Epidural technique in obstetric anesthesia /

Epidural technique in obstetric anesthesia /

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Bibliographic Details
Author / Creator:Capogna, Giorgio.
Imprint:Cham : Springer, 2020.
Description:1 online resource (176 p.)
Language:English
Subject:
Peridural anesthesia.
Anesthesia in obstetrics.
Anesthesia in obstetrics
Peridural anesthesia
Format: E-Resource Book
URL for this record:http://pi.lib.uchicago.edu/1001/cat/bib/12605473
Hidden Bibliographic Details
ISBN:9783030453329
3030453324
3030453316
9783030453312
Notes:Description based upon print version of record.
Appendix 2: Epidural Technique-The Three Immediate Safety Checks
Includes bibliographical references.
Summary:This book represents a unique and substantial guide, and will bring anesthesiologists up-to-date on advances in the neuraxial technique and its applications in obstetrics. Today the epidural block is almost exclusively of interest to obstetric anesthesiologists, and how it is taught increasingly coincides with its applications in obstetrics. Since the classical, seminal textbooks by Bonica, Moore and Bromage, published in the 1950s and 60s, textbooks devoted solely to the epidural technique have become quite rare. Among more recent books, there are many excellent texts on epidural anesthesia or analgesia in obstetrics, but none are fully dedicated to the epidural technique, which is usually described in a few paragraphs or, at most, in a chapter. This highly detailed book, including videoclip on epidural technique, offers comprehensive coverage on epidurals; as such, it will appeal to all anesthesiologists, especially obstetric anesthesiologists.
Other form:Print version: Capogna, Giorgio Epidural Technique in Obstetric Anesthesia Cham : Springer,c2020 9783030453312
Standard no.:10.1007/978-3-030-45
Table of Contents:
  • Intro
  • Preface
  • Contents
  • 1: History of Lumbar Epidural Block
  • 1.1 Was the Very First a Spinal or an Epidural Anesthesia?
  • 1.2 The First Epidural Approach: The Caudal
  • 1.3 Lumbar Epidural
  • 1.4 Continuous Lumbar Epidural
  • 1.5 Modern Epidural Analgesia
  • References
  • 2: Anatomy of the Lumbar Epidural Region
  • 2.1 Vertebral Column
  • 2.2 Lumbar Vertebra
  • 2.3 Ligamentum Flavum
  • 2.4 Interspinous and Supraspinous Ligaments
  • 2.5 Muscles
  • 2.6 Intervertebral Foramen and Its Ligaments
  • 2.7 Epidural Space
  • 2.7.1 Epidural Fat
  • 2.7.2 Nerve Roots and Nerve Root Cuff
  • 2.7.3 Internal Vertebral Venous Plexus, Epidural Arteries, and Lymphatics
  • 2.8 Dural Sac
  • 2.8.1 Dura Mater
  • 2.8.2 Arachnoid Layer
  • 2.8.3 Subdural and Intradural Space
  • References
  • 3: Distribution of a Solution in the Epidural Space
  • 3.1 Sites of Action, Dynamics of Nerve Block, and Physicochemical Properties of Local Anesthetics
  • 3.2 Local Tissue Distribution
  • 3.3 Absorption and Elimination
  • 3.4 Spread of a Solution in the Epidural Space
  • 3.4.1 Patient Characteristics
  • 3.4.1.1 Age
  • 3.4.1.2 Height, Weight, and Body Mass Index
  • 3.4.1.3 Pregnancy
  • 3.4.2 Technical Factors
  • 3.4.2.1 Needle Insertion Site, Bevel Orientation and Injection Through Needle or Through Catheter, Needle Bevel Direction, and Catheter Position
  • 3.4.2.2 Patient Position
  • 3.4.2.3 Epidural Catheter Design
  • 3.4.2.4 Mode of Administration of the Solution
  • 3.4.2.5 Speed of Injection
  • 3.4.3 Epidural Pressure and Adjacent Pressures
  • 3.4.4 Composition of the Solution Injected: Dose, Volume, and Concentration-Adjuvant Drugs
  • References
  • 4: Fundamentals
  • 4.1 Epidural Equipment
  • 4.1.1 Epidural Needles
  • 4.1.2 Epidural Syringes
  • 4.1.3 Epidural Devices
  • 4.1.4 Epidural Catheters
  • 4.1.5 Epidural Filters
  • 4.1.6 Connectors
  • 4.2 Patient Position
  • 4.2.1 Positioning the Patient
  • 4.3 Landmarks Identification
  • 4.3.1 Manual Palpation
  • 4.3.2 Ultrasound Identification
  • 4.4 Skin Disinfection
  • 4.5 Superficial Tissues' Local Anesthesia
  • 4.5.1 Technique
  • References
  • 5: Epidural Technique
  • 5.1 Loss-of-Resistance-to-Saline Technique
  • 5.2 False or Pseudo-Loss of Resistance
  • 5.3 Bone Contact
  • 5.4 Observation and Aspiration of the Needle
  • 5.5 Rebound Test and Partially Inserted Bevel of the Needle in the Epidural Space
  • 5.6 Loss of Resistance to Air
  • 5.7 Techniques Based on Epidural Negative Pressure
  • 5.8 Paramedian Approach
  • 5.9 Forces Involved During Needle Insertion
  • 5.10 Catheter Insertion, Needle Removal, and Catheter Fixation
  • 5.11 Catheter Aspiration and Test Dose
  • 5.12 Confirmation of Catheter Location in the Epidural Space
  • 5.12.1 Epidural Stimulation Test
  • 5.12.2 Epidural Pressure Waveform Analysis
  • Appendix 1: Epidural Technique in Five Steps

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