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Related Concept Videos

Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

1.0K
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...
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Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

592
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...
592

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Related Experiment Video

Updated: Nov 25, 2025

A Neonatal Mouse Spinal Cord Compression Injury Model
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Large Spinal Abscess in a Neonate.

Bikasa B Triapthy1, Subrat K Sahoo1, Manoj K Mohanty1

  • 1Department of Pediatric Surgery, AIIMS, Bhubaneswar, Odisha, India.

Neurology India
|December 21, 2020
PubMed
Summary
This summary is machine-generated.

Spinal epidural abscesses are rare in newborns and require emergency surgery. This case highlights an infant with a large abscess who remained neurologically intact, emphasizing prompt treatment for favorable outcomes.

Keywords:
Extra-spinalepiduralneonatespinal abscessspontaneous

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Area of Science:

  • Pediatric Surgery
  • Neonatal Neurology
  • Infectious Diseases

Background:

  • Spontaneous spinal epidural abscess (SEAC) is a rare neonatal emergency.
  • Early diagnosis and surgical decompression are crucial to prevent permanent spinal cord damage.
  • Magnetic resonance imaging (MRI) is key for diagnosis, often showing paraplegia.

Observation:

  • A neonate presented with a large extra-spinal abscess.
  • Further evaluation revealed a communicating epidural component.
  • Remarkably, the infant remained neurologically intact despite the abscess.

Findings:

  • The abscess was surgically drained emergently, clearing the epidural component.
  • Antibiotics targeting Streptococcus pyogenes were administered based on sensitivity testing.
  • The infant showed a positive outcome at 6-month follow-up.

Implications:

  • This case suggests that prompt surgical intervention can lead to excellent outcomes even with significant epidural abscesses.
  • It underscores the importance of considering SEAC in neonates with neurological deficits.
  • Further research may explore predictors of neurological preservation in neonatal SEAC.