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Preferred Insertion Site for Transforaminal Epidural Steroid Injections: Safe Triangle or Kambin's Triangle?

Alison Stout1, Imran M Omar2, Honorio T Benzon3

  • 1From the Neurologic Institute, Cleveland Clinic Lerner College of Medicine of Case Western University, Cleveland, Ohio.

Anesthesia and Analgesia
|November 16, 2023
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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