ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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Epidural Analgesia And Complications
Kemal ASLAN*, Gonca TUNCEL**
* Uz.Dr., Kilis Devlet Hastanesi, Anesteziyoloji ve Reanimasyon Kliniği, KİLİS**Uz.Dr., Ankara Onkoloji Eğitim ve Araştırma Hastanesi, Anesteziyoloji ve Reanimasyon Kliniği, ANKARA
Epidural space is a potential space between duramater and periost of vertebral canal. It extends from foramen magnum to sacral hiatus. It’s not connected with intracranial spaces and local anesthetics can not exceed C1 level. An epidural catheter can be placed through any interspace at the determined level in sitting or lateral decubitis position for epidural anesthesia and analgesia. The use of epidural anesthetics and analgesics has a great number of indications such as postoperative acute pain, labor analgesia, chronic pain, thorax trauma, vascular surgery and sympathetic blockade. Combinations of local anesthetics, opioids and nonopioids are effective for attenuation of pain by epidural analgesia. Nausea, vomiting, hypotension, somnolence, respiratory depression, pruritis, urinary retention and tolerance can be seen due to opioids, while local anesthetics frequently cause hypotension, motor block and tachyphlaxis. The present study is a review of important rules and complications of epidural analgesia that is frequently used for management of pain.Keywords: Analgesia, Epidural, Anesthetics, Local, NarcoticsTurkiye Klinikleri J Med Sci 2003, 23:430-436
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