Central neural blockade

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Central neural blockade

Epidural and spinal anaesthesia
Difficult to reverse once established (general is not)

Indications:
General anaesthesia inappropriate

Contraindications:
Patient choice; neurological condition involving spinal cord

Epidural:
Spinal nerves blocked by local anaesthetic deposited at desired level

Spinal anaesthesia:

Complications – headache, hypotension, cauda equina syndrome, infection

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