This study describes the successful use of modified dorsolumbar epidural anesthesia with a fixed volume of anesthetic in a bovine referral center. Among the 130 Holstein cattle scheduled for flank surgery, 90 cattle received a mixed anesthetic consisting of 1 ml of xylazine hydrochloride and 3 ml of lidocaine hydrochloride by modified dorsolumbar epidural anesthesia. Eighteen cattle with dehydr...

Neuraxial anesthesia is a term that denotes all forms of central blocks, involving the spinal, epidural, and caudal spaces. Epidural anesthesia is a versatile technique widely used in anesthetic practice. Its potential to decrease postoperative morbidity and mortality has been demonstrated by numerous studies. To maximize its perioperative benefits while minimizing potential adverse outcomes, t...

EPIDURAL analgesia is most often used for postoperative pain relief, whereas it is no longer so commonly used for long-term treatment of pain from malignant diseases. For perioperative use, the epidural catheter is most frequently inserted before induction of anesthesia while the patient is awake, although there has recently been some debate as to whether regional techniques should or should no...

A 49-year-old male with amyotrophic lateral sclerosis (ALS) was scheduled for gastrectomy. Anesthetic management was performed under general anesthesia with sevoflurane and epidural anesthesia with lidocaine. He showed increased response to vecuronium under monitoring of neuromuscular block. But he responded favorably to anticholineesterase. He had little pain and showed no progress in neurolog...

BACKGROUND Epidural anesthesia is the most commonly used method of pain relief during labor in the USA. It is not classically associated with alterations in level of alertness. Coma during the procedure is rare, with a reported incidence of 0.1-0.3%. CASE REPORT An otherwise healthy patient experienced almost complete loss of brainstem function following routine epidural anesthesia during del...

PURPOSE An audit of our first 151 cases of conscious off pump coronary artery bypass (COPCAB) surgery with epidural anesthesia as sole anesthetic. METHODS Patients underwent conscious off pump coronary artery bypass (OPCAB) surgery using high thoracic epidural anesthesia. The epidural catheter was inserted on the day before the surgery. RESULTS There were 118 male and 33 female patients. Th...

Recent advances in anesthetic care for patients undergoing total hip arthroplasty are summarized. Epidural and spinal anesthesia are associated with reduced perioperative blood loss and lower deep vein thrombosis rates. A new technique of inducing hypotension with epidural anesthesia is described. This technique is associated with low rates of deep vein thrombosis, blood transfusions, and enhan...

To the Editor:—We read with interest the article by Langesæter et al. that investigated the hemodynamic effects of a low-dose versus a higher-dose bupivacaine spinal anesthesia for cesarean delivery. While the LiDCOplus (LiDCO Ltd., Cambridge, United Kingdom) monitor for continuous hemodynamic measurements seems promising because of its minimal invasiveness, the use of low-dose bupivacaine for ...