Dr. Aditi discusses in detail various aspects of neuraxial blocks, spinal and epidual, with methods, complications, with beautiful graphics, figures and diagrams.

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27. Sr. Spinal Anaesthesia Epidural Anaesthesia
No.
Level: below L1/L2, where the Level: at any level of the vertebral
1 spinal cord ends column
Injection: subarachnoid space Injection: epidural space i.e
2 i.e punture of the dura mater without punture of the dura
mater
Single shot procedure Continuous analgesia can be
3 provided by indwelling catheter
Doses: 2.5- 3.5 ml bupivacaine Doses: 15- 20 ml bupivacaine 0.5%
4 0.5% heavy heavy
Onset of action: rapid (2-5 min) Onset of action: slow (15-20 min)
5
Density of block: more dense Density of block: less dense
6 More muscle relaxation
Hypotension: rapid Hypotension: slow
7
Headache may be a post-op Not a probable complication
8 complication
Finite procedure, short Longer surgeries, surgeries with
9 surgeries complications

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