Neuraxial Blockade: Epidural Anesthesia

  • Sreekumar Kunnumpurath
  • Suneil Ramessur
  • Adam Fendius
  • Nalini Vadivelu
  • Jasmina Perinpanayagam
Chapter

Abstract

The first epidural injection was performed in 1901 by Jean-Athanase Sicard and Ferdinand Catheline through caudal route. Touhy needle was developed for continuous spinal catheter technique and later adapted for epidural anesthesia by Manual Martinez Curbelo. Its popularity increased due to the possible serious neurological sequelae of spinal injections and the availability of long-acting local anesthetic agents such as bupivacaine. As a result of its versatility, it certainly remains a popular regional anesthetic technique in the USA and UK.

Keywords

Epidural Neuraxial Spinal cord Caudal Vertebrae Local anesthetic Chronic pain Post-dural-puncture headache Paramedian Tuohy Batson’s plexus 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Sreekumar Kunnumpurath
    • 1
  • Suneil Ramessur
    • 2
  • Adam Fendius
    • 3
  • Nalini Vadivelu
    • 4
  • Jasmina Perinpanayagam
    • 5
  1. 1.Pain ManagementEpsom and St. Helier University Hospitals NHS TrustCarshaltonUK
  2. 2.AnaestheticsGuys and St. Thomas’ NHS Foundation TrustLondonUK
  3. 3.AnaesthesiaOxford University Hospitals NHS Foundation TrustOxfordUK
  4. 4.Department of AnesthesiologyYale UniversityNew HavenUSA
  5. 5.AnaestheticsSt George’s University HospitalLondonUK

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