Adjuvants to regional anaesthesia
- Author:
de la Cruz-Odi Merle F.
- Publication Type:Review
- MeSH:
ANESTHESIA;
PAIN;
ANALGESIA;
HEMODYNAMIC;
ANESTHESIA, CONDUCTION;
CLONIDINE;
KETAMINE;
NEOSTIGMINE;
ANESTHETICS, LOCAL
- From:
Philippine Journal of Surgical Specialties
1999;11(2):67-74
- CountryPhilippines
- Language:English
-
Abstract:
This discussion will focus on non-narcotic adjuvants to regional anaesthesia. Specifically, this paper will explore the use of alpha-2-adrenergic agonists (i.e. clonidine), anticholinestease (neostigmine) and a phencyclidine (ketamine) combined with local anaesthetics for regional and peripheral nerve blocks or used systematically to enhanced analgesia from local anaesthetic techniques. The spinal gaba- ergic system (i.e. midazolam) is primarily an inhibitory system. Enhancing inhibition is an exciting mechanism that is being explored at the present time, and is not discussed in this paper.
