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Local Anesthetics: Clinical Application as Spinal Anesthesia

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...

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Operational and Intervention Effects of Targeted Tuina in Lumbar Intervertebral Disc Degeneration Model Rabbits

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Invasive Treatments for Low Back Disorders.

Kurt T Hegmann¹, Russell Travis, Gunnar B J Andersson

¹American College of Occupational and Environmental Medicine, Elk Grove Village, Illinois.

Journal of Occupational and Environmental Medicine

|March 26, 2021

Summary

This summary is machine-generated.

This review summarizes evidence-based recommendations for invasive treatments for low back disorders. Quality evidence is crucial for guiding all phases of managing these conditions.

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Area of Science:

Occupational and Environmental Medicine
Evidence-Based Medicine

Background:

Low back disorders represent a significant health burden.
Current management guidelines require regular updates based on emerging evidence.

Purpose of the Study:

To review and synthesize evidence for invasive treatments for low back disorders.
To provide evidence-based recommendations for managing acute, subacute, and chronic low back pain.

Main Methods:

Systematic literature reviews including article abstraction, critiquing, and grading.
Evidence table compilation and guideline finalization by a multidisciplinary expert panel.
Extensive peer-review process and consensus formulation for evidence gaps.

Main Results:

Identification of 47 high-quality and 321 moderate-quality trials.
Development of guidance for invasive management across all phases of low back disorders.
Formulation of 49 specific recommendations for clinical practice.

Conclusions:

High-quality evidence should inform invasive treatment decisions for low back disorders.
Recommendations cover acute, subacute, and chronic low back disorders and rehabilitation.
The guideline provides a framework for evidence-based invasive management strategies.