anestesia_epidural [Neurosurgery Wiki]

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La anestesia epidural o anestesia peridural es la introducción de anestésico local en el espacio epidural.

La importancia del conocimiento de esta técnica radica en las complicaciones que se pueden presentar:

Cefalea postpuncional

Fístula de LCR (tratable con inyección de sangre en el espacio epidural).

Hemorragia subaracnoidea

Hematoma subdural 

**Bibliografía**

Böttiger, B W, y G Diezel. 1992. «[Acute intracranial subarachnoid hemorrhage following repeated spinal anesthesia]». Der Anaesthesist 41 (3) (Marzo): 152-157.

Chan, Brian O, y Michael J Paech. 2004. «Persistent cerebrospinal fluid leak: a complication of the combined spinal-epidural technique». Anesthesia and Analgesia 98 (3) (Marzo): 828-830.

Coffey, Robert J, Keith Miesel, y Tina Billstrom. 2010. «Cerebrospinal fluid pressure measurement in the ovine intrathecal space: a preliminary study towards the diagnosis of intrathecal drug administration catheter dislodgement or occlusion». Stereotactic and Functional Neurosurgery 88 (6): 337-344. doi:10.1159/000319034.

Demetriades, Andreas K, Mohammed F Sheikh, y Pawan S Minhas. 2011. «Fatal bilateral subdural haematoma after epidural anaesthesia for pregnancy». Archives of Gynecology and Obstetrics (Agosto 26). doi:10.1007/s00404-011-2070-z. http://www.ncbi.nlm.nih.gov/pubmed/21870066.

Ho, K-Y, y T J Gan. 2007. «Management of persistent post-dural puncture headache after repeated epidural blood patch». Acta Anaesthesiologica Scandinavica 51 (5) (Mayo): 633-636. doi:10.1111/j.1399-6576.2007.01283.x.

Szokol, J W, y M J Falleroni. 1999. «Lack of efficacy of an epidural blood patch in treating abducens nerve palsy after an unintentional dura puncture». Regional Anesthesia and Pain Medicine 24 (5) (Octubre): 470-472.

Vakharia, S B, P S Thomas, A E Rosenbaum, J J Wasenko, y D G Fellows. 1997. «Magnetic resonance imaging of cerebrospinal fluid leak and tamponade effect of blood patch in postdural puncture headache». Anesthesia and Analgesia 84 (3) (Marzo): 585-590.