Abstract

ALEMAN-VARGAS, I.. Validation and algorithm of the neuroaxis in regional anesthesia. Anest. Méx. [online]. 2019, vol.31, n.2, pp.59-66. ISSN 2448-8771.

Clinical anesthesia, is the basic structure of the knowledge in the field of Anesthesiology wich has been potencialized with the combination of new biomedical technologies. Clinical anesthesia is based on observation, abilities, skills, experience and individual skill of every doctor. In the context of Anesthesiology there is not a scale of validation of the neuroaxis, and any algorithm that points the steps to follow and support the planning and stratification, by identifying certain points, to get the best option for identification of the epidural space. There are certain important factors that determine the success or failure for locating the epidural space, as they could be; age groups, clinical features of patient, weight, anatomical landmarks, extreme obesity and pathologies of the vertebral spine, etc. These characteristics are the basis of departure of the proposed scale in this article. As a result of this project, an algorithm has also been implemented, which helps us plan the conduct for the comprehensive management of epidural puncture, such as the number of attempts through a method ordered in a series of steps, or phases. Unlimited multiple attempts can generate residual damage, as Radiculopathy, post-bloqueo pain, puncture of the dura mater, hematic puncture, among others.

Keywords : Neuroaxis; epidural space; vertebra bones intervertebral spaces.