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2019, Number 3

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Rev Mex Anest 2019; 42 (3)

Evidence in neuraxial analgesia

Guido-Guerra RE

Language: Spanish
References: 30
Page: 229-231
PDF size: 136.86 Kb.


ABSTRACT

Epidural analgesia is superior to the parenteral route in thoracic, abdominal and lower limb surgery. Besides pain control, epidural analgesia has shown to improve other outcomes, including respiratory, digestive, cardiac and vascular complications. Thoracic epidural is preferable to lumbar catheter in thoracic and abdominal surgery. Recommended insertion depth is 5 cm from the epidural space. Use of local anesthetic (ropivacaine, bupivacaine or levobupivacaine) plus opioid (most commonly fentanyl) solutions is best recommended. Intrathecal analgesia provides good pain control in the short-term; it is associated with greater incidence of respiratory depression than IV opioids.


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