Epidural and spinal administration of anaesthetics

  • Published 2017


Epidural anaesthetics are another group of drugs implicated in causing arachnoiditis. Vandermeulen ( [i] ) includes arachnoiditis as a "mishap"... "solely due to ... epidural anaesthesia". Haisa et al ( [ii] ) state that lumbar adhesive arachnoiditis should be considered for differential diagnosis of back and leg pain after epidural anaesthesia. Furthermore, epidural anaesthesia may cause subarachnoid cysts or cavities, which are also recognised complications of arachnoiditis. Over a century ago, Koller first used cocaine to anaesthetise his eyes. In 1865, Halsted used cocaine anaesthesia. Corning pioneered the epidural local anaesthetic block, whilst Bier reported on subarachnoid local anaesthetic in 1899. (Bier also reported the first spinal headache). Lemmon in 1940 started using a continuous spinal technique; later intraoperative spinal anesthesia came into use; however, it was not until the 1990s that infusions of post-operative analgesia became widespread. ( [iii] )

Cite this paper

@inproceedings{2017EpiduralAS, title={Epidural and spinal administration of anaesthetics}, author={}, year={2017} }