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Topic: Epidural

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  Epidural Injection - neurologychannel
Epidural injection is the administration of medication into the epidural space.
Epidural injections may be painful and produce uncertain results.
Epidural injection is the injection of medication into the epidural space.
www.neurologychannel.com /epidural   (479 words)

  Epidural - Wikipedia, the free encyclopedia
The epidural space (sometimes called the extradural space or peridural space) is a part of the human spine inside the spinal canal separated from the spinal cord and its surrounding cerebrospinal fluid by the dura mater.
Most commonly, the anaesthetist conducting an epidural places the catheter in the mid-lumbar, or lower back region of the spine, although occasionally a catheter is placed in the thoracic (chest) or cervical (neck) region.
A common solution for epidural infusion in childbirth or for post-operative analgesia is 0.2 percent ropivicaine and 2 μg/mL of fentanyl.
en.wikipedia.org /wiki/Epidural   (2881 words)

 Weighing the Pros and Cons of the Epidural
Epidural anesthesia or analgesia refers to total or partial loss of sensation in the trunk between the fundus and the pubis or lower.
Epidural narcotics are being used for labor in some centers, but are presently less available than the anesthetics.
Epidurals are also useful for cesarean births, making it possible for the mother to remain alert and involved while free from pain.
www.childbirthsolutions.com /articles/birth/epidural/index.php   (1564 words)

 Epidural Misadventures: A review of the risk and complications associated with epidural anaesthesia
This patient had an epidural anaesthetic and it was felt that the sympathectomy could have contributed to the failure at resuscitative efforts.
Epidural hematoma is a complication which we learn about early in our career and many spend a great deal of time fearing someday they will see one.
Twenty three of the 46 epidural cases were associated with the use of anticoagulants, 4 were associated with thrombocytopenia and the remaining 19 cases had no risk factors reported.
www.oyston.com /anaes/local/muir.html   (1844 words)

 Epidural Anaesthesia (page 2)
Epidural catheters are designed to pass through the lumen of the needle and are made of a durable but flexible plastic, and have either a single end-hole or a number of side holes at the distal end (figure 3).
The epidural space is identified when the drop is "sucked" into the needle by the negative atmospheric pressure in the epidural space (equivalent to the intrapleural pressure).
For example, if the needle entered the epidural space at a depth of 5cm, the catheter should be withdrawn so that the 10cm mark is at the skin, thus leaving approximately 5cm of the catheter inside the epidural space, which is an appropriate length.
www.nda.ox.ac.uk /wfsa/html/u13/u1311_02.htm   (2008 words)

 Epidural hematoma - Wikipedia, the free encyclopedia
Epidural or extradural hematoma is a buildup of blood occurring between the dura mater (the brain's tough outer membrane) and the skull.
Epidural hematoma commonly results from a blow to the side of the head and is frequently caused by a fracture that passes through an arterial channel in the bone, most commonly a break in temporal bone interrupting middle meningeal artery, a branch of the external carotid (Shepherd, 2004).
Epidural bleeds, like subdural and subarachnoid hemorrhages, are extra-axial bleeds, occurring outside of the brain tissue, while intra-axial hemorrhages, including intraparenchymal and intraventricular hemorrhages, occur within it (Wagner, 2004).
en.wikipedia.org /wiki/Epidural_hematoma   (850 words)

The epidural space is a part of the human spineinside the spinal canal separated from the spinal cord and its surrounding spinal fluid by a membrane called the dura mater or simply dura.
Epidural anesthesia is a form of local, or more specifically regional, anesthesia involving injection of drugs through a fine tube, called a catheter, which is placed into the epidural space.
Epidural steroid injection are, likewise in labor and delivery, for chronic pain injected in the epidural space.
www.mrsci.com /Medical-Treatments/Epidural.php   (954 words)

 Epidural : American Pregnancy Association
Epidural anesthesia is regional anesthesia that blocks pain in a particular region of the body.
Epidurals block the nerve impulses from the lower spinal segments resulting in decreased sensation in the lower half of the body.
The use of epidural anesthesia during childbirth is continually being perfected and much of its success depends on the care in which it is administered.
www.americanpregnancy.org /labornbirth/epidural.html   (1777 words)

 Epidural - anaesthetic injection for pain relief in labour
There is also evidence that having an epidural instead of a general anaesthetic reduces the risk of surgical complications such as developing a blood clot in a leg vein (deep vein thrombosis).
Epidurals may not be suitable for people who have any neurological problems (problems affecting the nervous system), blood clotting problems, or those who have had back problems.
Sometimes after the epidural anaesthetic is given, the drug does not spread equally around the spinal cord, meaning that one half of the body is better anaesthetised that the other.
hcd2.bupa.co.uk /fact_sheets/html/epidural.html   (1308 words)

 Epidural   (Site not responding. Last check: 2007-10-25)
An epidural usually causes little discomfort and is administered while you are sitting up or lying on your side, with your back curved outward.
Epidurals are very effective at relieving labor pain, but they have some drawbacks: First, they take up to 20 minutes to administer and take effect.
Epidurals can slow labor if they're given too soon, and being numb from the waist down may make it harder for you to push your baby out.
www.shands.org /health/surgeries/100195.html   (1034 words)

 Epidural injections
During the epidural steroid injection, sometimes a flushing solution is also used to help "flush out" inflammatory proteins from around the area that may be the source of pain.
While the effects of an epidural steroid injection tend to be temporary (one week to one year), an epidural can be very beneficial in providing relief for patients during an episode of severe back pain.
Epidural steroid injections are a conservative treatment for low back pack pain or leg pain relief.
www.spine-health.com /topics/conserv/epidural/ep00.html   (541 words)

 Epidural steroid injection for back pain and leg pain
Spinal injections are not new – the use of spinal injections to treat low back pain was first documented in 1901, and in 1952 epidural steroid injections were first used to treat low back pain with associated sciatica (pain in the sciatic nerve due to lumbar disc herniation).
An epidural injection is typically used to alleviate chronic low back and/or leg pain.
An epidural is effective in significantly reducing pain for approximately 50% of patients.
www.spine-health.com /topics/conserv/epidural/feature/ep01.html   (307 words)

The epidural space lies between the ligamentum flavum and the dura mater; extending from the foramen magnum to the sacral hiatus and contains emerging nerve roots of the spinal cord, fat and veins.
Epidural needles are typically larger gauge (16-17) than a spinal needle to permit better assessment of loss of resistance and passage of a catheter.
Since the epidural space has a rich supply of veins, 10% of all epidural injections may be placed into a vein rather than the epidural space.
www.pitt.edu /~regional/Epidural/epidural.htm   (2153 words)

Epidurals and caudals are two similar types of regional anesthesia that free a laboring woman from pain without dulling her mental faculties.
Her body may not respond to the epidural as the anesthesiologist intends--some women find that they still experience pain in spite of their expectation that the pain will be gone, whereas others who may have wanted to feel some sensations so that they could push may find themselves completely deadened and unable to do so.
So common is the use of epidurals today that many childbirth professionals are calling the 1990s the age of the "epidural epidemic." 60% of the women in my study, and 80% of the women in a recent study by Sargent and Stark (1987) received epidurals or their equivalent.
www.birthpsychology.com /messages/epidural/epidural.html   (1090 words)

 Epidural Anesthesia for Labor   (Site not responding. Last check: 2007-10-25)
Epidural anesthesia uses repeated doses of a local anesthetic in the epidural space of the spinal area.
Epidurals are thought to be safe for both mother and baby and limited studies have been done.
Most women can have an epidural, although women who have had back surgery, heart or blood disorders, and those who are allergic to "-caine" medicines should discuss those problems with their physician and anesthesiologist.
www.healthpages.org /AHP/LIBRARY/WOMEN/PREGNANT/LABRDELV/epidural.htm   (1354 words)

 Epidural anaesthesia
Epidural anaesthesia is the term used to describe the blocking of nerve routes from the spinal cord with a local anaesthetic or painkilling medication.
In recent years, epidurals have been used in surgical operations to prevent post-operative pain and to reduce complications such as chest infections and blood clots in the legs.
Epidural anaesthesia has been used for many years, and is a safe and reliable technique.
www.netdoctor.co.uk /health_advice/facts/epidural.htm   (548 words)

 Epidural FAQ
It is UNTRUE that epidural anesthesia does not cross the placenta to the baby, an oft-touted belief that I have seen in pamphlets and on this net.
I guess I'd have to say that the epidural made the 24 hour labor bearable, and I was very glad to havr had the c-section with epidural as opposed to general anesthesia.
However, the use of the epidural made it possible for the doctor to increase the pitocin dose a bit, and within 4 hours of the epidural starting, I was pushing.
www.fensende.com /Users/swnymph/Epidural.html   (9245 words)

 Non-Surgical Orthopaedic & Spine Center | Epidural Steriod
The epidural steroid injection is the placement of cortisone, a powerful anti-inflammatory agent, into the epidural space, which approximates the disc and spinal column.
The main goal of the epidural injection is to shrink the swelling in bulging or herniated discs, and to decrease any inflammation that surrounds the disc and may be pressing on a spinal nerve.
An additional risk is the possibility for the epidural needle to nick the dura (the covering of the spinal cord).
www.lowbackpain.com /epidural.html   (555 words)

 All About Epidurals: Articles about Breastfeeding, childbirth, and pregnancy online magazine: The Compleat Mother
Studies suggest that epidurals interfere with the release of oxytocin(32) which, as well as causing the let-down effect in breastfeeding, encourages bonding between a mother and her young(33).
Epidural research, much of it conducted by the anaesthetists who administer epidurals, has unfortunately focussed more on the pro's and con's of different drug combinations than on possible serious side-effects(34).
While an epidural is certainly the most effective form of pain relief available, it is worth considering that ultimate satisfaction with the experience of giving birth may not be related to lack of pain.
www.compleatmother.com /epidural.htm   (2079 words)

 MedlinePlus Medical Encyclopedia: Epidural abscess
An epidural abscess is an inflammation that includes a collection of infected material (pus) located between the outer membrane covering the brain and spinal cord (the dura) and the bones of the skull or spine.
An epidural abscess is caused by infection in the area between the bones of the skull or spine, and the outer meninges (the membranes covering the brain and spinal cord).
A spinal epidural abscess may be seen in patients with bone infections of the vertebral column (vertebral osteomyelitis), skin infections such as boils, bloodstream infections, and after back surgery or other invasive procedures involving the spine.
www.nlm.nih.gov /medlineplus/ency/article/001416.htm   (943 words)

 Epidural Anesthesia   (Site not responding. Last check: 2007-10-25)
Epidural anesthesia is the choice of many doctors for labor and delivery.
Epidural anesthesia does not increase your chances of having a c-section or forceps delivery.
An epidural relaxes the pelvic muscles and the nerves are bathed in the local anesthetic medication which causes an insensitivity to pain.
www.mjbovo.com /Epidural.htm   (189 words)

 Epidurals for labor pain
An epidural is a procedure that stops pain by injecting an anesthetic similar to the type that dentists use.
Epidurals for cesarean sections are stronger and reach to your breastbone.
An epidural also interferes with the ability to move your legs and with certain autonomic nervous system functions such as sweating.
parenting.ivillage.com /pregnancy/plabor/0,,8jzw,00.html   (227 words)

 Lumbar Epidural Injection
An epidural injection places anti-inflammatory medicine into the epidural space to decrease inflammation of the nerve roots, hopefully reducing the pain in the back or legs.
Epidural Injections can be a very helpful adjunct in rehabilitation of patient's the spine pain that radiates into an arm or leg or in the thoracic spine around the chest or trunk.
Epidural injections can be done at any level of the spine: cervical (neck), thoracic (mid-back), lumbar (low back), and sacral (tailbone area).
www.spineuniverse.com /displayarticle.php/article1177.html   (1108 words)

To view the epidural procedure please go here:
The Medical Risks of Epidural Anesthesia During Childbirth
Weighing the Pros and Cons of an Epidural
www.pattiramos.com /Epidural.html   (118 words)

 Epidural Hematoma   (Site not responding. Last check: 2007-10-25)
This is known as an epidural hematoma (epi-door-ul hem-a-to-ma), or blood clot at the covering of the brain.
A more dangerous sign of epidural hematoma is a decreased level of consciousness, such as drowsiness, confusion or inability to awaken from a very deep sleep (often called coma).
The treatment for epidural hematoma depends upon the clinical signs and symptoms, as well as the size of the clot and area of the brain involved.
www.muhealth.org /~neuromed/epidural.shtml   (983 words)

 Reported Side Effects of Epidural Anesthesia - Childbirth.org
While some of the following effects are rare and others are common, it is important for every mother to be aware of these risks, to explore the many natural forms of pain management, and to decide carefully whether the benefits of epidural anesthesia outweigh the risks.
Many mothers find it helpful to reconceptualize "pain" as "intensity," to prepare well, to choose their midwife/doctor with care, to arrange for loving support, and to cultivate an awareness of their own courage and beauty.
Epidural analgesia in labor and fetal hyperthermia in
www.childbirth.org /articles/sideeppi.html   (187 words)

 eMedicine - Spinal Epidural Abscess : Article by J Stephen Huff, MD   (Site not responding. Last check: 2007-10-25)
Anteriorly, the epidural space is a potential space with the dura tightly adherent to the vertebral bodies and ligaments.
Most spinal epidural abscesses occur in the thoracic area, which is anatomically the longest of the spinal regions.
Hematogenous spread with seeding of the epidural space is the suspected source of infection in most children and is thought to occur in many adults as well.
www.emedicine.com /NEURO/topic349.htm   (3207 words)

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