Guo X
PUMC Hospital, CAMS and PUMC, Beijing.
Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 1993 Dec;15(6):437-40.
This article reviews 763 patients who underwent continuous cervical epidural block (CCEB) in our hospital during the past ten years. We analyzed the factors causing complications of CCEB and the respiratory and hemodynamic inhibition caused by different concentrations of local anesthetics. From the study, it is concluded that CCEB has obvious advantages, such as mild respiratory and hemodynamic inhibition, satisfactory analgesia, no air pollution and low cost. On the other hand, CCEB requires highly skilled manipulation during epidural puncture and catheterization, careful intraoperative management and appropriate local anesthetics. The question of how to eliminate the intraoperative traction reaction needs further study.