Ultrasound-Guided Spinal Procedures
Neuraxial anesthesia and analgesia techniques (spinal, epidural, and combined spinal epidural) are used for intraoperative anesthesia, postoperative pain control, and the management of chronic pain and in the peripartum period. Traditionally, these procedures are performed using anatomical landmarks. This involves the location of nerves in relation to other anatomic structures that can be seen (i.e., bony structures) or palpated (i.e., bony structures and arterial pulses). Ultrasound guidance can further aid in the ease and success of these procedures through direct visualization of neural structures as well as the spread of local anesthetic. In this chapter, we discuss a variety of ultrasound-guided neuraxial procedures including epidural block, paravertebral block, sacroiliac joint injection, lumbar facet joint injection, and epidural blood patch.
KeywordsSpinal Anesthesia Ultrasound Ultrasound guidance Pain control Neuraxis
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