Epidural Anesthesia - StatPearls - NCBI Bookshelf
2024年2月2日 · Epidural anesthesia is a method of neuraxial pain control in which anesthetic medications are injected into the epidural space to block sensory and motor spinal nerve roots in the thoracic, abdominal, pelvic, and lower extremity areas.
Epidural and combined spinal-epidural anesthesia: Techniques
Epidural anesthesia is used for anesthesia of abdominal, pelvic, and lower extremity procedures and, less commonly, thoracic procedures. It may be used to supplement general anesthesia for thoracic, abdominal, and pelvic procedures and for postoperative analgesia following these …
Epidural Anesthesia and Analgesia - NYSORA
Epidural techniques are appropriate for the perioperative management of patients with AH. AH occurs in up to 85% of patients with spinal cord injuries at or above T4–T7 as a result of uninhibited sympathetic activity.
Epidural Technique The 4 p’s for the administration of epidural anesthesia are preparation, position, projection, and puncture. Preparation Prepare the patient. Discuss options, risks and benefits. Explain what to expect during an epidural anesthetic. Decide whether to use a single shot, continuous catheter, or intermittent bolus technique.
Epidural: What It Is, Procedure, Risks & Side Effects - Cleveland Clinic
Epidurals are a common procedure to provide pain relief or a lack of feeling for labor and childbirth, certain surgeries and certain causes of chronic pain. An epidural is generally a very safe procedure, but there are some risks and possible side effects.
Epidural administration - Wikipedia
Epidural administration involves the placement of a catheter into the epidural space, which may remain in place for the duration of the treatment. The technique of intentional epidural administration of medication was first described in 1921 by Spanish military surgeon Fidel Pagés.
Practical Considerations to Access the Epidural Space
2023年9月26日 · Epidurals can be inserted using the midline or paramedian approach. The epidural space is identified by loss of resistance (LOR). This phenomenon is the decrease in resistance felt whilst injecting saline or air as the needle passes from the ligamentum flavum to the potential epidural space.
Epidural Anesthesia: Mechanism of Action and Indications
Epidural anesthesia is a neuraxial procedure that involves delivering medication, most often local anesthetic, to the epidural space for analgesia or anesthesia. The epidural space is located superficial to the dura mater of the spinal cord and just deep to …
Spinal, Epidural, and Caudal Anesthesia: Anatomy, Physiology, and Technique
2019年6月12日 · The epidural space is closed at the foramen magnum, where the spinal dura attaches to the dura of the cranium and at the sacral hiatus by the sacrococcygeal ligament. Frequently, anatomic references will illustrate neuraxial anatomy by way of sagittal and/or transverse cross-section.
Combined Spinal Epidural (CSE) - ASRA Pain Medicine
2019年8月7日 · Combined Spinal Epidurals can be placed using two primary techniques, the needle-through-needle technique (NTN) and the separate-needle technique (SN). The SN technique allows for testing the epidural catheter prior to administering the spinal anesthetic. The NTN is quicker to perform and better tolerated by patients.