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2024, Number 2

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Acta Med 2024; 22 (2)

Adjuvants agents in neuroaxial blocks

Andrade GHD, García GA, Gómez COA

Language: Spanish
References: 42
Page: 116-120
PDF size: 147.02 Kb.


ABSTRACT

Neuraxial blocks are anesthetic techniques that have increased in popularity in recent years due to their acceptance and the adoption of ultrasound-guided techniques, improving their success rates and reducing the incidence of complications. A broad understanding of the anatomy and physiologic changes after administration of the local anesthetic and the pharmacology of the local anesthetic are needed. Local anesthetics have an impressive history of efficacy and safety; their use is routine because adverse effects are rare. Intrathecal adjuvants are combined with local anesthetics to potentiate the block and prolong analgesia, in addition to reducing the local anesthetic dose, allowing rapid motor recovery and quicker discharge. Within which opioids, alpha agonists, among others with different effects, can be used. Which is the subject of this review.


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