What are the indications for using epidural anesthesia?

Indications for epidural anesthesia (EA) in the ICU include blunt trauma with or without rib fractures, thoracic, abdominal, orthopedic and vascular surgery, as well as nonsurgical problems such as intractable angina pectoris and acute pancreatitis.

Which conditions are contraindications to epidural blocks?

Absolute contraindications to performing epidural injections include known hypersensitivity to agents, local or systemic infection, local malignancy, bleeding diathesis, congestive heart failure, and uncontrolled diabetes mellitus.

What is the absolute contraindication of epidural anesthesia?

While neuraxial analgesia is versatile and safe, there are contraindications to the technique. Absolute contraindications include patient refusal, lack of adequate equipment, lack of expertise or supervisory staff, severe coagulopathy, and infection at the site of puncture.

When is epidural Anaesthesia used?

Epidural and spinal anesthesia are used mainly for surgery of the lower belly and the legs. Epidural anesthesia is often used in childbirth. But it can also be used to help control pain after major surgery to the belly or chest.

What can go wrong with an epidural injection?

Permanent nerve damage direct damage to the spinal cord from the epidural needle or catheter. infection deep in the epidural area or near the spinal cord. bleeding in the epidural area, causing pressure on the spinal cord. accidentally injecting the wrong medicines into the epidural catheter.

What are the long term side effects of an epidural?

Potential etiologies for long-term complications associated with ESI include infection, bleeding, endocrine effects, neurotoxicity, and neurologic injury.

Is spinal anesthesia better than general?

Unlike general anesthesia, spinal anesthesia does not require patients to use breathing tubes. Patients who take medications to control blood pressure, have COPD, or are long-term smokers have a hard time with breathing tubes, which makes spinal anesthesia a far better option for them.

What are the long-term side effects of epidural?

What are the adverse effects of anesthesia?

The most common after effects of anesthesia include fatigue, muscle aches, sore throat, nausea, and cognitive problems. More serious concerns include allergic reactions, changes in blood pressure, and breathing problems.

What are common side effects of an epidural?

The most common side effect is a severe drop in blood pressure. Other common epidural side effects include delayed labor, uncontrollable shivering, fever, an epidural headache, nausea, itching, and a backache.

What are the symptoms of too much anesthesia?

Patients and their families need to be aware of the common side effects of an anesthesia overdose prior to surgery so they can identify the symptoms. Here are some of the more common side effects that could indicate an anesthesia overdose: Nausea or vomiting. Respiratory distress. Hypothermia. Hallucinations. Seizures.

What are the most common general anesthesia side effects?

Several other side-effects may occur as a result of anesthetic medications. The most common side effects of general anesthesia include sore throat, nausea, vomiting and headache.

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