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Dogliotti's principle is a principle in epidural anaesthesia first described by Professor Achille Mario Dogliotti in 1933. [1] It is a method for the identification of the epidural space , a potential space .
Odom's indicator is a device used for locating the epidural space in regional anaesthesia. [1] The device works on Dogliotti's principle [2] by finding an area of decreased resistance to injection. It was originally designed on the assumption that the pressure in the epidural space was negative. This device is no-longer popular and alternative ...
Medical intervention Epidural administration A freshly inserted lumbar epidural catheter. The site has been prepared with tincture of iodine, and the dressing has not yet been applied. Depth markings may be seen along the shaft of the catheter. ICD-9-CM 03.90 MeSH D000767 OPS-301 code 8-910 [edit on Wikidata] Epidural administration (from Ancient Greek ἐπί, "upon" + dura mater) is a method ...
Unlike the cranial epidural space, the spinal epidural space contains adipose tissue, the internal vertebral venous plexuses and the spinal nerve roots. [1] The spinal epidural space spans the length of the spinal cord, from the foramen magnum superiorly to the sacral hiatus inferiorly. [6] Epidural space is the smallest at the cervical region ...
Intrathecal administration is a route of administration for drugs via an injection into the spinal canal, or into the subarachnoid space so that it reaches the cerebrospinal fluid (CSF). It is useful in several applications, such as for spinal anesthesia, chemotherapy, or pain management. This route is also used to introduce drugs that fight ...
The epidural syringe is filled with autologous blood and injected in the epidural space in order to close holes in the dura mater. The treatment of choice for this condition is the surgical application of epidural blood patches, [27] [79] [80] which has a higher success rate than conservative treatments of bed rest and hydration. [81]
The first described placement of a lumbar epidural catheter was performed by Manuel Martínez Curbelo (5 June 1906–1 May 1962) on January 13, 1947. [26] [27] Curbelo, a Cuban anesthesiologist, introduced a 16 gauge Tuohy needle into the left flank of a 40-year-old woman with a large ovarian cyst.
Patient-controlled epidural analgesia (PCEA) is a related term describing the patient-controlled administration of analgesic medicine in the epidural space, by way of intermittent boluses or infusion pumps. This can be used by women in labour, terminally ill cancer patients or to manage post-operative pain. [5]