Neuraxial Blocks: Epidural and Spinal Anesthesia & Analgesia – Anesthesia | Lecturio

epidural and subdural has 3 mm gap ,
epidural can be controlled but is not as potent as subdural , sometimes the patient can feel movement but not pain , while the advantage being the dose can be conrolled , good for perioperative and obstetrics , lasts longer

subdural more potent but lasts lesser time , diadvantage is not controlled , mostly lidocaine used

its very usefull for an anaesthesia trchnician 🥰thankyou sir

Congratulations and thank you for the lecture

tq so much

Excellent coverage, thanks so much for sharing! 😎

What kind of positioning is Advised or recommended for inappropriate or low level of block in regional anesthesia (headdown or head up?

NOone have ever showed me or used an "introducer" needle. -- glad to see medical practice is same worldwide --

I'm an ICU RN. Had an epidural pre CS for 2nd baby. All was well until I felt hands inside my abdomen pulling/tugging. It felt like all my organs were being pulled out! Excruciating pressure and tugging, causing me to scream out in pain. I heard the anes doc mumble something about "parasympathetic reaction". Could you comment on this phenomenon?

Great video! I was unacquainted about the difference between epidural and spinal anesthesia. thank you very well explained.

Well done. Thank you very much for the tutorial.

What local anesthetics can be used for spinal anesthesia in Emergency Appendectomy?

..♥♥..

Really appreciate your dedication to the video!. Thank you.

Very valuable

Thank you 🙂

Boy when these go wrong, your life can be completely DESTROYED

I had an epidural for my first pregnancy but they injected to much in me during my 14 hours of labor. I could move my legs but I was so numb hours after the ejection I could not feel my chest and leg. I was able sitting upright with the help of the nurse but I was holding my self up with my arms. My back and legs where so weak and numb the nurse did not believe me so she hit my back. I could hear a loud slap but I did not feel it . My feet hit the floor as I was looking down but before I knew it my feet where flat on the floor my legs where bent my butt was on the floor my spin was curled tight between my legs my head hit the floor my neck was on my pelvic my arms where straight out in front of me and I could not feel the impact of the fall. The nurse hit the call button and several people ran in and put me back on the table they did a bunch of testing to make sure nothing was damaged or broken. This happened back in 1990 October 31.

Thanks, well explained

good video i ham having one done this friday 14/5/2021 for the first time i just hope its not as bad as it looks i supposed its safer if you have copd like ihave Anesthesia sure as come along way and he sure dose explain in away you understand

Future CRNA. May you Rest In Peace

He is so cute. Excellent lecture ❤️💕❤️💕❤️💕

Nice

Highly informative. thanks

Very well explained. Thank you.

This is what we,med students need! informative, plain and understandable

Excellent sir... Very well explained...

I got a question on spinal needle introduction for subarachnoid anesthesia : first why we got to introduce the interducer fisrt
Then the needle with the stylet

I had inguinal hernia surgery in March 2020 under spinal block,everything went perfect except the Foley catheter afterwards,but that’s another story.Maybe I had a more skilled anesthesiologist than the previous commenter,don’t know.He was a young guy,probably only been out of AA school a couple of years,but he got the job done with one try.If I have to have any other lower abdominal surgeries in the future,I would not even consider doing it any other way.

Thank you, doctor, I have a question around the sensory block level after spinal anesthesia,
is the blocking started from toes to the upper part or from the upper part to toes? thank you

Thank you, sir! May you rest in peace 🙏🏻

clear explanation

Thanks so much for posting

So simple and easily explained 👍

Thanks a lot

That's was a very usefull video, RIP fella

Thank you for easy understanding and very well explained procedures. It is pleasure to watch this video.

sorry for dislike, but,

i went for inguinal hernia surgery a month ago and they gave me the first injection on my spine (without freezing) and it doesn't work : few mins and i can still lift my leg with little numb, took another one 😭 few mins and my legs switched off but my up-to-groin area was half numb, they checking that area if it switched off with scalpel, sharp things, electrical scalpel and i felt so disturbed and went in hard annoyance, stressed and start groaning from pain.

i felt pain, i felt scratched, i felt burn in my surgery place, it is not a comfort things to do with patient at all, my groaning lastly drived them for the general anesth by pethidine in IV.

if someone know why spine anesth have a high scope of fail please answer, but, it left a bad, sore, angry, execrable experiment for me now, and i will never try it again under any circumstances, and i don't recommed it at all 👎👎👎👎👎☹.

When i healed i heard from people lots of horrific stories worse than me, some took 4 injection, some took 10 !!!!

For patients : choose the general anesth directly, if you have any contra-coditions you already signed in their documents down there that they are free from any liabilities, so go for it and don't mess with your spine.

For doctors : some patients works hard, sweating, sun burn their skins, adjourn some needs, so as to collect the the money and come to you seeking relief.

Very helpful, thank you

Although I don't know him personally It saddened me, I watched his video repeatedly during Uni days & now that am starting a new job. All his video are very informative and easy to understand. My condolences to the family. Thank you very much for your outstanding video teaching & RIP Dr. Warriner.

My epidural was placed too far in, I got numb from the waist up to my shoulders. I had a swollen dry mouth, I couldn't breathe, and I kept blacking out. Should I take further action!????

I just googled the DR and found out he past away. may he rest in peace.

Thanks a lot Sir!!!!! Great explanation!!! 👌🏻👏🏻👍🏻

Excellent lecture, very informative!

Actually, it's not correct the fact that he said we could not put a catheter in the subarachnoid space.

Fantastic, I wish you taught at my medical school!

Thanks so much.

very good teacher. well explained.

Excellent presentation. Thank you!