Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast cover image

Episode 58: Medications For Neuraxial Anesthesia with Dave Berman and Anh Nguyen

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

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The Use of Sodium Bicarbonate in Neuraxial Anesthesia

This chapter explores the benefits and controversy surrounding the use of sodium bicarbonate in neuraxial anesthesia, including its potential to speed up onset time and improve anesthesia quality through alkalization. It also highlights the importance of adding sodium bicarbonate just before use to prevent precipitation and the consideration of potential side effects such as accelerated sympathetic blockade and hypotension.

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