Epidural anesthesia (a. epiduralis, synonym a. peri-duralis) is a type of anesthesia in which medications are injected into the space between the dura mater and the outer surface of the spinal cord. This method is widely used in surgery, obstetrics and gynecology to relieve pain and reduce stress during surgery or childbirth.
Epidural anesthesia is performed under X-ray or ultrasound guidance to ensure correct needle placement. The needle is inserted into the epidural space through the skin and muscles of the back. After inserting the needle into the spine, it moves to the spinal cord, where nerve impulses are blocked.
Epidural anesthesia is one of the methods of infiltration anesthesia (not to be confused with regional anesthesia), which involves the introduction of painkillers into the epidural space of the spinal cord.
The procedure is as follows: the doctor inserts a special needle with a catheter into the junction of the spine and the skull at the level of the eighth thoracic vertebra. Then the anesthetic is delivered through the catheter, which enters its substance through special holes in the spinal cord capsule. In this way, pain impulses emanating from the nerve fibers are blocked, which allows the necessary surgical manipulations or treatment to be carried out with minimal discomfort for the patient. This infusion is used not only for operations on the chest and lumbar region, but also for general diseases. However, today treatment methods are becoming more and more advanced in terms of the accuracy of locating pain zones and controlling the effect of the drug, therefore, in our time, a modern type of epidural anesthesia is more often used - the back