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Related Concept Videos

Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

821
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...
821
Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

509
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...
509
General Anesthesia: Overview01:24

General Anesthesia: Overview

308
Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
308
Parenteral Anesthetics: Overview01:24

Parenteral Anesthetics: Overview

212
Intravenous anesthetics are drugs administered parenterally to induce anesthesia or sedation. Propofol is a widely used agent formulated as a 1% emulsion in soybean oil, glycerol, and egg phosphatide. It induces rapid anesthesia primarily due to its rapid distribution from the bloodstream to target tissues and is metabolized in the liver. However, it can cause significant pain on injection and hypertriglyceridemia. Fospropofol, a water-based prodrug of propofol, lacks these adverse effects.
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Author Spotlight: Enhancing Success of Ultrasound-Guided Neuraxial Anesthesia in Cases with Difficult Anatomy
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Perspectives on Starting a Pediatric Spinal Anesthesia Program.

Alina Lazar1, Alexander B Froyshteter1, Ashlee E Holman2

  • 1Department of Pediatric Anesthesiology, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.

Paediatric Anaesthesia
|June 10, 2025
PubMed
Summary
This summary is machine-generated.

Implementing pediatric spinal anesthesia requires careful planning and stakeholder engagement for institutional success. A structured approach ensures procedural safety and program sustainability, improving pediatric anesthesia options.

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Area of Science:

  • Pediatric Anesthesiology
  • Surgical Implementation Science

Background:

  • Spinal anesthesia is increasingly used for infants as an alternative to general anesthesia.
  • Institutional-level implementation presents significant challenges.

Purpose of the Study:

  • To provide a structured framework for establishing a pediatric spinal anesthesia program.
  • To outline key strategies for successful and sustainable program implementation.

Main Methods:

  • Emphasis on identifying implementation champions.
  • Structured approach including preparation, stakeholder engagement, and quality control.
  • Focus on early procedural success through pilot programs and patient selection.

Main Results:

  • A blueprint for process creation is crucial for early success.
  • Robust staffing models and staff education are vital for program expansion.
  • Maintaining adherence to established protocols ensures sustainability.

Conclusions:

  • Successful pediatric spinal anesthesia programs require a systematic, multi-faceted approach.
  • Proactive planning, staff training, and quality control are essential for long-term viability.