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1

Chrubasik, Joachim, Sigrun Chrubasik, and Laurence Mather. Postoperative Epidural Opioids. Springer Berlin Heidelberg, 1993. http://dx.doi.org/10.1007/978-3-642-78320-3.

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Capogna, Giorgio, ed. Epidural Labor Analgesia. Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-13890-9.

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Sigrun, Chrubasik, and Mather L, eds. Postoperative epidural opioids. Springer, 1993.

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4

van, Aken Hugo, and Rolf Norbert, eds. Thoracic epidural anaesthesia. Baillière Tindall, 1999.

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Capogna, Giorgio. Epidural Technique In Obstetric Anesthesia. Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-45332-9.

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6

(Birmingham), Selly Oak Hospital, ed. An introduction to epidural analgesia. South Birmingham Health Authority, 1985.

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7

Shah, Janti L. Factors affecting the epidural pressure. University of Birmingham, 1996.

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8

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

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9

Covino, Benjamin G. Handbook of epidural anaesthesia and analgesia. Grune and Stratton, 1985.

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10

Middleton, Carolyn. Epidural Analgesia in Acute Pain Management. John Wiley & Sons, Ltd., 2006.

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11

Carolyn, Middleton, ed. Epidural analgesia in acute pain management. John Wiley & Sons, 2006.

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12

Bruce, Scott D., and Buckhöj Poul, eds. Handbook of epidural anaesthesia and analgesia. Grune & Stratton, 1985.

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13

Kapsch, Alejandro. Zur Duragängigkeit und klinischen Verträglichkeit epidural applizierten Somatostatins. A. Kapsch, 1987.

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14

May, Anne. Epidurals for childbirth: A guide for all delivery-suite staff. 2nd ed. Cambridge University Press, 2007.

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15

May, Anne. Epidurals for childbirth: A guide for all delivery-suite staff. 2nd ed. Cambridge University Press, 2007.

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May, Anne. Epidurals for childbirth: A guide for all delivery-suite staff. 2nd ed. Cambridge University Press, 2007.

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17

Capogna, Giorgio, ed. How to Teach the Epidural Block in Obstetric Anesthesia. Springer Nature Switzerland, 2024. http://dx.doi.org/10.1007/978-3-031-70211-2.

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18

Kerkkamp, Hans Edde Michael. Ropivacaine versus bupivacaine: Characteristics and clinical aspects in lumbar epidural blockade. Druk SSN, 1990.

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19

Gill, Renu. Combined spinal epidural vs standard epidural. 1995.

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20

Mabey, David. Epidural Abscess. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199976805.003.0009.

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An epidural abscess is a collection of pus that has accumulated between the dura and the calvarium or spine. It is rare but can lead to severe neurologic dysfunction or death. There are two main subsets of epidural abscess: spinal epidural abscess (SEA) and intracranial epidural abscess (ICEA). Early diagnosis is key to minimizing complications. Back pain is the most common presentation of SEA, along with spinal tenderness. Treatment requires prolonged hospitalization, surgical drainage in most cases, and long-term antibiotics. Except in rare cases, patients with SEA and ICEA will require hosp
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21

Moore, David L., and Kenneth R. Goldschneider. Neonatal Epidural. Oxford University Press, 2013. http://dx.doi.org/10.1093/med/9780199764495.003.0058.

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Over the past couple of decades there has been increased awareness that opioid use for postoperative pain in neonates may not result in the best outcomes for these patients. Concurrently, there has been an increased use of regional techniques for postoperative pain in the neonate, in particular epidural anesthesia. The most common technique has been an epidural block via a caudal catheter. Caudal catheters can be used for lumbar and thoracic epidural blocks. The caudal catheter technique allows for a theoretically safer means of placement than the classic, at-level, loss-of-resistance techniqu
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22

Moore, David L., and Kenneth R. Goldschneider. Neonatal Epidural. Edited by Erin S. Williams, Olutoyin A. Olutoye, Catherine P. Seipel, and Titilopemi A. O. Aina. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190678333.003.0054.

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Pain stemming from major surgery in neonates can be treated with epidural analgesia. The size of the infants strongly suggests alterations in technique from approaches used in adults. Furthermore, advances in technology have prompted use of ultrasound as a means of confirming catheter placement, though stimulation and fluoroscopic means can also be used. The three main approaches to placement of epidurals are at-level insertion, caudal catheter, and low lumbar (modified Taylor technique) placement. Each approach has pros and cons, which are reviewed below. Risks and technical aspects particula
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23

Shah, Minal A., and Rabih O. Darouiche. Spinal Epidural Abscess. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199937837.003.0152.

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Spinal epidural abscess is a rare and debilitating illness that requires prompt recognition to prevent unfavorable outcomes. Despite increased awareness of the disease and improved imaging methods, spinal epidural abscess sometimes remains a diagnostic and therapeutic challenge; as a result, morbidity and mortality can be high. Optimal management of spinal epidural abscess requires early intervention and coordination with a multidisciplinary team, including emergency medicine physicians, infectious disease specialists, radiologists, neurosurgeons, orthopedists, internists, and hospitalists. Th
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24

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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25

Intracranial Epidural Bleeding. Elsevier, 2018. http://dx.doi.org/10.1016/c2016-0-03543-x.

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Mather, Laurence, Sigrun Chrubasik, and Joachim Chrubasik. Postoperative Epidural Opioids. Springer London, Limited, 2012.

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27

Postoperative Epidural Opioids. Island Press, 1993.

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28

Souzdalnitski, Dmitri, Pavan Tankha, and Imanuel R. Lerman. Lumbar Epidural Injections: Fluoroscopy. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199908004.003.0021.

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Lumbar epidural injection is most often performed for patients experiencing low back pain with radicular symptoms. The radicular symptoms can be precipitated by disc herniation or foraminal stenosis. In addition, spinal stenosis with associated neurogenic claudication is another common indication for this injection. These procedures may be effective in treatment of other syndromes that are associated with radiculopathic low back pain, including intervertebral disc degeneration without disc herniation, central spinal stenosis, spondylothesis, and failed lumbar back surgery syndrome. Lumbar epid
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29

Wong, Cynthia. Spinal and Epidural Anesthesia. McGraw-Hill Professional, 2006.

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30

Spinal and epidural anesthesia. McGraw Hill Medical, 2007.

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31

Lazar, Alina. Perioperative Epidural Pain Management in Children. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190271787.003.0040.

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In adults, the postoperative benefits of epidural analgesia are well established, but in children the literature is sparse and controversy exists about the benefits, risks, ideal placement technique, and dosage of medication infused epidurally. Little is known about the neurotoxicity of various medications currently administered in the epidural space or the long-term consequences of epidural analgesia. The management of epidural analgesia in children is complicated by the narrow therapeutic window of epidural drugs, especially in neonates and young infants, and the difficulties of evaluating p
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32

Souzdalnitski, Dmitri, and Samer N. Narouze. Cervical Interlaminar Epidural Injections: Fluoroscopy. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199908004.003.0010.

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Interlaminar cervical epidural steroid injections (CEI) have been considered an effective treatment for neck pain accompanied by radicular pain or radiculopathy secondary to the herniated cervical disc. Also, CEI may be useful in the treatment of intracranial hypotension secondary to a spontaneous cerebrospinal fluid (CSF) leak. Computer tomography (CT) uses significantly higher doses of radiation for patients. Fluoroscopy uses less radiation than CT, and helps to correctly identify the site of injection and guide the procedure with, likely, less trauma to ligaments, periosteum, epidural vesse
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33

Lerman, Imanuel R., David Hiller, and Joseph Walker. Caudal Epidural Steroid Injection: Fluoroscopy. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199908004.003.0024.

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The caudal epidural steroid injection can be a routine procedure. However, the underlying anatomy of the sacral hiatus is highly variable and can be difficult to visualize under fluoroscopy. The “blind” palpation technique has repeatedly been shown to be inferior, resulting in significantly more complications, when compared to employing contrast-enhanced fluoroscopic guidance. Ultrasound image guidance can accurately localize the sacral hiatus more consistently than the palpation technique. However, ultrasound guidance does not improve the accuracy of proper needle placement, as ultrasound can
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34

Lerman, Imanuel R. Caudal Epidural Steroid Injection: Ultrasound. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199908004.003.0025.

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Ultrasound guidance can facilitate caudal epidural steroid injection by providing a clear view of the sacrum, the sacral hiatus, and the needle as it is advanced through the sacrococcygeal ligament into the sacral hiatus. Using ultrasound guidance for the initial needle insertion can eliminate the exposure of the physician and patient to ionizing radiation. However, the use of ultrasound guidance as a sole imaging technique for caudal epidural steroid injection does have disadvantages. Contrast fluoroscopic guidance is necessary to visualize the needle once it passes under the apex of the sacr
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35

Peralta, Feyce. High or Total Spinal/Epidural. Edited by Matthew D. McEvoy and Cory M. Furse. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190226459.003.0044.

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High or total spinal/epidural blockade occurs due to excess spread of local anesthetic within the neuraxial space. While this is an infrequent complication, it can cause respiratory and hemodynamic instability in obstetric patients. If high/total spinal/epidural occurs prior to delivery, such derangements may lead to fetal intolerance and need for emergency delivery. Clinicians should suspect risk for high block when patients lose upper extremity motor function and complain of dysphonia or dyspnea. Intubation and respiratory and hemodynamic support along with adequate sedation should be given
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36

Bhatt, Pragnesh, and Damjan Veljanoski. Spinal Discitis and Epidural Abscess. Cambridge University Press, 2024.

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Bhatt, Pragnesh, and Damjan Veljanoski. Spinal Discitis and Epidural Abscess. Cambridge University Press, 2024.

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38

Epidural pain relief during labour. Midirs, 1999.

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39

Capogna, Giorgio. Epidural Technique In Obstetric Anesthesia. Springer, 2020.

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40

Epidural Technique in Obstetric Anesthesia. Springer International Publishing AG, 2021.

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Bhatt, Pragnesh, and Damjan Veljanoski. Spinal Discitis and Epidural Abscess. Cambridge University Press, 2024.

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42

Volume 1.: Abdomen - Anaesthesia, epidural. Dorling Kindersley, 2005.

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43

An Atlas of Epidurograms: Epidural Blocks Investigated. Informa Healthcare, 1998.

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Shin, Jin Woo. Spinal Epidural Balloon Decompression and Adhesiolysis. Springer Singapore Pte. Limited, 2021.

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Middleton, Carolyn, and C. Middleton. Epidural Analgesia in Acute Pain Management. Wiley & Sons, Incorporated, John, 2006.

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Schug, Stephan. Epidural block and phantom limb pain. Edited by Paul Farquhar-Smith, Pierre Beaulieu, and Sian Jagger. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198834359.003.0053.

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The landmark paper discussed in this chapter, published by Bach et al. in 1988 is a Danish paper that describes a study where patients who were to undergo lower-limb amputation received either preventive, preoperative epidural analgesia for 72 hours before the amputation, or systemic analgesia. At 6 and 12 months post-operatively, all patients in the epidural group were pain free, while 38% and 27%, respectively, in the control group had phantom limb pain. The study has been criticized for a number of points including the pseudorandomization by year of birth, the lack of any blinding, and the
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47

Fyneface-Ogan, Sotonye, ed. Epidural Analgesia - Current Views and Approaches. InTech, 2012. http://dx.doi.org/10.5772/2167.

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Collier, Clive. Epidural Anaesthesia: Images, Problems and Solutions. CRC Press, 2012. http://dx.doi.org/10.1201/b13293.

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Middleton, Carolyn. Epidural Analgesia in Acute Pain Management. Wiley & Sons, Incorporated, John, 2007.

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50

Handbook of epidural anaesthesia and analgesia. Grune & Stratton, 1985.

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