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Regional Anaesthesia Procedure in Mukundapur

Regional Anesthesia

Regional Anaesthesia Procedure in Mukundapur

Regional anaesthesia consists of blocking or inhibiting nerve transmission to relieve pain in a larger area, compared to local anaesthesia. This type of anaesthesia is performed to address pain during or after major surgeries, such as Chest or Abdominal Surgery, or to manage pain during childbirth. In some cases, general anaesthesia is combined with regional anaesthesia, depending on the conditions and the surgery employed to control pain. In that case, anaesthesiologists use a lower dose of general anaesthesia to facilitate recovery post-surgery.

The main types of regional anaesthesia include:

  • Neuraxial anaesthesia, which includes spinal and epidural anaesthesia

  • Peripheral nerve blocks involve administering local anaesthetics and other painkillers near major nerves in specific areas, such as the neck, arm, hand, leg, or foot.

  • Intravenous regional anaesthesia, also known as Bier’s Block. This is a technique that involves the administration of an anaesthetic drug by draining the blood present in the venous system of the arm or limb by a process called exsanguination. Therefore, injecting the drug into the veins, thus isolating it from the central circulation.

Manipal Hospitals has one of the best regional anesthesia centres in Kolkata. The expert team in Anesthesia delivers the service with utmost care and precision. 

 

 

FAQ's

General steps or instructions you should take to prepare for a procedure involving regional anaesthesia include the following: 

Notify our specialist if you have any existing co-morbidities or have experienced allergies induced by anaesthesia medications.
Avoid eating after midnight before the day of surgery. Moreover, if you do not have any contraindications, you are allowed to consume clear fluids for up to 2 hours before the procedure.
You typically do not need to remove your dentures for regional anaesthesia procedures unless specifically instructed otherwise.
Discuss any concerns or questions you may have regarding your surgical procedure, risks, and recovery with our specialists. They will promptly address your doubts.
Prepare for your transportation to and from the hospital during the day of your procedure, and also plan your clothing and comfort items if the procedure necessitates hospitalisation post-procedure. 
 

Some types of surgical procedures that involve the administration of regional procedures include:

  • Gastrointestinal and Hepatobiliary Surgery, such as Colon Resection Surgery and other procedures conducted in the stomach, liver, or intestines

  • Gynaecology-related procedures, such as Hysterectomy, high-risk pregnancy procedures like Cesarean Section, and other gynaecological procedures

  • Ophthalmology or eye procedures

  • Orthopaedic procedures

  • Urinary procedures, such as Nephrectomy, Radical Prostatectomy, and others 

  • Cardiothoracic Surgery

  • Vascular Surgery, particularly Lower Extremity Graft Bypass procedure and Abdominal Aortic Endovascular procedure

Depending on your condition and the procedure, you will be awake or may be administered a mild or moderate sedative along with regional anaesthesia, which will make you feel relaxed, drowsy, or sleepy during the procedure. However, you can respond to any questions when surgeons wake you up. Moreover, if sedation is administered with regional anaesthesia, surgeons will monitor your blood pressure, oxygen level, heart rate, and other factors to avoid complications. 


 

In a spinal anaesthesia procedure, specialists administer anaesthesia into the fluid around the spinal cord, while in epidural anaesthesia, the drug is administered into the epidural space. The epidural space surrounds the spinal nerve. In both techniques, a catheter is often left in case the patient requires a more repeated dose of anaesthesia to control pain. Epidural anaesthesia is usually performed for childbirth procedures to minimise pain contractions during labour. On the other hand, spinal anaesthesia is used for surgeries involving the pelvis, lower abdominals, and lower extremities. 
 

The effects of regional anaesthesia depend on the type of anaesthesia, the dosage administered, and the complexity of the condition. Peripheral nerve blocks for hand surgeries may take 6 to 8 hours. However, for procedures that involve a single injection of the drug, the effects last for 12 to 24 hours, such as Total Knee Replacement Surgeries. More painful procedures are usually addressed by giving continuous medications through the catheter placed, which may last for 2 to 3 days. 
 

Specialists consider several factors to determine if regional anaesthesia is the right method for managing your pain. These include your onset of symptoms, medical and family history, and existing comorbidities. In addition, certain indications, such as patient characteristics, specialist preference, and patient anatomy, may indicate possible limitations or contraindications that may necessitate an ulterior approach. Based on these parameters, appropriate dosages are calculated, administered, and monitored to mitigate any complications that may arise. 
 

Some complications or risks that may arise during procedures that involve regional anaesthesia include:

  • Peripheral nerve block failure

  • Nerve injury

  • Local anaesthetic toxicity

  • Allergic reactions to local anaesthetics, ranging from mild to severe, such as rashes to respiratory issues

  • Postdural puncture headache, characterised by pressure drop around the brain and spinal cord due to leakage of cerebrospinal fluid

  • Extreme pain in the back caused by administration of neuraxial anaesthesia

  • Hypotension and severe bradycardia due to neuraxial blocks

  • Epidural or spinal haematoma

  • Epidural abscess, caused by infections in the epidural space

  • Our specialists will evaluate every possible complication based on your condition and other individual factors and assure timely interventions when risks manifest during or after the procedure.


 

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