Applying regional anesthesia means using specific techniques and medications, i.e. injecting a local anesthetic into the spinal canal (neuraxial anesthesia) or nearby a peripheral nerve under ultrasound control (peripheral nerve block). Neuraxial anesthesia is further divided into spinal and epidural anesthesia. Nowadays the standard use of ultrasound has significantly improved safety and efficacy of peripheral nerve blocks.
With it being administered by an experienced anesthesiologist for anesthetic and analgesic purposes, regional anesthesia enables us to provide surgical anesthesia, thereby enabling us to perform surgery and at the same time provide adequate analgesia afterwards.
Depending on the surgical procedure specific parts of the body will be numbed, the patient can either be awake, slightly sedated, or asleep, while still maintaining spontaneous breathing (procedural sedation).
Analgesia provides pain relief in the region covered by the block and usually lasts 6-12 hours which can be prolonged to 24 hours via the use of different adjuvants and perineural catheters. Also, by applying so-called “motor-sparing” blocks and preserving motor function, early patient mobilization after surgery and discharge from hospital is encouraged.
Regional anesthesia can be safely performed in adult as well as pediatric patients.
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