ISSN: 2155-6148
Department of Anesthesia, Hospital ClÃnicas Municipal São Bernardo do Campo, Brazil
Dr. Buyukyavuz A is an Associate professor in the Department of Anesthesia, Hospital Clínicas Municipal São Bernardo do Campo, São Bernardo do Campo, SP, Brazil, Dr.Marcelo de Araujo Pistarino is the author/editors/reviewer in several international journals. He published 10 articles in many journals and the articles are informative and got good citations.
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»