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Related Concept Videos

Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

474
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...
474

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Related Experiment Video

Updated: Aug 5, 2025

Cone Beam Intraoperative Computed Tomography-based Image Guidance for Minimally Invasive Transforaminal Interbody Fusion
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Augmented Reality-Assisted Navigation System for Transforaminal Epidural Injection.

Eun Kyung Jun1, Sunghwan Lim2, Joonho Seo3

  • 1Department of Anesthesiology and Pain Medicine, Korea University Anam Hospital, Seoul, Korea.

Journal of Pain Research
|March 24, 2023
PubMed
Summary
This summary is machine-generated.

Augmented reality (AR) navigation systems significantly reduced procedure time and radiograph use in spinal interventions. This AR-assisted approach shows promise for enhancing safety in transforaminal epidural injections.

Keywords:
augmented realityepidural injectioninterventional procedurenavigation systemradiation exposure

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Area of Science:

  • Medical Imaging
  • Surgical Navigation
  • Spinal Interventions

Background:

  • Augmented reality (AR) systems are increasingly explored for surgical navigation.
  • Lumbosacral transforaminal epidural injection is a common treatment for radiculopathy.
  • Limited research exists on AR application in transforaminal epidural injections.

Purpose of the Study:

  • To evaluate the safety and effectiveness of an AR-assisted navigation system.
  • To compare AR-assisted transforaminal epidural injection with conventional methods.

Main Methods:

  • A torso phantom with simulated respiration was used.
  • Computed tomography images were visualized via a head-mounted display in real-time.
  • Needle insertions were performed using AR on one side and conventional methods on the other.

Main Results:

  • Procedure duration was approximately three times shorter with AR assistance.
  • The number of radiographs required was reduced in the AR group.
  • No significant difference in needle tip accuracy was observed between AR and conventional groups (P=0.067).

Conclusions:

  • AR-assisted navigation can decrease procedure time and radiation exposure for spinal interventions.
  • The system appears safe and effective for transforaminal epidural injections.
  • Further research is needed to broaden AR applications in spine interventions.