The lumbar extradural structure changes with increasing age

British Journal of Anaesthesia

Volumn 78, Issue 2, 1997, Pages 149-152

  Igarashi, T ^a   Hirabayashi, Y ^a   Shimizu, R ^a   Saitoh, K ^a   Fukuda, H ^a   Mitsuhata, H ^a  

^a JICHI MEDICAL UNIVERSITY   (Japan)

Author keywords

Aesthetic techniques, extradural; Age factors; Anatomy, extradural space; Measurement techniques, extraduroscopy

Indexed keywords

ADULT; AGED; AGING; ARTICLE; EPIDURAL ANESTHESIA; EPIDURAL SPACE; HUMAN; LOCAL ANESTHESIA; LUMBAR SPINAL CORD; MAJOR CLINICAL STUDY; PRIORITY JOURNAL;

EID: 0031045030     PISSN: 00070912     EISSN: None     Source Type: Journal    
DOI: 10.1093/bja/78.2.149     Document Type: Article

References (16)

1. Bromage PR. Ageing and epidural requirements. Segmental spread and predictability of epidural analgesia in youth and extreme age. British Journal of Anaesthesia 1969; 41: 1016-1022.
2. Veering BT, Burm AGL, Van Kleef JW, Hennis PJ, Spierdijk J. Epidural anesthesia with bupivacaine: effects of age on neural blockade and pharmacokinetics. Anesthesia and Analgesia 1987; 66: 589-593.
3. Nydahl PA, Philipson L, Axelsson K, Johansson J-E. Epidural anesthesia with 0.5 % bupivacaine: influence of age on spread on sensory and motor blockade. Anesthesia and Analgesia 1991; 73: 780-786.
4. Duggan J, Bowler GMR, McClure JH, Wildsmith JAW. Extradural block with bupivacaine: influence of dose, volume, concentration and patient characteristics. British Journal of Anaesthesia 1988; 61: 324-331.
5. Bromage PR. Physiology and pharmacology of epidural anesthesia. Anesthesiology 1967; 28: 592-622.
6. Bromage PR. Mechanism of action of extradural analgesia. British Journal of Anaesthesia 1975; 47: 199-212.
7. Hirabayashi Y, Shimizu R, Matsuda I, Inoue S. Effect of extradural compliance and resistance on spread of extradural analgesia. British Journal of Anaesthesia 1990; 65: 508-513.
8. Blomberg R. The dorsomedian connective tissue band in the lumbar epidural space of humans: An anatomical study using epiduroscopy in autopsy cases. Anesthesia and Analgesia 1986; 65: 747-752.
9. Blomberg RG, Olsson SS. The lumbar epidural space in patients examined with epiduroscopy. Anesthesia and Analgesia 1989; 68: 157-160.
10. Southworth JL, Hingson RA, Pitkin WM. Conduction Anesthesia, 2nd Edn. Philadelphia: JB Lippincott, 1953; 728-784.
11. Harrison GR. The epidural space. Anaesthesia 1989; 44: 361-362.
12. Parkin IG, Harrison GR. The topographical anatomy of the lumbar epidural space. Journal of Anatomy 1985; 141: 211-217.
13. Westbrook JL, Renowden SA, Carrie LES. Study of the extradural region using magnetic resonance imaging. British Journal of Anaesthesia 1993; 71: 495-498.
14. Seeling W, Tomczak R, Merk J, Mrakovcic N. Comparison of conventional and computed tomographic epidurography with contrast medium using thoracic epidural catheters. Anaesthesist 1995; 44: 24-36.
15. Blouin R, Ruby S, Gross J. Determination of intravascular migration of an epidural catheter using the air technique. Anesthesiology 1993; 79: 1427-1429.
16. Bush D, Kramer D. Intravascular migration of an epidural catheter during postoperative patient-controlled epidural analgesia. Anesthesia and Analgesia 1993; 76: 1150-1151.