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epidural regional anesthesia

Indications: - abdominal or pelvic surgery Procedure: - epidural administration of local anesthetic, generally into the lumbar vertebral region where the spinal cord has become the cauda equina - all medications for spinal anesthesia should be prepared in the hospital pharmacy or purchased pre-mixed from the manufacturer [2] Notes: - epidural regional anesthesia may be associated with better outcomes from surgery than general anesthesia

Related

epidural glucocorticoid injection; epidural steroid injection (ESI) local anesthetic nerve block spinal subdural local anesthesia

General

regional anesthesia; spinal anesthesia; neuraxial block intrathecal/epidural administration

References

  1. Journal Watch 21(3):26, 2001 Rodgers A et al, Reduction of postoperative mortality and morbidity with epidural or spinal anaesthesia: results from overview of randomised trials. BMJ 321:1493, 2000 PMID: 11118174
  2. Heesen M, Steuer C, Wiedemeier P et al Accuracy of spinal anesthesia drug concentrations in mixtures prepared by anesthetists. PSNet. AHRQ. January 11, 2023 https://psnet.ahrq.gov/issue/accuracy-spinal-anesthesia-drug-concentrations-mixtures-prepared-anesthetists