EPIDURAL ANESTHESIA
EPIDURAL ANESTHESIA
EPIDURAL ANESTHESIA; CATHETER TECHNIQUE
- Epidural Anesthesia
- Patient in C-shaped position
- Epidural needle inserted into epidural space
ISOBARIC BUPIVACAINE (20 ML)
- 50 mL Multiple-dose
- Bupivacaine
- HCl Injection, USP
- 0.5% (5 mg/mL)
For NERVE BLOCK.
- R only
- Not for caudal, epidural or spinal anesthesia.
© 2008 GS
SLOW ONSET (30 MIN), LESS DENSE BLOCK
- Spinal cord
- Dura
- Epidural space with anesthesia
TOUHY NEEDLE
- BUFFED HEEL FOR ADDED SAFETY
- WEISS-STYLE
- WINGED LUER LOCK HUB WITH STYLET
- 10MM CALIBRATIONS
- STERILE DISPOSABLE
LOSS OF RESISTANCE TECHNIQUE
CATHETER TECHNIQUE
You Are Leaving
- PAIN
- Enjoy the journey!
EPIDURAL SPACE ANATOMY
LIGAMENTUM FLAVUM
- Posterior to the epidural space
- Extends from the foramen magnum to the sacral hiatus
- Distance from skin to ligament varies from 3-8 cm in the lumbar area.
- It is 4 cm in 50% of the patients and 4-6 cm in 80% of the patients.
- Thickness of the ligamentum flavum also varies.
- In the thoracic area it can range from 3-5 mm and in the lumbar it can range from 5-6 mm.
CONTENTS OF THE EPIDURAL SPACE
- Fat
- Areolar tissue
- Lymphatics
- Blood vessels including the Batson venous plexus
Spinal Anatomy
- Spinal dura
- Posterior longitudinal ligament
- Venous plexus
- Epidural fat
- Ligamentum flavum
- Interspinous ligament
- Supraspinous ligament
Spinal Anatomy
- Spinal needle
- Ligamentum flavum
- Epidural space
- Dura mater
- Arachnoid membrane
- Subarachnoid space
- Cerebrospinal fluid
- Pia mater
- Spinal cord
EPIDURAL ANESTHESIA
EPIDURAL ANESTHESIA
EPIDURAL ANESTHESIA; CATHETER TECHNIQUE
- Epidural Anesthesia
- Patient in C-shaped position
- Epidural needle inserted into epidural space
ISOBARIC BUPIVACAINE (20 ML)
- 50 mL Multiple-dose
- Bupivacaine
- HCl Injection, USP
- 0.5% (5 mg/mL)
For NERVE BLOCK.
- R only
- Not for caudal, epidural or spinal anesthesia.
© 2008 GS
SLOW ONSET (30 MIN), LESS DENSE BLOCK
- Spinal cord
- Dura
- Epidural space with anesthesia
TOUHY NEEDLE
- BUFFED HEEL FOR ADDED SAFETY
- WEISS-STYLE
- WINGED LUER LOCK HUB WITH STYLET
- 10MM CALIBRATIONS
- STERILE DISPOSABLE
LOSS OF RESISTANCE TECHNIQUE
CATHETER TECHNIQUE
You Are Leaving
- PAIN
- Enjoy the journey!