Cauda Equina Blockade

Cauda equina blockade is a regional anesthesia technique that temporarily interrupts nerve signaling from the lumbosacral nerve roots, producing sensory analgesia in the lower body. It works by delivering a local anesthetic into the caudal epidural space, where the drug diffuses across nerve membranes and blocks voltage-gated sodium channels, preventing action-potential conduction; dose, concentration, and injection site influence the block’s extent and duration. In pharmacology and clinical research, this technique helps assess local anesthetic potency, spinal pain pathways, and dose-response relationships, while its clinical use provides analgesia for selected procedures involving the perineum, pelvis, or lower limbs.

Cauda Equina Blockade - Related Videos

Research

JoVE Journal - Medicine

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

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2024

Dural hernia following spinal endoscopic surgery is a rare complication. Here, we report a case of nerve root hernia associated with the absence of dural repair, prolonged operation time, and increased abdominal pressure due to postoperative constipation. Early dural tear repair and monitoring postoperative constipation can help prevent cauda equina herniation.

Education

JoVE Core - Pharmacology

Neuromuscular Junction And Blockade

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2025

The site of chemical communication between a motor neuron and a muscle fiber is called the neuromuscular junction (NMJ). The end of the motor neuron at the NMJ divides into a cluster of synaptic end bulbs. The cytoplasm of these bulbs consists of synaptic vesicles enclosing acetylcholine molecules, the principal neurotransmitter released at the NMJ. The region opposite the synaptic bulb that ends in the muscle fiber is called the motor end plate, which has acetylcholine receptors. Within the...

Deep Neuromuscular Blockade Leads to a Larger Intraabdominal Volume During Laparoscopy

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Cited by 49 •

2013

This article presents a method for measuring the working abdominal volume during laproscopic myomectomy using the surgical grasper, and applies this technique to obtain pilot data on whether deep neuromuscular blockade (NMB) can enable the use of lower insufflation pressure. Reduced insufflation pressure during laproscopic surgery has been shown to reduce post-operative pain, and thus the use of NMB during surgery may enable improved patient outcomes.

Research

JoVE Journal - Immunology and Infection
Free Sample

Induction of Alloantigen-specific Anergy in Human Peripheral Blood Mononuclear Cells by Alloantigen Stimulation with Co-stimulatory Signal Blockade

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Cited by 9 •

2011

This paper describes a simple technique to induce alloantigen-specific anergy in human peripheral blood mononuclear cells. The technique can be applied clinically to generate non-alloreactive donor cells. Infusion of these cells could improve immune reconstitution and reduce toxicity after allogeneic hematopoietic stem cell transplantation.

Microfocus X-ray CT (microCT) Imaging of Actinia equina (Cnidaria), Harmothoe sp. (Annelida), and Xenoturbella japonica (Xenacoelomorpha)

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Cited by 12 •

2019

Here, protocols for performing microfocus X-ray computed tomography (microCT) imaging of three marine invertebrate animals are explained in detail. This study describes steps such as sample fixation, staining, mounting, scanning, image reconstruction, and data analyses. Suggestions on how the protocol can be adjusted for different samples are also provided.

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