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Megumi Kanao-Kanda1, Satoru Hiroshima2, Izumi Sato1

  • 1Anesthesiology and Critical Care Medicine, Asahikawa Medical University, Asahikawa, JPN.

Cureus
|May 2, 2022
PubMed

Keywords:
cerebrospinal fluid leakageepidural blood patchorthostatic headacheracz catheterspontaneous intracranial hypotension

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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...
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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.
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