Gerheuser F, Roth A
Klinik für Anästhesiologie und Operative Intensivmedizin, Zentralklinikum Augsburg, Stenglinstrasse 2, 86156 Augsburg, Deutschland.
Anaesthesist. 2007 May;56(5):499-523; quiz 524-6. doi: 10.1007/s00101-007-1181-1.
In epidural anaesthesia, the anaesthetist injects one or more drugs into the epidural space bordering on the spinal dura mater to achieve a "central" and/or "neuraxial" block. It is one of the earliest techniques in anaesthesia, originally performed exclusively with local anaesthetic agents. Adding other drugs and combining epidural with general anaesthesia or adapting the technique to the needs of children has extended the list of indications. Continuous epidural analgesia is an important tool in postoperative pain management. More and more often, the increasing proportion of patients who have comorbidities or are permanently taking medication that modulates the clotting system demands that the anaesthesiologist balance the individual risks and benefits before inducing epidural anaesthesia.
在硬膜外麻醉中,麻醉医生将一种或多种药物注入毗邻脊髓硬脊膜的硬膜外间隙,以实现“中枢”和/或“神经轴”阻滞。它是最早的麻醉技术之一,最初仅使用局部麻醉剂进行。添加其他药物以及将硬膜外麻醉与全身麻醉相结合,或根据儿童的需求调整技术,都扩大了适应症范围。连续硬膜外镇痛是术后疼痛管理的重要工具。越来越多患有合并症或长期服用调节凝血系统药物的患者比例不断增加,这就要求麻醉医生在实施硬膜外麻醉前权衡个体风险和益处。