Epidural block for lumbar diskogenic radiculitis

Epidural combinations of local anaesthetics with narcotic analgetics, central a2-adrenergic agents and corticosteroids were used for severe radicular lumbo-sacral pains in 78 cases of disk prolapse. Based on the local anaesthetic administered, all patients were divided into three groups: 2 mg/kg of 2 % lidocaine solution, 0,4 mg/kg of 0,5 % marcaine solution and 0,55 mg/kg of 0,75 % naropine solution. Adjuvant drugs dosages were equalized in all study groups. The most prolonged analgesia has been observed in patients who received marcaine or naropine, pain-free period being long enough for corticosteroids to develop anti-inflammatory effect. Impedancemetry and angiography monitoring allowed registration of central and peripheral bloodflow parameters in patients with severe pain and helped follow the normalization of the parameters after epidural block.