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Related Experiment Videos

Dosing regimens for spinal and epidural anesthesia

F Hill

    CRNA : the Clinical Forum for Nurse Anesthetists
    |November 1, 1993
    PubMed
    Summary

    Spinal and epidural anesthesia are safe, reliable conduction anesthesia techniques. This review covers factors influencing anesthetic agent selection and dosing for major procedures.

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    Area of Science:

    • Anesthesiology
    • Pharmacology

    Background:

    • Spinal anesthesia has been a safe and reliable major conduction anesthesia for nearly 100 years.
    • Epidural anesthesia is widely used in operating rooms, labor and delivery, and for postoperative pain relief.
    • Nurse anesthetists are increasingly skilled in advanced regional anesthesia techniques, including continuous spinal and epidural anesthesia.

    Purpose of the Study:

    • To review the physiological and pharmacological factors that guide the selection of anesthetic agents for major conduction anesthesia.
    • To provide suggested dosing regimens for these anesthetic agents.

    Main Methods:

    • Literature review of physiological and pharmacological principles.
    • Analysis of current practices in regional anesthesia.

    Main Results:

    • Key factors influencing anesthetic choice include patient physiology and drug pharmacology.
    • Dosing regimens are influenced by the specific procedure and patient characteristics.

    Conclusions:

    • Understanding the interplay of physiological and pharmacological factors is crucial for optimizing anesthetic selection and dosing.
    • Continued expansion of expertise in regional anesthesia by nurse anesthetists enhances patient care.

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