Narrative Review: Fluid Therapy Management in Regional Anesthesia and Neuraxial Block

Authors

  • Made Suandika Department of Anaesthesia, Faculty of Health, Harapan Bangsa University
  • Rahmaya Nova Handayani Department of Anaesthesia, Faculty of Health, Harapan Bangsa University
  • Agus Rosyamsi Sukarmin Department of Anaesthesia, Faculty of Health, Harapan Bangsa University
  • Irzam Prawiro Asyukron Department of Anaesthesia, Faculty of Health, Harapan Bangsa University
  • Meylani Tri Diah Pratiwi kakak
  • Magenda Bisma Yudha Department of Anaesthesia, Faculty of Health, Harapan Bangsa University

Abstract

Neuraxial anesthesia is a regional anesthesia technique involving the injection of anesthetic agents into or near the subarachnoid or epidural space to block pain transmission from spinal nerve segments. Proper management of neuraxial anesthesia includes preoperative preparation, selection of anesthetic agents and dosages, block placement techniques, hemodynamic monitoring, and management of possible complications. This asrticle discusses key aspects of neuraxial anesthesia management, including patient preparation, spinal and epidural block techniques, selection of local anesthetic agents and adjuvants, as well as the detection and treatment of side effects such as hypotension, bradycardia, and local toxicity. The aim of this discussion is to ensure that neuraxial anesthesia is delivered safely, effectively, and in accordance with anesthesiology standards of care.

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Published

2026-04-05

Issue

Vol. 40 No. 1 (2026): PENA MARET 2026

Section

Article

License

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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