Epidural volume extension: a review

被引:7
作者
Tyagi, A.
Sharma, C. S.
Kumar, S.
Sharma, D. K.
Jain, A. K.
Sethi, A. K.
机构
[1] Univ Coll Med Sci, Dept Anaesthesiol & Crit Care, Delhi 110095, India
[2] Guru Teg Bahadur Hosp, Delhi 110095, India
关键词
epidural volume extension; sequential combined spinal epidural; epidural injection; normal saline; CESAREAN-SECTION; SPINAL-ANESTHESIA; HYPERBARIC BUPIVACAINE; DOSE REQUIREMENT; TOP-UP; CARDIAC-OUTPUT; DELIVERY; BLOCK; INJECTION; PATIENT;
D O I
10.1177/0310057X1204000405
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Epidural volume extension is a technical modification of the combined spinal epidural block. It involves the epidural injection of normal saline or a small volume of local anaesthetic after an intrathecal injection, aiming to augment the post-spinal sensory level. Although the consequent sensory block augmentation has been adequately documented, the probable factors influencing epidural volume extension and its implications for clinical practice are not well defined. This article reviews published literature relating to the probable factors affecting epidural volume extension, its clinical implications, case reports of its successful clinical application and summarises its unexplored effects.
引用
收藏
页码:604 / 613
页数:10
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