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Related Concept Videos

Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

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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...
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Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

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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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Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis
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[Spondylodiscitis and epidural abscesses].

R Rotzinger1, R Omidi2, H Gebhard3,4

  • 1Abteilung Neuroradiologie, Zentrum für Bildgebung, Kantonsspital Baden AG, Im Ergel 1, 5404, Baden, Schweiz. Roman.Rotzinger@ksb.ch.

Der Radiologe
|February 11, 2021
PubMed
Summary
This summary is machine-generated.

Spondylodiscitis, an infection of the spine, often requires advanced imaging like MRI for diagnosis. Interventional drainage offers a less invasive treatment option for associated epidural abscesses.

Keywords:
Intervertebral discMagnetic resonance imagingSpinal cord inflammationSpineSpondylitis

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Area of Science:

  • Radiology
  • Infectious Diseases
  • Orthopedic Surgery

Background:

  • Spondylodiscitis involves inflammation of the intervertebral disc and adjacent vertebrae, frequently presenting with non-specific back pain.
  • Bacterial infections are common causes, potentially leading to epidural abscesses and complications.
  • Accurate diagnosis and monitoring of spondylodiscitis rely heavily on radiological imaging, particularly MRI.

Purpose of the Study:

  • To highlight the diagnostic and therapeutic roles of radiology in managing spondylodiscitis.
  • To evaluate interventional radiological drainage as an alternative to surgery for epidural abscesses.

Main Methods:

  • Review of standard radiological methods including MRI, CT, nuclear medicine, and conventional X-ray.
  • Emphasis on MRI as the primary imaging modality due to its high diagnostic value.
  • Consideration of CT and nuclear medicine for MRI-contraindicated patients.

Main Results:

  • MRI is the most valuable imaging technique for spondylodiscitis diagnosis and follow-up.
  • Interventional radiological drainage presents a promising, less invasive option for treating epidural abscesses.
  • Adequate diagnosis and therapy lead to a good prognosis for spondylodiscitis.

Conclusions:

  • Spondylodiscitis requires prompt diagnosis and comprehensive treatment, including antibiotics and potentially invasive procedures.
  • Interventional radiological drainage offers a minimally invasive alternative to surgery for managing associated epidural abscesses.
  • Early intervention with appropriate radiological guidance improves patient outcomes.