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Voluntary registry-based analysis of risk factors for accidental dural puncture in epidural anesthesia

Henrik Hans Jörnvall1,2, Sharon Orbach-Zinger3, Alexandra M J V Schyns-van den Berg4

  • 1Function Perioperative Medicine and Intensive Care, Department of Perioperative Care Solna, Karolinska Universitetssjukhuset, Stockholm, Sweden henrik.jornvall@regionstockholm.se.

Regional Anesthesia and Pain Medicine
|August 27, 2025
PubMed
Abstract

No abstract available in PubMed .

Keywords:
Anesthesia, EpiduralPost-Dural Puncture HeadacheQuality Improvement

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Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

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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.
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...
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Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

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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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