Epidural Volume Extension: A Rescue Technique
Abstract
Anaesthesia management is always challenging in a patient who comes in emergency with multiple comorbidities. When we have to choose type of anaesthesia in such patients we have to keep in mind its adverse effects on various organs and cardiovascular system particularly in hemodynamically unstable patients. Epidural and spinal anaesthesia in these cases have their own complications on hemodynamics of the patient. Epidural Volume Expansion (EVE) technique is a known technique that allows to achieve surgical anaesthesia level with smaller dose than the conventional procedure. We report successful management of an emergency case with EVE technique.
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5. Lew E, Yeo SW, Thomas E. Combined spinal-epidural anesthesia using epidural volume extension leads to faster motor recovery after elective cesarean delivery:A prospective, randomized, double-blind study. Anesth Analg. 2004; 98(3):810-4
6. Blumgart CH, Ryall D, Dennison B, Thompson-Hill LM. Mechanism of extension of spinal anaesthesia by extradural injection of local anaesthetic. Br J Anaesth 1992; 69(5):457-60.
2. Yeager MP, Glass DD, Neff RK, Brinck-Johnsen T. Epidural anesthesia and analgesia in high risk surgical pateints. Anesthesiology. 1987; 66(6):729-36.
3. Kusakai M,SawadaEmail A, Kii N, Tokinaga Y, Hirata N , Yamakage M. Epidural anesthesia combined with sedation with dexmedetomidine for appendectomy in a patient with amyotrophic lateral sclerosis: a case report. JA Clinical Reports. 2018; 4:82
4. Loubert C, O’Brien PJ, Fernando R, Walton N, Philip S, Addei T, et al. Epidural volume extension in combined spinal epidural anaesthesia for elective caesarean section: A randomised controlled trial. Anaesthesia. 2011; 66(5):341-7
5. Lew E, Yeo SW, Thomas E. Combined spinal-epidural anesthesia using epidural volume extension leads to faster motor recovery after elective cesarean delivery:A prospective, randomized, double-blind study. Anesth Analg. 2004; 98(3):810-4
6. Blumgart CH, Ryall D, Dennison B, Thompson-Hill LM. Mechanism of extension of spinal anaesthesia by extradural injection of local anaesthetic. Br J Anaesth 1992; 69(5):457-60.
| Files | ||
| Issue | Vol 5 No 4 (2019): Autumn |
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| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/aacc.v5i4.1454 | |
| Keywords | ||
| Epidural volume expansion Severe anaemia Haemodialysis | ||
| Rights and permissions | |
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Singh G, Khandelwal H, Chandra P, Govil N, Adabala V. Epidural Volume Extension: A Rescue Technique. Arch Anesth & Crit Care. 2019;5(4):133-134.
