Physiology of spinal anesthesia: What are the implications for management?

Regional Anesthesia and Pain Medicine

Volumn 23, Issue 4, 1998, Pages 370-373

  Butterworth, John ^a  

^a WAKE FOREST SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADRENALIN; ALDOSTERONE; CARBON DIOXIDE; CORTICOTROPIN; EPHEDRINE; GLUCOSE; GROWTH HORMONE; HALOTHANE; HYDROCORTISONE; INSULIN; LIDOCAINE; LOCAL ANESTHETIC AGENT; PHENYLEPHRINE; TETRACAINE;

APNEA; CARDIOVASCULAR SYSTEM; CENTRAL NERVOUS SYSTEM; CLINICAL TRIAL; DRUG CLEARANCE; ENDOCRINE SYSTEM; HEMODYNAMICS; HUMAN; HYPOTENSION; KIDNEY BLOOD FLOW; LIVER BLOOD FLOW; NERVE BLOCK; NONHUMAN; PRIORITY JOURNAL; RESPIRATORY SYSTEM; REVIEW; SPINAL ANESTHESIA; STRESS; URINE RETENTION;

EID: 0031850259     PISSN: 0146521X     EISSN: None     Source Type: Journal    
DOI: 10.1016/s1098-7339(98)90008-6     Document Type: Review

References (24)

1. Greene NM, Brull SJ. Physiology of Spinal Anesthesia. 4th ed. Baltimore, Williams & Wilkins, 1993.
2. Butterworth J. Mechanisms of local anesthetic action. In: Miller RD, Schwinn DA, eds. Atlas of anesthesia. New York, Churchill Livingstone, 1998: 16.1-16.13.
3. Howarth F. Studies with a radioactive spinal anesthetic. Br J Pharmacol 1949: 4: 333-347.
4. Cohen EN. Distribution of local anesthetic agents in the neuraxis of the dog. Anesthesiology 1968: 29: 1002-1005.
5. Green NM. Area of differential block in spinal anesthesia with hyperbaric tetracaine. Anesthesiology 1958: 19: 45-50.
6. Freund FG, Bonica JJ, Ward RJ, Akamatsu TJ, Kennedy WF Jr. Ventilatory reserve and level of motor block during high spinal and epidural anesthesia. Anesthesiology 1967: 28: 834-837.
7. Chamberlain DP, Chamberlain BD. Changes in the skin temperature of the trunk and their relationship to sympathetic blockade during spinal anesthesia. Anesthesiology 1986: 65: 139-143.
8. Defalque RJ. Compared effects of spinal and extradural anesthesia upon the blood pressure. Anesthesiology 1962: 23: 627-630.
9. Butterworth JF IV, Piccione W Jr, Berrizbeitia LD, Dance G, Shemin RJ, Cohn LH. Augmentation of venous return by adrenergic agonists during spinal anesthesia. Anesth Analg 1986: 65: 612-616.
10. Butterworth JF IV, Austin JC, Johnson MD, Berrizbeitia LD, Dance GR, Howard G, Cohn LH. Effect of total spinal anesthesia on arterial and venous responses to dopamine and dobutamine. Anesth Analg 1987: 66: 209-214.
11. Rooke GA, Freund PR, Jacobson AF. Hemodynamic response and change in organ blood volume during spinal anesthesia in elderly men with cardiac disease. Anesth Analg 1997: 85: 99-105.
12. Brooker RF, Butterworth JF IV, Kitzman DW, Berman JM, Kashtan HI, McKinley AC. Treatment of hypotension after hyperbaric tetracaine spinal anesthesia. A randomized, double-blind, cross-over comparison of phenylephrine and epinephrine. Anesthesiology 1997: 86: 797-805.
13. Kimura T, Komatsu T, Hirabayashi A, Sakuma I, Shimada Y. Autonomie imbalance of the heart during total spinal anesthesia evaluated by spectral analysis of heart rate variability. Anesthesiology 1994: 80: 694-698.
14. Introna R, Yodlowski E, Pruett J, Montano N, Porta A, Crumrine R. Sympathovagal effects of spinal anesthesia assessed by heart rate variability analysis. Anesth Analg 1995: 80: 315-321.
15. Dohi S, Naito H, Takahashi T. Age-related changes in blood pressure and duration of motor block in spinal anesthesia. Anesthesiology 1979: 50: 319-323.
16. Greene NM, Brull SJ. Hepatic function. In: Greene NM, Brull SJ, eds. Physiology of Spinal Anesthesia. 4th ed. Baltimore, Williams & Wilkins, 1993: 233-262.
17. Worsley MH, Wishart HY, Peebles Brown DA, Aitkenhead AR. High spinal nerve block for large bowel anastomosis: A prospective study. Br J Anaesth 1988: 60: 836-840.
18. Greene NM, Brull SJ. Renal function. In: Greene NM, Brull SJ, eds. Physiology of Spinal Anesthesia. 4th ed. Baltimore, Williams & Wilkins, 1993: 263-280.
19. Greene NM, Brull SJ. Pulmonary ventilation and hemodynamics. In: Greene NM, Brull SJ, eds. Physiology of Spinal Anesthesia. 4th ed. Baltimore, Williams & Wilkins, 1993: 201-232.
20. Steinbrook RA, Concepcion M, Topulos GP. Ventilatory responses to hypercapnia during bupivacaine spinal anesthesia. Anesth Analg 1988: 67: 247-252.
21. 2 response. Anesth Analg 1991: 72: 182-186.
22. Caplan RA, Ward RJ, Posner K, Cheney FW. Unexpected cardiac arrest during spinal anesthesia: A closed claims analysis of predisposing factors. Anesthesiology 1988: 68: 5-11.
23. Greene NM, Brull SJ. Endocrine function. In: Greene NM, Brull SJ, eds. Physiology of Spinal Anesthesia. 4th ed. Baltimore, Williams & Wilkins, 1993: 281-296.
24. Webster J, Barnard M, Carli F. Metabolic response to colonie surgery: Extradural vs. continuous spinal. Br J Anaesth 1991: 67: 467-469.