Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

912
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.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
912
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

1.7K
Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
1.7K
Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

1.7K
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...
1.7K

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Prolotherapy versus epidural steroid injections for lumbar pain with associated leg pain: A pragmatic randomized controlled trial.

PM & R : the journal of injury, function, and rehabilitation·2026
Same author

Dextrose Prolotherapy Injection Improves Dynamic Postural Balance and Reduces Risk of Recurrent Sprains in Chronic Ankle Instability: A 1-Year Randomized Placebo-Controlled Trial.

Archives of physical medicine and rehabilitation·2025
Same author

Novel Sonoguided Digital Palpation and Hydrodissection for Sural Nerve Dysfunction Mimicking Achilles Tendinopathy in a Psoriasis Patient.

Diagnostics (Basel, Switzerland)·2025
Same author

Ultrasonographic Diagnosis and Computed Tomographic Confirmation of a Scapular Body Stress Fracture in an Elite Boxer: A Case Report.

Diagnostics (Basel, Switzerland)·2025
Same author

Innovative Dynamic Ultrasound Diagnosis of First Rib Stress Fracture in an Adolescent Athlete-A Case Report.

Diagnostics (Basel, Switzerland)·2025
Same author

Ultrasound-Guided Prolotherapy for Sciatica Secondary to Sacrospinous Ligament Calcification: A Potential and Previously Overlooked Etiological Factor in Deep Gluteal Syndrome-A Case Report and Literature Review.

Life (Basel, Switzerland)·2025

Related Experiment Video

Updated: Mar 12, 2026

Laminotomy for Lumbar Dorsal Root Ganglion Access and Injection in Swine
09:00

Laminotomy for Lumbar Dorsal Root Ganglion Access and Injection in Swine

Published on: October 10, 2017

13.7K

Vertical Small-Needle Caudal Epidural Injection Technique.

Liza Maniquis Smigel1, Kenneth Dean Reeves2, Howard Jeffrey Rosen3

  • 1Private Practice PM&R and Pain Management, Hawaii, USA.

Anesthesiology and Pain Medicine
|November 10, 2016
PubMed
Summary
This summary is machine-generated.

A vertical small-needle injection technique for caudal epidural steroid therapy demonstrated a 90% success rate without intravascular injection, offering a safe and effective alternative for chronic low back pain management.

Keywords:
AnesthesiaCaudalEpiduralInjections

More Related Videos

Author Spotlight: Assessing Intrathecal Gene Therapy Efficacy in Juvenile Rats
04:38

Author Spotlight: Assessing Intrathecal Gene Therapy Efficacy in Juvenile Rats

Published on: March 29, 2024

1.9K
Author Spotlight: Enhancing Success of Ultrasound-Guided Neuraxial Anesthesia in Cases with Difficult Anatomy
03:14

Author Spotlight: Enhancing Success of Ultrasound-Guided Neuraxial Anesthesia in Cases with Difficult Anatomy

Published on: January 31, 2025

1.8K

Related Experiment Videos

Last Updated: Mar 12, 2026

Laminotomy for Lumbar Dorsal Root Ganglion Access and Injection in Swine
09:00

Laminotomy for Lumbar Dorsal Root Ganglion Access and Injection in Swine

Published on: October 10, 2017

13.7K
Author Spotlight: Assessing Intrathecal Gene Therapy Efficacy in Juvenile Rats
04:38

Author Spotlight: Assessing Intrathecal Gene Therapy Efficacy in Juvenile Rats

Published on: March 29, 2024

1.9K
Author Spotlight: Enhancing Success of Ultrasound-Guided Neuraxial Anesthesia in Cases with Difficult Anatomy
03:14

Author Spotlight: Enhancing Success of Ultrasound-Guided Neuraxial Anesthesia in Cases with Difficult Anatomy

Published on: January 31, 2025

1.8K

Area of Science:

  • Pain Management
  • Anesthesiology
  • Interventional Pain Procedures

Background:

  • Anecdotal evidence suggests vertical caudal epidural injection is effective and safer than traditional methods.
  • Concerns exist regarding intravascular injection with traditional cephalad-directed approaches.

Purpose of the Study:

  • To assess the success rate of vertical caudal epidural injection using epidurography.
  • To determine the frequency of intravascular injection with a vertical small-needle approach.

Main Methods:

  • A vertical, fingertip-guided 25-gauge needle technique was used for caudal epidural injection without initial imaging.
  • Fluoroscopic epidurography confirmed needle placement and assessed for intravascular injection.
  • Participants had chronic low back pain with gluteal and/or leg pain.

Main Results:

  • Initial needle placement achieved a 90% success rate (179/199) confirmed by epidurography.
  • No intravascular injections were observed in any participants.
  • Minor needle repositioning in 19 attempts successfully confirmed epidural placement.

Conclusions:

  • Vertical caudal epidural injection is a highly successful and safe technique.
  • This method favorably compares to traditional fluoroscopically-guided techniques.
  • Vertical caudal epidural injection may be suitable for integration with ultrasound-guided methods.