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Study of Interlaminar Lumbar Epidural Steroid Injections Suffers From Flawed Methodology and Invalid Conclusions

John P Abenstein1, Richard W Rosenquist

  • 1PresidentAmerican Society of Anesthesiologists, Schaumburg, IllinoisChair, Committee on Pain MedicineAmerican Society of Anesthesiologists, Schaumburg, Illinois.

Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality
|March 19, 2016
PubMed
Abstract

No abstract available in PubMed .

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Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
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Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
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