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Continuous Spinal Anesthesia Technique After Accidental Dural Puncture

Continuous spinal anesthesia (CSA) is a mode of anesthesia and analgesia that has various therapeutic advantages. CSA allows the anesthesiologist to titrate tiny doses of a local anesthetic to achieve the desired degree of spinal anesthesia. The duration can be extended to accommodate the demands of...

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Detalles Bibliográficos
Autores principales: Matturu, Soumya, Singam, Amol, Madavi, Sheetal, Verma, Neeta
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9553070/
https://www.ncbi.nlm.nih.gov/pubmed/36237755
http://dx.doi.org/10.7759/cureus.29046
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author Matturu, Soumya
Singam, Amol
Madavi, Sheetal
Verma, Neeta
author_facet Matturu, Soumya
Singam, Amol
Madavi, Sheetal
Verma, Neeta
author_sort Matturu, Soumya
collection PubMed
description Continuous spinal anesthesia (CSA) is a mode of anesthesia and analgesia that has various therapeutic advantages. CSA allows the anesthesiologist to titrate tiny doses of a local anesthetic to achieve the desired degree of spinal anesthesia. The duration can be extended to accommodate the demands of the protracted operation. Due to a lack of equipment and financial restraints, particularly in resource-constrained areas, and worries of neurologic consequences such as cauda equina syndrome, CSA is yet to acquire general acceptability among anesthesiologists. In terms of postoperative pain management, CSA can be comparable to epidural analgesia and is considered far superior to abdominal wall blocks when correctly applied. Here we discuss a case wherein a standard epidural catheter in subarachnoid space was used to successfully perform an emergency exploratory laparotomy.
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spelling pubmed-95530702022-10-12 Continuous Spinal Anesthesia Technique After Accidental Dural Puncture Matturu, Soumya Singam, Amol Madavi, Sheetal Verma, Neeta Cureus Anesthesiology Continuous spinal anesthesia (CSA) is a mode of anesthesia and analgesia that has various therapeutic advantages. CSA allows the anesthesiologist to titrate tiny doses of a local anesthetic to achieve the desired degree of spinal anesthesia. The duration can be extended to accommodate the demands of the protracted operation. Due to a lack of equipment and financial restraints, particularly in resource-constrained areas, and worries of neurologic consequences such as cauda equina syndrome, CSA is yet to acquire general acceptability among anesthesiologists. In terms of postoperative pain management, CSA can be comparable to epidural analgesia and is considered far superior to abdominal wall blocks when correctly applied. Here we discuss a case wherein a standard epidural catheter in subarachnoid space was used to successfully perform an emergency exploratory laparotomy. Cureus 2022-09-11 /pmc/articles/PMC9553070/ /pubmed/36237755 http://dx.doi.org/10.7759/cureus.29046 Text en Copyright © 2022, Matturu et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Anesthesiology
Matturu, Soumya
Singam, Amol
Madavi, Sheetal
Verma, Neeta
Continuous Spinal Anesthesia Technique After Accidental Dural Puncture
title Continuous Spinal Anesthesia Technique After Accidental Dural Puncture
title_full Continuous Spinal Anesthesia Technique After Accidental Dural Puncture
title_fullStr Continuous Spinal Anesthesia Technique After Accidental Dural Puncture
title_full_unstemmed Continuous Spinal Anesthesia Technique After Accidental Dural Puncture
title_short Continuous Spinal Anesthesia Technique After Accidental Dural Puncture
title_sort continuous spinal anesthesia technique after accidental dural puncture
topic Anesthesiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9553070/
https://www.ncbi.nlm.nih.gov/pubmed/36237755
http://dx.doi.org/10.7759/cureus.29046
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