Anesthesia & Clinical Research
Open Access

Department of Anesthesia, Hospital Clínicas Municipal São Bernardo do Campo, Brazil

Publications

• Review Article   
  Segmental Spinal Anesthesia: A Systematic Review
  Author(s): Luiz Eduardo Imbelloni*, Jaime Weslei Sakamoto, Eduardo Piccinini Viana, Andre Augusto de Araujo, Davi Pöttker and Marcelo de Araujo Pistarino
  
  The anatomical characteristics between the thoracic and lumbar spine are significantly different. Several MRI studies have demonstrated that there is a greater depth of the posterior subarachnoid space. Despite anatomical data, anesthesiologists are reluctant to consider higher levels for spinal anesthesia largely due to direct threats to spinal cord. Several articles published in the literature have demonstrated the safety of performing thoracic puncture for anesthesia. The puncture can be performed with a single puncture with a cut tip or pencil tip, or with the aid of the combined epidural-spinal block. In thoracic puncture, isobaric or hyperbaric anesthetics can be used, with or without opioids. The use of hyperbaric solutions provides a sensitive block of longer duration than the motor block. Thus, it is an excellent indication for outpatient surgery with low.. View More»
  

  Abstract PDF