neuraxial blockade


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Related to neuraxial blockade: neuraxial anesthesia

neuraxial blockade

Spinal or epidural anesthesia.
See also: blockade
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References in periodicals archive ?
Since its first reported use in 1980, accumulating evidence confirms that neuraxial a US can provide reliable information to facilitate neuraxial blockades among pregnant women.
Though there are numerous published case reports of unintentional subdural blockade, it still remains a less well recognised complication of central neuraxial blockade. It may be mistaken for an inadvertent subarachnoid injection, migration of the epidural catheter tip or an inadequate, unilateral or patchy epidural block.
Various adjuvants that can be added to local anaesthetics and administered in central neuraxial blockade are opioids, a-2 agonists, benzodiazepines, neostigmine, ketamine, adrenaline and magnesium sulphate.
In peripheral nerve and central neuraxial blockade both sensory and motor blockade of local anaesthetics are prolonged by clonidine.
Follow-up studies investigating the effect of intraoperative ketamine on persisting post surgical pain (PPSP) have been disappointing, but so far they have not included simultaneous intraoperative neuraxial blockade (3,4).
Central neuraxial blockade in the form of epidural is very popular for lower abdominal and lower limb surgeries as these techniques avoid the disadvantages associated with general anaesthesia like airway manipulation, poly pharmacy and other untoward effects like postoperative nausea, vomiting, need for supplemental intravenous analgesics.
The regional anaesthesia section is most focused on central neuraxial blockade and provides dosages and protocols that differ from Australian practice, reflecting regional differences.
The aim of the present study is to compare the effectiveness of Levobupivacaine 0.5% and Ropivacaine 0.75% in a volume of 20 mL in epidural neuraxial blockade in 100 patients undergoing elective lower abdominal surgeries.