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New Aspects in Regional Anesthesia 4

Major Conduction Block: Tachyphylaxis, Hypotension, and Opiates

  • Conference proceedings
  • © 1986

Overview

Editors:
  1. Hans Joachim Wüst

    1. Department of Anesthesiology, University Hospital, Düsseldorf, Germany

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  2. M. d’Arcy Stanton-Hicks

    1. Department of Anesthesiology, University of Colorado H.S.C., Denver, USA

    View editor publications

    You can also search for this editor in PubMed   Google Scholar

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Table of contents (23 papers)

  1. Front Matter

    Pages I-XV
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  2. Tachyphylaxis in Long-Term Epidural Analgesia

    1. Front Matter

      Pages 1-1
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    2. Tachyphylaxis in Regional Anesthesia: Can We Reconcile Clinical Observations and Laboratory Measurements?

      • L. E. Mather
      Pages 3-9

    3. No Tachyphylaxis with Prolonged, Continuous Bupivacaine

      • P. P. Raj, D. D. Denson, R. H. De Jong
      Pages 10-19

    4. Tachyphylaxis and Local Anesthetics

      • D. B. Scott
      Pages 20-23

    5. Clinical Observations of Tachyphylaxis During Long-Term Epidural Analgesia

      • H. J. Wüst
      Pages 24-31

    6. Experimental Tachyphylaxis: Development of a Continuous Epidural Dog Model

      • M. d’Arcy Stanton-Hicks, H. J. Wüst, U. Koch, D. Weidlich, I. Düffel
      Pages 32-38

    7. Pharmacologic Regulation of Local Anesthetic Conduction Block by Cyclic AMP

      • B. J. Kraynack
      Pages 39-45

    8. Panel Discussion: Tachyphylaxis and Local Anesthetics

      • Hans Joachim Wüst, M. d’Arcy Stanton-Hicks
      Pages 46-49

  3. Hypotension Induced by Major Conduction Blocks

    1. Front Matter

      Pages 51-51
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    2. Pathophysiology of Hypotension Induced by Spinal/Epidural Analgesia

      • S. Reiz
      Pages 53-55

    3. Vasovagal Syncope and Spinal Anesthesia: A Psychophysiologic Phenomenon

      • W. Tolksdorf, G. Merkel, H. Rehder, R. Mutschler, E. R. Rey, J. Berlin
      Pages 56-62

    4. Direct Vascular Effects of Some Local Anesthetics: A Mechanical and Electrophysiological Study

      • J. Riemer, K. Kölling
      Pages 63-68

    5. Subarachnoid Block Spares Visceral Blood Flow and Drug Elimination Capacity

      • L. E. Mather, W. B. Runciman
      Pages 69-71

    6. Severe Hypotension and Major Conduction Anesthesia

      • H. J. Hartung, P. M. Osswald, H. J. Bender, H. Lutz
      Pages 72-77

    7. Hemodynamic Effects of Different Vasopressors (Etilefrine, Norfenefrine, Akrinor, Amezinium Metilsulfate) During Hypotension Caused by Epidural Anesthesia

      • H. Müller, A. Brähler, M. Stoyanov, I. Gerlach, G. Hempelmann
      Pages 78-93

    8. Blood Volume Distribution Under the Influence of Dihydroergotamine (Dihydergot) and Etilefrine Hydrochloride (Effortil) During Epidural Anesthesia

      • K. D. Stühmeier, M. d’Arcy Stanton-Hicks, A. Höck, J. O. Arndt
      Pages 94-98

    9. Hemodynamic Effects and Mechanism of Action of Dihydroergotamine in Epidural Anesthesia

      • M. Zimpfer
      Pages 99-107

    10. Panel Discussion: Hypotension Associated with Local Anesthetics

      • Hans Joachim Wüst, M. d’Arcy Stanton-Hicks
      Pages 108-110

  4. Epidural and Intrathecal Opioids in Acute and Chronic Pain Treatment

    1. Front Matter

      Pages 111-111
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Keywords

About this book

Major conduction blocks utilizing local anesthetics or opiates are find­ ing ever increasing applications in daily routine. However, two serious drawbacks are associated with their use: hypotension during surgery and the development of tolerance in long-term epidural analgesia. When opiates are injected epidurally or intrathecally, numerous side effects such as itching, nausea and vomiting, or respiratory depression have been reported. The pathophysiology of complications arising during a major conduction block and measures to prevent them were discussed by 19 experts at the 4th International Symposium at DUsseldorf. This volume contains 21 papers presented on three topics: 1. tachyphylaxis in long-term epidural anesthesia, 2. hypotension due to epidural and spinal anesthesia, and 3. effects and dangers of epidural and intrathecal opiates. With regard to the safety of our patients during anesthesia, current practices of preventing complications were evaluated, and preliminary guidelines for a more rational approach toward prevention and treat­ ment based on a knowledge of pathophysiologic mechanisms were developed. It is our hope that the anesthesiologist will profit from the discussion of regional anesthesia contained in this volume, many aspects of which have never before been presented in such detail.

Editors and Affiliations

  • Department of Anesthesiology, University Hospital, Düsseldorf, Germany

    Hans Joachim Wüst

  • Department of Anesthesiology, University of Colorado H.S.C., Denver, USA

    M. d’Arcy Stanton-Hicks

Bibliographic Information

  • Book Title: New Aspects in Regional Anesthesia 4

  • Book Subtitle: Major Conduction Block: Tachyphylaxis, Hypotension, and Opiates

  • Editors: Hans Joachim Wüst, M. d’Arcy Stanton-Hicks

  • Series Title: Anaesthesiologie und Intensivmedizin Anaesthesiology and Intensive Care Medicine

  • DOI: https://doi.org/10.1007/978-3-642-70807-7

  • Publisher: Springer Berlin, Heidelberg

  • eBook Packages: Springer Book Archive

  • Copyright Information: Springer-Verlag Berlin Heidelberg 1986

  • Softcover ISBN: 978-3-540-15938-4Published: 01 May 1986

  • eBook ISBN: 978-3-642-70807-7Published: 06 December 2012

  • Series ISSN: 0171-1814

  • Edition Number: 1

  • Number of Pages: XVI, 166

  • Number of Illustrations: 15 b/w illustrations

  • Topics: Anesthesiology, Intensive / Critical Care Medicine

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