Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

A prototype small-bore ventilation catheter with a cuff: cuff inflation optimizes ventilation with the Ventrain.

Acta anaesthesiologica Scandinavica·2017
Same author

[Monitoring during ventilation with Ventrain><sup>®</sup>].

Der Anaesthesist·2017
Same author

Ventilation with the Ventrain through a small lumen catheter in the failed paediatric airway: two case reports.

British journal of anaesthesia·2014
Same author

Ventrain® for ventilation of the lungs.

British journal of anaesthesia·2012
Same author

Ventrain: an ejector ventilator for emergency use.

British journal of anaesthesia·2012
Same author

Ventilation through a small-bore catheter: optimizing expiratory ventilation assistance.

British journal of anaesthesia·2010

Related Experiment Video

Updated: Jul 19, 2026

Spinal Sonography for Ultrasound-Guided Lumbar Neuraxial Anesthesia
03:14

Spinal Sonography for Ultrasound-Guided Lumbar Neuraxial Anesthesia

Published on: January 31, 2025

Unilateral spinal anaesthesia: gadget or tool?

D Enk1

  • 1Klinik und Poliklinik für Anästhesiologie und operative Intensivmedizin der Westfälischen Wilhelms-Universität, Albert-Schweitzer-Strasse 33, D-48149 Münster, Germany.

Current Opinion in Anaesthesiology
|October 3, 2006
PubMed
Summary

Unilateral spinal anesthesia effectiveness remains debated, with inconsistent study results. This review examines factors influencing successful, strictly unilateral nerve blocks for procedures like ambulatory anesthesia.

More Related Videos

Surgical Technique for Spinal Cord Delivery of Therapies: Demonstration of Procedure in Gottingen Minipigs
09:23

Surgical Technique for Spinal Cord Delivery of Therapies: Demonstration of Procedure in Gottingen Minipigs

Published on: December 7, 2012

Related Experiment Videos

Last Updated: Jul 19, 2026

Spinal Sonography for Ultrasound-Guided Lumbar Neuraxial Anesthesia
03:14

Spinal Sonography for Ultrasound-Guided Lumbar Neuraxial Anesthesia

Published on: January 31, 2025

Surgical Technique for Spinal Cord Delivery of Therapies: Demonstration of Procedure in Gottingen Minipigs
09:23

Surgical Technique for Spinal Cord Delivery of Therapies: Demonstration of Procedure in Gottingen Minipigs

Published on: December 7, 2012

Area of Science:

  • Anesthesiology
  • Neurosurgery
  • Pain Management

Background:

  • The efficacy of unilateral spinal anesthesia is debated, with conflicting findings across studies.
  • Some research questions the feasibility of achieving a strictly unilateral block (affecting motor, sensory, and sympathetic functions).
  • Conversely, other studies suggest this technique is standard, particularly for ambulatory anesthesia.

Purpose of the Study:

  • To review and clarify the factors influencing the success of unilateral spinal anesthesia.
  • To reconcile inconsistent findings regarding the possibility of achieving a strictly unilateral block.
  • To identify relevant, plausible, and proven factors for unilateral spinal anesthesia.

Main Methods:

  • Systematic review of existing literature on unilateral spinal anesthesia.
  • Analysis of studies investigating motor, sensory, and sympathetic block characteristics.
  • Evaluation of factors contributing to successful unilateral nerve blockade.

Main Results:

  • Conflicting evidence exists regarding the consistency and completeness of unilateral spinal blocks.
  • Factors influencing the degree of unilateral blockade are complex and multifactorial.
  • The possibility of a strictly unilateral block is questioned by some, while others deem it standard practice.

Conclusions:

  • The success of unilateral spinal anesthesia depends on various factors, which require careful consideration.
  • Further research is needed to standardize and validate techniques for achieving reliable unilateral blocks.
  • Understanding these factors is crucial for optimizing its use, especially in ambulatory settings.