Academic literature on the topic 'Dural Puncture'

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Journal articles on the topic "Dural Puncture"

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Angle, Pamela J., Jean E. Kronberg, Dorothy E. Thompson, et al. "Dural Tissue Trauma and Cerebrospinal Fluid Leak after Epidural Needle Puncture." Anesthesiology 99, no. 6 (2003): 1376–82. http://dx.doi.org/10.1097/00000542-200312000-00021.

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Background The effects of epidural needle design, angle, and bevel orientation on cerebrospinal fluid leak after puncture have not been reported. The impact of these factors on leak rate was examined using a dural sac model. Dural trauma was examined using scanning electron microscopy. Methods Human cadaveric dura, mounted on a cylindrical model, was punctured with epidural needles using a micromanipulator. Tissue was punctured at 15 cm H2O (left lateral decubitus) system pressure, and leak was measured at 25 cm H2O (semisitting) pressure. Leak rates and trauma were compared for the following:
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Vaz Antunes, Maria, Adriano Moreira, Catarina Sampaio, and Aida Faria. "Punção Acidental da Dura e Cefaleia Pós-punção da Dura na População Obstétrica: Oito Anos de Experiência." Acta Médica Portuguesa 29, no. 4 (2016): 268. http://dx.doi.org/10.20344/amp.6815.

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<p><strong>Introduction:</strong> Accidental dural puncture is an important complication of regional anesthesia and post-dural puncture headache remains a disable outcome in obstetric population. The aim of our study was to calculate the incidence of accidental puncture and post-puncture headache and evaluate its management among obstetric anesthesiologists.<br /><strong>Material and Methods:</strong> We conducted a retrospective audit, between January 2007 and December 2014. We reviewed the record sheets of patients who experienced either accidental punctur
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Macdonald, R., and G. Lyons. "Unintentional dural puncture." Anaesthesia 43, no. 8 (1988): 705. http://dx.doi.org/10.1111/j.1365-2044.1988.tb04168.x.

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Cyna, A. "Inadvertent dural puncture." BMJ 320, no. 7245 (2000): 1338. http://dx.doi.org/10.1136/bmj.320.7245.1338.

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Okell, R. W., and J. S. Sprigge. "Unintentional Dural Puncture." Obstetric Anesthesia Digest 8, no. 1 (1988): 20. http://dx.doi.org/10.1097/00132582-198804000-00023.

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Peralta, Feyce M., Cynthia A. Wong, Nicole Higgins, Paloma Toledo, Mary Jane Jones, and Robert J. McCarthy. "Prophylactic Intrathecal Morphine and Prevention of Post–Dural Puncture Headache." Anesthesiology 132, no. 5 (2020): 1045–52. http://dx.doi.org/10.1097/aln.0000000000003206.

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Abstract Background Prophylactic epidural morphine administration after unintentional dural puncture with a large-bore needle has been shown to decrease the incidence of post–dural puncture headache. The authors hypothesized that prophylactic administration of intrathecal morphine would decrease the incidence of post–dural puncture headache and/or need for epidural blood patch after unintentional dural puncture. Methods Parturients with an intrathecal catheter in situ after unintentional dural puncture with a 17-g Tuohy needle during intended epidural catheter placement for labor analgesia wer
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Rao, Gundala Shashidar, Yugandhar Kandula, and Kiran Kumar Suggala. "Intrathecal Catheterisation after an Accidental Dural Puncture: A measure to Decrease the Incidence of Post Dural Puncture Headache." Indian Journal of Anesthesia and Analgesia 10, no. 1 (2023): 33–34. http://dx.doi.org/10.21088/ijaa.2349.8471.10123.5.

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Accidental dural puncture is the most common major complication during epidural anaesthesia and causes high risk of post dural puncture headache (PDPH). Intrathecal catherisation in such cases helps in preventing leakage of CSF and thereby decreasing the incidence of PDPH. Here is one such case report of inadvertent intradural puncture during epidural anaesthesia.
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Lv, Ming, Chuhan Jiang, Dong Liu, Zhiguang Ning, Jun Yang, and Zhongxue Wu. "Direct percutaneous transorbital puncture under fluoroscopic guidance with a 3D skull reconstruction overlay for embolisation of intraorbital and cavernous sinus dural arteriovenous fistulas." Interventional Neuroradiology 21, no. 3 (2015): 357–61. http://dx.doi.org/10.1177/1591019915582925.

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Objective To describe the direct percutaneous transorbital puncture technique for embolisation of the selected intraorbital and cavernous sinus dural arteriovenous fistula, which failed to be treated by conventional endovascular techniques. Methods One case of intraorbital and five cases of cavernous sinus dural arteriovenous fistula were embolised through direct percutaneous transorbital puncture in 2012, and the clinical data were reviewed. Under fluoroscopic guidance with a three-dimensional (3D) skull reconstruction overlay, the cavernous sinus or ophthalmic vein was punctured via the supe
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Byshovets, S. M. "Post-dural puncture headache." EMERGENCY MEDICINE 19, no. 3 (2023): 120–27. http://dx.doi.org/10.22141/2224-0586.19.3.2023.1569.

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The problem was analyzed and the pathophysiology of post-dural puncture headache was highlighted. Clinical manifestations, risk factors and diagnosis of this complication are given. Modern methods for the treatment of post-dural puncture headache are described. The own experience on the prevention of this problem was made public with the conclusion that when using Ball-Pen needles, only 12 (0.56 %) of 2125 patients complained of post-dural puncture hea­dache, which is 12.5 times less than the average statistical indicators.
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Van de Velde, Marc. "Accidental Dural Puncture and Postdural Puncture Headache." Regional Anesthesia and Pain Medicine 41, no. 2 (2016): 121–22. http://dx.doi.org/10.1097/aap.0000000000000357.

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Dissertations / Theses on the topic "Dural Puncture"

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MARZO, ELISABETTA. "L'IDRATAZIONE NELLA PREVENZIONE DELLA CEFALEA POST RACHICENTESI: STUDIO DI COORTE." Doctoral thesis, Università degli Studi di Milano, 2017. http://hdl.handle.net/2434/486761.

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L’IDRATAZIONE NELLA PREVENZIONE DELLA CEFALEA POST RACHICENTESI: STUDIO DI COORTE. Tesi di: Elisabetta MARZO Coordinatore: Chiar.mo Prof. Carlo LA VECCHIA Tutor: Chiar.mo Prof. Silvano MILANI Background e scopo dello studio La rachicentesi eseguita a scopo diagnostico consiste nel prelievo del liquido cefalorachidiano dallo spazio subaracnoideo per accertare la presenza di patologie neurologiche. La complicanza maggiormente osservata in seguito alla procedura è la cefalea post rachicentesi (CPR), definita come una cefalea posturale caratterizzata da un dolore pulsante, continuo, d'int
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Li, Min-Jia, and 李銘家. "An Exploratory study of the Factors Influencing the Accidental Dural Puncture Rate of Anesthetists." Thesis, 2006. http://ndltd.ncl.edu.tw/handle/24428838020744214424.

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碩士<br>臺北醫學大學<br>醫務管理學研究所<br>95<br>Background and Aim: Epidural anesthesia is one of the regional anesthesias that anesthesiologists usually perform for patients. Accidental dural puncture is the most frequently occurring complications while performing epidural anesthesia. The aim of this study is to explore the factors influencing the accidental dural puncture rate by anesthetists. Method: We retrospectively analyzed 15,932 cases of epidural anesthesia collected from a teaching medical center since October 1990 to May 2006. The influence of patient factors (included: age, sex, type of operatio
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Books on the topic "Dural Puncture"

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Rubin, Philip. Post–Dural Puncture Headache. Edited by Matthew D. McEvoy and Cory M. Furse. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190226459.003.0056.

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Post–dural puncture headache (PDPH) is a benign but debilitating condition that may occur as a consequence of any dural puncture, whether intentional (as with spinal anesthesia or lumbar puncture) or inadvertent (as with epidural anesthesia). The headache is characteristically unique, as it is postural in nature—worsened when sitting or standing, and markedly improved in the recumbent position. After the puncture, passage of cerebrospinal fluid (CSF) across the dura mater from a pressurized environment (subarachnoid space) to the epidural space, is the initial culprit behind the headache. Noni
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Paech, Michael J., and Patchareya Nivatpumin. Postdural puncture headache. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198713333.003.0027.

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Postdural puncture headache (PDPH) may follow either deliberate or unintentional (accidental) penetration of the interdigitating meninges, the dura and arachnoid mater. It is one of the most common and clinically important complications of regional anaesthesia and analgesia in the obstetric population. The headache develops as a consequence of cerebrospinal fluid loss, low intracranial pressure and cerebrovascular changes in the upright position and can prove debilitating. The diagnosis is clinical, making thorough assessment and regular review all the more important, to revise treatment plans
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Candido, Kenneth D., Teresa M. Kusper, Bora Dinc, and Nebojsa Nick Knezevic. Epidural Blood Patch. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190271787.003.0036.

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Post-dural-puncture headache (PDPH) is a consequence of neuraxial anesthesia, diagnostic lumbar puncture, intrathecal drug delivery systems, or any other technique involving dural trespass. The spinal headache results from a dural puncture that leads to cerebrospinal fluid (CSF) leakage from the subarachnoid space to the epidural space, culminating in intracranial hypotension and development of a low-pressure headache. A key element of PDPH is an increase in pain severity upon a change in position from supine to upright, which corresponds to a gravity-induced influence on CSF pressure dynamics
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Friedman, Deborah I., Shamin Masrour, and Susan Hutchinson. Headache. Edited by Emma Ciafaloni, Cheryl Bushnell, and Loralei L. Thornburg. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190667351.003.0012.

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In most cases, women with headache disorders have normal pregnancy and delivery outcomes and should not be discouraged from becoming pregnant. Pre-pregnancy planning includes weaning of contraindicated medications. Most women with migraine without aura improve during pregnancy. Although there are limitations, various acute and preventive treatments may be employed, including non-pharmacologic options. Anti-epileptic medications should be avoided. For pseudotumor cerebri, the mainstay of treatment includes diuretics and therapeutic lumbar punctures, avoiding topiramate. Surgical treatment may b
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Waters, Janet. A Woman in Labor with Hypotension and Dyspnea After Epidural Placement. Edited by Angela O’Neal. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190609917.003.0022.

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This chapter discusses neurological complications of the administration of epidural and spinal anesthesia in the obstetric population. It begins with a case report on a patient with a total spinal block, which occurs when large doses of local anesthetic intended for the epidural space are inadvertently injected into the subarachnoid space. The chapter reviews key points in recognizing and treating this potentially fatal complication. It discusses other complications, including epidural hematoma, epidural abscess, spinal cord injury, and meningitis, as well as complications from intravascular i
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Anitescu, Magdalena, and David Arnolds. Spontaneous Intracranial Hypotension. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190271787.003.0005.

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Spontaneous intracranial hypotension is a condition that affects young and middle-aged individuals. Women are more frequently affected than men. It is associated with severe positional headache without previous dural puncture and is often confused with other common headache conditions. Delay in diagnosis of the condition may predispose patients to severe complications. Many radiodiagnostic tools carry important risks to patients, including nerve injury and iatrogenic spinal cord injury. Imaging studies must be correlated with a detailed medical history and a thorough physical examination. Epid
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Eldridge, James, and Maq Jaffer. Obstetric anaesthesia and analgesia. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198719410.003.0033.

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This chapter discusses the anaesthetic management of the pregnant patient, for labour analgesia as well as surgical intervention. It begins with a description of the physiological and pharmacological changes of pregnancy. It describes methods of labour analgesia, including remifentanil, and epidural analgesia and its complications such as post-dural puncture headache. It describes anaesthesia for Caesarean section (both regional and general), failed intubation, antacid prophylaxis, post-operative analgesia, retained placenta, in utero fetal death, hypertensive disease of pregnancy (pre-eclamps
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Book chapters on the topic "Dural Puncture"

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Shin, Jin Woo. "Dural Puncture." In Spinal Epidural Balloon Decompression and Adhesiolysis. Springer Singapore, 2021. http://dx.doi.org/10.1007/978-981-15-7265-4_7.

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Ramage, Stephen, Sarah Armstrong, Nolan McDonnell, and Elizabeth Beattie. "Accidental Dural Puncture." In Quick Hits in Obstetric Anesthesia. Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-72487-0_50.

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Gonzalez-Fiol, Antonio, and Christopher Dextras. "Accidental Dural Puncture." In Peripartum Care of the Pregnant Patient. Springer Nature Switzerland, 2024. http://dx.doi.org/10.1007/978-3-031-62756-9_33.

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Reynolds, Felicity. "Dural puncture and headache." In Regional Analgesia in Obstetrics. Springer London, 2000. http://dx.doi.org/10.1007/978-1-4471-0435-3_25.

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Jenkinson, Robert H. "Post-dural Puncture Headache." In Pain. Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-99124-5_140.

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Ramage, Stephen, Sarah Armstrong, Nolan McDonnell, and Elizabeth Beattie. "Post Dural Puncture Headache." In Quick Hits in Obstetric Anesthesia. Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-72487-0_51.

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McCombe, Kate, and Lara Wijayasiri. "Post-Dural Puncture Headache." In The Primary FRCA Structured Oral Examination Study Guide 2, 3rd ed. CRC Press, 2025. https://doi.org/10.1201/9781003276470-75.

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Vinayak, PS. "Dural Puncture Epidural Analgesia." In Techniques in Anesthesia, Intensive Care and Emergency Medicine. Springer Nature Singapore, 2024. https://doi.org/10.1007/978-981-96-1202-4_27.

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Spofford, Christina, and Tyler Griebel. "General Topics: Post-dural Puncture Headache." In Anesthesiology In-Training Exam Review. Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-87266-3_10.

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Suer, Michael, and Nalini Sehgal. "Post Dural Puncture Headache and Orofacial Pain." In Questions and Answers in Pain Medicine. Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-68204-0_12.

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Conference papers on the topic "Dural Puncture"

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Kumar, Santosh, and Seema Bhayla. "EP134 The incidence of accidental dural puncture and post dural puncture headache following labour epidural analgesia." In ESRA Abstracts, 41st Annual ESRA Congress, 4–7th September 2024. BMJ Publishing Group Ltd, 2024. http://dx.doi.org/10.1136/rapm-2024-esra.207.

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Garcia Sobral, Carlota, Leonor Silva e Sousa, and Rodrigo Chamusca. "P205 A rare complication of post-dural puncture - horizontal binocular diplopia post-dural puncture: a case report." In ESRA Abstracts, 41st Annual ESRA Congress, 4–7th September 2024. BMJ Publishing Group Ltd, 2024. http://dx.doi.org/10.1136/rapm-2024-esra.337.

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Miric, Ljubisa, Tijana Smiljkovic, Jelena Stanisavljevic Stanojevic, Ivan Petrovic, and Gasic Vojkan. "P086 Is a post dural puncture headache always a post dural puncture headache or something else? Case report." In ESRA Abstracts, 41st Annual ESRA Congress, 4–7th September 2024. BMJ Publishing Group Ltd, 2024. http://dx.doi.org/10.1136/rapm-2024-esra.281.

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Shetye, Snehal S., and Christian M. Puttlitz. "Biaxial Response of Ovine Spinal Cord Dura Mater." In ASME 2013 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2013. http://dx.doi.org/10.1115/sbc2013-14210.

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The dura mater plays a major functional role in the spinal cord-meningeal complex (SCM). Being the strongest structure of the meninges, it helps in sustaining the flow and pressure of the cerebral spinal fluid (CSF) in addition to protecting the spinal cord from external mechanical loading. Loss of integrity of the dura can result in subdural and epidural hematomas. Accidental damage of the dura during procedures such as lumbar puncture and epidural anesthesia can potentially result in post-dural-puncture headaches (PDPH).
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Dias, S., M. Nunes Ferreira, J. Oliveira, et al. "47 Incidence and management of post-dural puncture headache and accidental dural puncture from an oncology hospital: a 5-year retrospective analysis." In ESRA 2021 Virtual Congress, 8–9–10 September 2021. BMJ Publishing Group Ltd, 2021. http://dx.doi.org/10.1136/rapm-2021-esra.47.

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Lim, YC, and S. Manohara. "B250 Sphenopalatine ganglion blocks for treatment of post dural puncture headache." In ESRA Abstracts, 39th Annual ESRA Congress, 22–25 June 2022. BMJ Publishing Group Ltd, 2022. http://dx.doi.org/10.1136/rapm-2022-esra.324.

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Tsakyridou, E., K. Negrou, M. Mparda, M. Fragkidou, D. Zaimi, and K. Katsanoulas. "B199 Dural puncture continuous spinal anaesthesia with a conventional epidural catheter." In ESRA Abstracts, 39th Annual ESRA Congress, 22–25 June 2022. BMJ Publishing Group Ltd, 2022. http://dx.doi.org/10.1136/rapm-2022-esra.274.

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Nunes, Ana Raquel, and Filipe Pereira. "EP156 Post dural puncture headache – do we need to bring awareness." In ESRA Abstracts, 40th Annual ESRA Congress, 6–9 September 2023. BMJ Publishing Group Ltd, 2023. http://dx.doi.org/10.1136/rapm-2023-esra.217.

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Szatmary, Zoltan, and Gyula Gál. "Direct Puncture Feasibility for Diffuse Type IV Transverse Sinus Dural Arteriovenous Fistula." In PAIRS 2023 Annual Congress. Thieme Medical and Scientific Publishers Pvt. Ltd., 2023. http://dx.doi.org/10.1055/s-0043-1763448.

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Davidor, Nitsan, Yair Binyamin, Tamar Hayuni, and Ilana Nisky. "Using LOR Syringe Probes as a Method to Reduce Errors in Epidural Analgesia - a Robotic Simulation Study." In THE HAMLYN SYMPOSIUM ON MEDICAL ROBOTICS. The Hamlyn Centre, Imperial College London London, UK, 2023. http://dx.doi.org/10.31256/hsmr2023.42.

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In epidural analgesia, anesthetics are injected into the epidural space, to block signals from traveling through nerve fibres in the spinal cord or near it. To do so, the anesthesiologist inserts a Touhy needle into the patient’s skin and uses it to proceed to the epidural space, while using the haptic feedback received from a ”loss of resistance” (LOR) syringe [1] to sense the environment stiffness and identify loss of resistance from potential spaces. The two most common errors or complications of epidural analgesia are failed epidurals (FE) – halting the needle insertion in a superficial lo
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