alexa New Developments In Neuraxial Anesthesia
ISSN: 2161-1076

Surgery: Current Research
Open Access

Like us on:
OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations

700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Share This Page

Additional Info

Loading Please wait..

3rd International Conference on Surgery and Anesthesia
November 17-19, 2014 Chicago, USA

Vanny Le
ScientificTracks Abstracts: Surgery Curr Res
DOI: 10.4172/2161-1076.S1.016
Neuraxial anesthesia is a widely used technique for abdominal and lower extremity surgeries. Studies have shown the benefit of neuraxial anesthesia over general anesthesia for vascular surgeries and for total hip and knee replacements. Intraoperatively, there is decreased blood loss, reduced need for opioids and also an attenuation of the stress response. Neuraxial techniques can reduce postoperative pulmonary, thromboembolic and cardiac complications. Patients are able to mobilize sooner after surgery and they have less incidence of ileus that may also impede their recovery. Many surgeries are done with spinal or epidural anesthesia alone or in conjunction with sedation. Sedation techniques can range from constant reassurance from the anesthesiologist, intermittent boluses of sedative medications, or continuous infusions. Dexmedetomidine is an alpha-2 agonist with sedative, analgesic and anxiolytic properties. Its use is increasing in popularity for sedation with neuraxial anesthesia because it causes less respiratory depression and patients are more easily arousable. Although the techniques for placing a spinal or epidural have remained the same, there are other factors that may complicate the execution. New anticoagulants such as Pradaxa? and Xarelto? have emerged that require updated guidelines for stopping anticoagulation before and after a spinal or epidural is placed. In addition, after a series of spinal hematomas, the FDA updated its recommendations for Lovenox?. Practitioners who provide neuraxial anesthesia should be aware of the practice guidelines in order to safely manage their patients. Multiport, soft-tipped, catheters have increased in attractiveness as compared to the traditional uniport, stiffer catheters. Most of the studies are derived from labor epidurals but some evidence shows that multiport catheters have fewer incidences of one-sided blocks and less need for manipulation of the epidural once it is placed. The soft-tipped catheters may cause less inadvertent venipuncture and decrease the need for replacement. In addition, there is controversy regarding the true utility of an epidural test dose due to its lack of sensitivity and specificity. Aspiration with a multiport catheter has been shown to be as effective in detecting intravascular or intrathecal misplacement of the epidural.
Vanny Le, MD is an Interventional Pain Medicine Specialist. She graduated from the University of Medicine and Dentistry of New Jersey ? New Jersey Medical School in Anesthesiology and completed an Interventional Pain Medicine Fellowship Program at St. Luke?s-Roosevelt Medical Center/Columbia University, College of Physicians and Surgeons in New York. Having a strong interest in furthering the field of pain medicine, Dr. Le has presented research at regional and national Pain Medicine conferences. She has also submitted research in the field of pain medicine for publication; most recently she co-authored a chapter on chronic foot pain in Understanding Pain, a book dedicated to patient education. Dr. Le is an active member in several academic and professional societies including the American Academy of Pain Medicine, American Society of Anesthesiology, American Medical Association and the New Jersey State Society of Anesthesiology and Society for Education in Anesthesiology.
image PDF   |   image HTML

Relevant Topics

Peer Reviewed Journals
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri, Food, Aqua and Veterinary Science Journals

Dr. Krish

1-702-714-7001 Extn: 9040

Clinical and Biochemistry Journals

Datta A

1-702-714-7001Extn: 9037

Business & Management Journals


1-702-714-7001Extn: 9042

Chemical Engineering and Chemistry Journals

Gabriel Shaw

1-702-714-7001 Extn: 9040

Earth & Environmental Sciences

Katie Wilson

1-702-714-7001Extn: 9042

Engineering Journals

James Franklin

1-702-714-7001Extn: 9042

General Science and Health care Journals

Andrea Jason

1-702-714-7001Extn: 9043

Genetics and Molecular Biology Journals

Anna Melissa

1-702-714-7001 Extn: 9006

Immunology & Microbiology Journals

David Gorantl

1-702-714-7001Extn: 9014

Informatics Journals

Stephanie Skinner

1-702-714-7001Extn: 9039

Material Sciences Journals

Rachle Green

1-702-714-7001Extn: 9039

Mathematics and Physics Journals

Jim Willison

1-702-714-7001 Extn: 9042

Medical Journals

Nimmi Anna

1-702-714-7001 Extn: 9038

Neuroscience & Psychology Journals

Nathan T

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

John Behannon

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

1-702-714-7001 Extn: 9042

© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version