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Structures Involved in Epidural Anesthesia | Animal Husbandry & Veterinary Science Optional for UPSC PDF Download

Epidural Anaesthesia

  • Epidural anaesthesia is a type of pain relief where a numbing medication is injected outside the tough covering of the spinal cord to numb the nerves in that area.

Understanding the Spinal Cord and Its Coverings:

  • The spinal cord, which runs inside the backbone, narrows down towards the lower back and ends at a point called the conus medullaris.
  • There's a thin, non-nervous thread-like structure called the filum terminale that extends from the end of the spinal cord.
  • In different animals, the spinal cord ends at different levels: in horses, it's around the second sacral vertebra; in cattle, it's around the second sacral vertebra too, but towards the front half; and in dogs, it's at the junction of the sixth and seventh lumbar vertebrae.

The Role of Dura Mater:

  • The dura mater is a tough membrane covering both the brain and the spinal cord.
  • The part covering the spinal cord has only one layer and forms a loose tube around it.
  • Because of this loose arrangement, there's a space between the dura mater and the bony spine called the epidural space.

The Epidural Space:

  • The epidural space is filled with connective tissue and fat.
  • During epidural anaesthesia, medication is injected into this space to numb the nerves emerging from the spinal cord, providing pain relief.

Fig: Cross section of the spinal cord of horse in situFig: Cross section of the spinal cord of horse in situ

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What is the purpose of injecting medication into the epidural space during epidural anaesthesia?
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Each Spinal Nerve

  1. Spinal Nerve Roots:

    • Each spinal nerve is connected to the spinal cord through two roots: one for movement (ventral or motor root) and one for sensation (dorsal or sensory root).
  2. Formation of Spinal Nerve:

    • The ventral and dorsal roots come together just past the spinal ganglion to create the spinal nerve.
    • This nerve exits the spine through small openings called intervertebral foramina.
  3. Location of Spinal Ganglion:

    • The spinal ganglion is found on the dorsal root of the spinal nerve.
    • It is typically positioned near or within the intervertebral foramen, just outside the tough covering of the spinal cord (dura mater).
  4. Branching of Spinal Nerve:

    • Once out of the intervertebral foramen, each spinal nerve splits into dorsal and ventral primary branches.
    • The dorsal branches go on to supply muscles and skin on the back of the neck and trunk.
    • The ventral branches provide nerves to the front and sides of the trunk, as well as all parts of the limbs.

Fig: Distribution of the spínal nerves of house (schematic)Fig: Distribution of the spínal nerves of house (schematic)

Question for Structures Involved in Epidural Anesthesia
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What is the main function of sensory fibers in spinal nerves?
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Functional Components of Spinal Nerves

  • Spinal nerves have two main functions: sensory (afferent) and motor (efferent).

Sensory Fibers:

  • These fibers can carry sensations from both the body's surface (exteroceptive) and internal organs (visceral).
  • Exteroceptive sensations include feelings like pain, temperature, touch, and pressure.
  • Proprioceptive sensations arise from muscle movements, joint movements, tendons, and other deep somatic activities.

General Visceral Afferent Fibers:

  • These fibers transmit signals from internal organs, glands, blood vessels, and mucous membranes.

Spinal Nerve Fibers:

  • Both sensory and visceral fibers are connected to spinal ganglion cells, entering the spinal cord through the dorsal root.

Motor Fibers:

  • Motor fibers, responsible for movement, are further divided into somatic motor (related to skeletal muscles) and visceral motor (autonomic, controlling glands and smooth muscles).

Epidural Anaesthesia Effects:

  • During epidural anesthesia, when injected in the lower back, it first affects the sensory roots (dorsal), causing numbness.
  • Then, sympathetic fibers and eventually motor roots (ventral) are blocked, leading to muscle relaxation.
  • This is particularly beneficial for large animals, allowing surgical procedures while the animals are standing, as the sciatic nerve function remains unaffected.

Fig: Caudal spinal cord of the horseFig: Caudal spinal cord of the horse

The document Structures Involved in Epidural Anesthesia | Animal Husbandry & Veterinary Science Optional for UPSC is a part of the UPSC Course Animal Husbandry & Veterinary Science Optional for UPSC.
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FAQs on Structures Involved in Epidural Anesthesia - Animal Husbandry & Veterinary Science Optional for UPSC

1. What is epidural anesthesia?
Ans. Epidural anesthesia is a type of regional anesthesia that involves injecting a local anesthetic into the epidural space in the spine. This numbs the nerves that transmit pain signals from a specific region of the body, providing pain relief during surgical procedures or childbirth.
2. How does epidural anesthesia work?
Ans. During epidural anesthesia, a needle is inserted through the skin and into the epidural space, which is located just outside the membrane that covers the spinal cord. The local anesthetic is then injected into this space, numbing the nerves and blocking pain signals from reaching the brain.
3. What structures are involved in epidural anesthesia?
Ans. Epidural anesthesia involves the injection of a local anesthetic into the epidural space, which is located between the vertebrae and the protective covering of the spinal cord. The local anesthetic affects the spinal nerves that pass through this space, providing pain relief in the specific region of the body being operated on.
4. Is epidural anesthesia safe?
Ans. Epidural anesthesia is generally considered safe when administered by experienced healthcare professionals. However, like any medical procedure, it carries some risks, including infection, bleeding, nerve damage, and rare complications such as a spinal headache or respiratory problems. The benefits and risks of epidural anesthesia should be discussed with a healthcare provider before undergoing the procedure.
5. What are the benefits of epidural anesthesia?
Ans. Epidural anesthesia offers several benefits, including effective pain relief during surgery or childbirth, the ability to remain awake and alert during the procedure, lower doses of general anesthesia or sedatives, reduced blood loss, and faster recovery compared to general anesthesia. It also allows for continuous pain control after surgery, reducing the need for strong opioid pain medications.
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