Spinal anesthesia

Current Opinion in Anaesthesiology
Monica M Mordecai, Sorin J Brull

Abstract

The aim of this article is to review current practice of spinal anesthesia regarding technique and medication use; review recent applications of spinal anesthesia to subspecialty care in outpatient, cardiac, and obstetrical anesthesia; and update risk assessment associated with spinal anesthesia. Epidural volume extension enhances the spread of local anesthetics using a combined spinal-epidural technique. Chloroprocaine has become the agent of choice at some institutions. The growth in both the number and complexity of ambulatory surgery procedures has redefined the role of spinal anesthesia for outpatients. The 27-gauge Whitacre spinal needle is associated with a lower incidence of post-dural puncture headaches. Retrospective reviews can predict the incidence of rare complications such as neurologic injury and cardiac arrest. Innovations in technology, equipment, and needle design improved safety and decreased complication rates from spinal anesthesia. The increased popularity of ambulatory surgical procedures has resulted in more frequent use of spinal anesthesia. Intrathecal narcotic analgesia is used increasingly in fast-tracking cardiac surgical protocols. Modern anesthetic and analgesic techniques include resurgence of ol...Continue Reading

References

Jan 29, 2003·Anesthesiology·Trevor W R LeeUNKNOWN Winnipeg High-Spinal Anesthesia Group
Oct 23, 2003·British Journal of Anaesthesia·D K Turnbull, D B Shepherd
Jan 27, 2004·British Journal of Anaesthesia·M M AtallahA A Shorrab
Feb 11, 2004·European Journal of Anaesthesiology·T GrauJ Motsch
Jul 21, 2004·Journal of Clinical Anesthesia·Thuc TranGregory Crosby
Aug 18, 2004·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Beverly WaxlerKochuthresia Nedumgottil
Dec 31, 2004·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Davy C H Cheng
Jan 28, 2005·Anesthesia and Analgesia·Jessica R Yoos, Dan J Kopacz
Jan 28, 2005·Anesthesia and Analgesia·Aaron F Gonter, Dan J Kopacz
Feb 22, 2005·Journal of Clinical Anesthesia·Anthony EidelmanGordon M Novak
Feb 25, 2005·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·R Acharya
Mar 23, 2005·Anesthesia and Analgesia·Stephen P HallworthGary M Stocks
Mar 30, 2005·International Journal of Obstetric Anesthesia·G Berkel YildirimH Büyükkirli

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Citations

Jan 5, 2011·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Marie-Andrée LacasseLuc Massicotte
Feb 22, 2011·Revista brasileira de anestesiologia·Juliana Arruda Godoy Limongi, Rossana Sant'anna de Melo Lins
Jan 8, 2019·Journal of Anesthesia·Tohru ShiratoriMasaaki Satoh
Jan 20, 2021·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Molly VoraPaul Tornetta
Apr 25, 2021·Journal of Avian Medicine and Surgery·Ali KhamisabadiGhasem Akbari

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