anesthesia or in addition to general anesthesia as a way to control pain after surgery. (kyanesthesiagroup.com)
Deep sedation is nearly the same as general anesthesia, meaning that the patient is deeply asleep though able to breathe without assistance. (kyanesthesiagroup.com)
During general anesthesia, intubation can be difficult due to an obstructive airway or a limitation of mask ventilation. (kosinmedj.org)
Regional anesthesia was used per the patient's request and to avoid the risk of complications from general anesthesia. (kosinmedj.org)

A 25-gauge non-cutting spinal needle is used to access the intrathecal space via a midline approach at either the L4-5 or L5-S1 interspace. (asra.com)
Efficacy of the Epidural Positioning Device® in optimizing the acoustic target window for neuraxial needle placement in term pregnancy. (uwo.ca)
The crossed-leg position increases the dimensions within the acoustic target window for neuraxial needle placement in term pregnancy: a prospective observational study. (uwo.ca)
With the patient fully awake, the epidural catheter was placed at the T12/L1 space, and a spinal tap was performed at the L2/L3 space with a 25-G Quincke needle in the left lateral decubitus position after skin sterilization with 0.5 w/v% chlorhexidine gluconate/ethanol. (ekja.org)
NeuraFit™ is a NRFit® spinal needle made to be sturdy and exceptionally strong from premium-quality steel, neurafit™ is available with two different needle designs to meet specific clinical needs. (vygon.co.uk)
Another way to get anesthesia is to have a needle put into the patient's spine, which is called neuraxial anesthesia. (shsthepapercut.com)
Steady spinal analgesia necessitates dural puncture that has a giant bore needle and intrathecal placement of an epidural catheter, as microcatheters, at the very least inside the U.s., are usually not commercially readily available. (tcr-signal.com)
In this report, we describe the case of a super- super obese patient who underwent regional anesthesia that was guided by ultrasound, which successfully helped determine the correct insertion point prior to spinal needle insertion. (kosinmedj.org)
Ultrasound was used to find the correct spinal needle insertion point. (kosinmedj.org)

Intrathecal (IT), often referred to as "spinal," anesthesia refers to the delivery of anesthetic agents to the subarachnoid layer of the spinal column into cerebrospinal fluid (CSF) surrounding the spinal cord. (medscape.com)
Some studies address the value of HRV as a predictor of hypotension following subarachnoid anesthesia, mainly using linear methods in the frequency domain. (bvsalud.org)
It is understood to be important to analyze these factors using methods already validated in the domain of chaos, complexity and fractality, more compatible with the complexity of the behavior of biological systems, in the characterization of the autonomic function during the subarachnoid anesthesia. (bvsalud.org)

These methods can be categorized into neuraxial local analgesics and opioids, peripheral nerve blocks, and wound infiltration. (medscape.com)

Although Bier properly deserves credit for the introduction of spinal anesthesia into the clinical practice of medicine, it was Corning who created the experimental conditions that ultimately led to the development of both spinal and epidural anesthesia. (wikipedia.org)
The anesthesia care provider, who was sleep deprived near the end of a 48-hour call shift (during which they only slept for 3 hours), performed the procedure successfully but injected an analgesic drug that was not appropriate for this clinical indication. (ahrq.gov)
The clinical outcome improvements associated with the provision of neuraxial anesthesia for these surgical procedures require an adjustment from usual neuraxial medication administration to ensure that adequate anesthesia time is provided. (asra.com)
The purpose of this study was to establish the clinical and histological features of this deleterious side effect, its sensitivity with respect to age and anesthesia protocol, and approaches for avoiding it. (annexpublishers.co)
Comparison of a loading dose of dexmedetomidine combined with propofol or sevoflurane for hemodynamic changes during anesthesia maintenance: a prospective, randomized, double-blind, controlled clinical trial. (medscape.com)
After the benefits of lower tidal volumes and permissive hypercapnea were realized, a large number of studies attempting to translate these results into clinical anesthesia were published. (blogspot.com)

11] Zaric, D & Pace, NL: Transient neurologic symptoms (TNS) following spinal anaesthesia with lidocaine versus other local anaesthetics. (edu.pl)

Three primary neuraxial techniques reduce labor pain epidural, dural puncture epidural (DPE), and combined spinal-epidural (CSE). (bvsalud.org)

Results Epidural placement was difficult and advanced thoracic spine osteoarthritis was later identified on spinal imaging. (bmj.com)
Accuro ultrasound-based system with computer-aided image interpretation compared to traditional palpation technique for neuraxial anesthesia placement in obese parturients undergoing cesarean delivery. (rivannamedical.com)
Given that a dural puncture confirms neuraxial placement, we hypothesized that DPE was more frequent in women with concerns for COVID-19. (bvsalud.org)
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. (johnshopkins.edu)

Predicted concentrations after either a repeat spinal or a caudal rescue dose of levobupivacaine 1.5 mg kg -1 1 h after spinal levobupivacaine administration are below the neurotoxic concentration threshold. (smarttots.org)
Neuraxial anesthesia is a term that denotes all forms of central blocks, involving the spinal, epidural, and caudal spaces. (johnshopkins.edu)
Caudal analgesia is unusual in modern day day labor analgesia for the reason that injection of sizeable doses of community anesthetics is required to get surgical anesthesia for cesarean delivery. (tcr-signal.com)

[ 2 , 3 ] In addition, in certain operations, such as total hip arthroplasty (THA), the use of regional anesthesia may be associated with certain positive trends such as reduced blood loss and reduced rates of deep vein thrombosis (DVT). (medscape.com)

Post-dural puncture headache (PDPH) is one of the most frequent complications of neuraxial anesthesia and analgesia. (annexpublishers.co)
Reduces the risk of post spinal headache during intrathecal injection. (vygon.co.uk)

Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia. (ahrq.gov)
They ask the medical history of the patient, the family medical history, if the patient has any allergies, what medication they are currently taking, when they ate or drank last and a lot more questions to make sure the patient qualifies for the anesthesia medication. (shsthepapercut.com)
Regional anesthesia provides post-operative pain relief that can last up to 8-12 hours, depending on the medication type and dose. (kyanesthesiagroup.com)

The SmartTots program is a multi-year collaborative effort designed to increase the safety of anesthetic and sedative drugs for the millions of children who undergo anesthesia and sedation each year. (smarttots.org)

In this case report, we describe the use of ultrasound in the administration regional anesthesia for a super-super obese patient. (kosinmedj.org)

Although there is no documented evidence that tattoo pigments can cause neurological complications, the implications of performing neuraxial anesthesia through tattooed skin are unknown. (annexpublishers.co)
It is important to know that anesthesia is very safe for the most part thanks to science and technology today, but complications are always a possibility. (shsthepapercut.com)

Hemodynamic effects of lateral tilt before and after spinal anesthesia during cesarean delivery: an observational study. (medscape.com)

On August 16, 1898, German surgeon August Bier (1861-1949) performed surgery under spinal anesthesia in Kiel. (wikipedia.org)
This article will focus on the use of regional anesthesia as a postoperative analgesic technique for orthopedic surgery. (medscape.com)
Due to the suspicion of vascular bowel compromise at contrast-enhanced CT scan, urgent open surgical repair surgery was performed under spinal anesthesia and Venturi mask support. (springermedizin.at)
Anesthesia is used before a patient has surgery primarily to prevent the patient from having pain. (shsthepapercut.com)
51 Does Anesthesia Increase the Risk to the Parturient Undergoing Nonobstetric Surgery? (icebe.es)
With regional anesthesia, you don't have to be awake during surgery. (kyanesthesiagroup.com)

This increased surgical complexity often requires significant prolongations in surgical and anesthesia times. (asra.com)

This study aims to determine whether neuraxial analgesia techniques changed after the onset of the coronavirus disease 2019 (COVID-19) pandemic . (bvsalud.org)
Epidural analgesia was the most common neuraxial technique for labor pain in 2019 and 2020. (bvsalud.org)

It can occur following uncomplicated spinal anesthesia as well as unintended dural puncture during epidural anesthesia. (uky.edu)

Unintentional intravascular injection of regional anesthetics can result in systemic toxicity and unintentional intrathecal injection can lead to total spinal anesthesia, the two with disastrous consequences to your mom and child. (tcr-signal.com)

In many centers, regional anesthesia techniques are used extensively to allow the performance of orthopedic procedures. (medscape.com)

The controversy centers around whether Corning's injection was a spinal or an epidural block. (wikipedia.org)

The advantages of IT opioids for analgesia, especially if spinal anesthesia is already planned, include its simplicity, lack of need for catheter care or pumps, low cost, and easy supplementation with low-dose patient-controlled analgesia (PCA) opioids as needed. (medscape.com)

Prediction of levobupivacaine concentrations in neonates and infants following neuraxial rescue blocks. (smarttots.org)
Regional anesthesia blocks sensations of pain from a large area of the body, such as an arm or leg or the abdomen. (kyanesthesiagroup.com)

Thoracic segmental spinal anesthesia was planned for the patient. (springeropen.com)
Our experience with thoracic segmental spinal anesthesia for nephrectomy in this ALS has been satisfactory. (springeropen.com)
Further studies are needed to establish thoracic segmental spinal anesthesia as a better modality for such cases. (springeropen.com)
Herein, we describe our experience with thoracic segmental spinal anesthesia in a patient with ALS posted for radical nephrectomy. (springeropen.com)

The attenuation of neurological injury from the use of simvastatin after spinal cord ischemia-reperfusion injury in rats. (medscape.com)

However, the advantages of steady spinal anesthesia may well outweigh the dangers within a subset of higher threat individuals. (tcr-signal.com)

Contraindications to use of IT anesthesia include heparinization or other coagulopathy, local or systemic infection, and morphine allergy. (medscape.com)
Contraindications to neuraxial analgesia and anesthesia comprise patient refusal, pre current coagulopathy, infection in the puncture web page, and lack of seasoned anesthesia companies. (tcr-signal.com)

Regional Anesthesia. (wikipedia.org)
Regional anesthesia refers to the focused delivery of anesthetic agent(s) to a given part of the body. (medscape.com)
The American Society of Regional Anesthesia and Pain Medicine is dedicated to recognizing gender-based disparities, establishing policies, committing resources, and collaborating to improve the conditions for women in the professions of acute and chronic pain and regional anesthesia. (asra.com)
I am humbled and honored to be presented with the 2020 ASRA Trailblazer Award, which recognizes achievements of women in ASRA and our contributions to the fields of regional anesthesia and pain medicine. (asra.com)
Pharmacokinetic simulation was used to characterize levobupivacaine disposition after regional anesthetic rescue for failed spinal anesthesia in neonates and infants. (smarttots.org)
In line with these new standards specifying small-bore connectors for neuraxial and regional anesthesia, Vygon has developed neurafit. (vygon.co.uk)
When you receive a regional anesthetic, your Kentucky Anesthesia Group anesthesiologist or CRNA will numb the area first with a local anesthetic. (kyanesthesiagroup.com)
We used ultrasound to help facilitate the administration of regional anesthesia. (kosinmedj.org)
After skin marking, regional anesthesia was successfully performed. (kosinmedj.org)
Regional anesthesia was performed with the patient in a sitting position. (kosinmedj.org)

Finally, Corning was incorrect in his theory on the mechanism of action of cocaine on the spinal nerves and spinal cord. (wikipedia.org)
He proposed - mistakenly - that the cocaine was absorbed into the venous circulation and subsequently transported to the spinal cord. (wikipedia.org)
These agents bind with opioid receptor sites in the dorsal horn of the spinal cord, resulting in modulation of pain signals at the spinal cord level. (medscape.com)
From the hypogastric plexus, pain transmission is carried toward the spinal cord in the lumbar paravertebral sympathetic chain. (medscape.com)
Nociceptive impulses enter the spinal cord via the dorsal nerve roots of T 10 --L 1 before ascending toward higher centers via the spinothalamic tracts. (medscape.com)
Research in newborn animals has revealed that failure to provide analgesia for pain results in "rewiring" of the nerve path-ways responsible for pain transmission in the dorsal horn of the spinal cord, resulting in increased pain perception of future painful insults. (nysora.com)
These unmyelinated C-fibers transmit itch impulses to the ipsilateral dorsal horn of the spinal cord, 3 where they synapse with itch-specific secondary neurons. (asahq.org)

The patient had a history of several surgeries at the same site, performed under local anesthesia. (kosinmedj.org)

Lumbar epidural analgesia has been the mainstay of neuraxial labor analgesia for several many years. (tcr-signal.com)

The image below depicts pencil point spinal needles used in spinal anesthesia. (medscape.com)
Earlier Quincke spinal needles had a biased cutting edge that produce a cut opening in the dura. (medscape.com)

Anatomy12

Organisms1

Diseases23

Chemicals and Drugs30

Analytical, Diagnostic and Therapeutic Techniques and Equipment38

Psychiatry and Psychology2

Phenomena and Processes5

Disciplines and Occupations1

Health Care9

Receiving neuraxial anesthesia or undergoing spin2

Blockade6

Obstetric9

Requested neuraxial analgesia1

Combined with general anesthesia1

Patients29

Type of anesthesia3

Analgesia for labor2

Hematomas1

Intravenous2

Postdural puncture4

Cesarean section3

Perioperative4

Hematoma5

Bupivacaine1

General19

Needle9

Subarachnoid3

Peripheral nerve blocks1

Clinical6

Anaesthesia1

Puncture epidural1

Placement4

Caudal3

Total hip arthropl1

Headache2

Medication3

Sedation1

Obese1

Complications2

Observational study1

Surgery6

Surgical1

20192

Dural puncture1

Intrathecal injection1

Orthopedic1

Epidural block1

Opioids1

Blocks2

Thoracic4

Neurological1

Advantages1

Contraindications2

Regional10

Cord7

Surgeries1

Lumbar1

Needles2