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 Experiment Videos

[Chemonucleolysis. Peridural anesthesia versus general anesthesia].

E Arbonés, W Espinosa, J M Llopart

    Revista Espanola De Anestesiologia Y Reanimacion
    |March 1, 1989
    PubMed
    Summary
    This summary is machine-generated.

    Related Concept Videos

    You might also read

    Related Articles

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

    Sort by
    Same author

    [Assessment of patient-education on obstetric epidural analgesia received in the third quarter of pregnancy].

    Revista espanola de anestesiologia y reanimacion·2015
    Same author

    Symptomatic eosinophilic granuloma of the spine: report of two cases and review of the literature.

    Orthopedics·2014
    Same author

    [Posterior spinal instrumentation image guided and assisted by neuronavigation. Experience in 120 cases].

    Neurocirugia (Asturias, Spain)·2011
    Same author

    [Posterior C1-C2 arthrodesis. Experience in transarticular and interarticular fixation in 36 patients].

    Neurocirugia (Asturias, Spain)·2011
    Same author

    [Comparison [corrected] of Chiari I malformation treatment using suboccipital craniectomy and posterior arch of C1 resection with or without dural graft].

    Neurocirugia (Asturias, Spain)·2008
    Same author

    Changes in bispectral index values during lumbar arthrodesis.

    European journal of anaesthesiology·2005

    Epidural anesthesia effectively manages pain during chemonucleolysis, outperforming general anesthesia. Combining bupivacaine, mepivacaine, and buprenorphine via epidural provides superior postoperative pain relief for patients undergoing chemonucleolysis.

    Area of Science:

    • Anesthesiology
    • Pain Management
    • Spinal Surgery

    Background:

    • Chemonucleolysis is a minimally invasive procedure for treating herniated discs.
    • Anesthesia choice impacts patient outcomes and pain management post-chemonucleolysis.

    Purpose of the Study:

    • To compare general anesthesia versus epidural anesthesia for chemonucleolysis.
    • To evaluate postoperative pain and side effects associated with different anesthetic techniques.

    Main Methods:

    • Prospective comparative study with 100 patients divided into general anesthesia (Group A) and epidural anesthesia (Group B) groups.
    • Group B further divided: B1 (buprenorphine with local anesthetics), B2 (postoperative buprenorphine).
    • Evaluated postoperative lumbar pain and adverse events like anaphylaxis.

    Related Experiment Videos

    Main Results:

    • No anaphylactic reactions were reported in any group.
    • Severe lumbar pain occurred in 22% of general anesthesia patients versus 0% in the epidural group.
    • Patients receiving epidural anesthesia with buprenorphine (Group B1) experienced no pain in the first 24 hours.

    Conclusions:

    • Epidural anesthesia is a suitable technique for chemonucleolysis.
    • The combination of bupivacaine, mepivacaine, and buprenorphine administered epidurally offers effective postoperative pain relief.