Bending epidural technique?

Epidural anesthesia can be divided into single epidural anesthesia and continuous epidural anesthesia, which can be used by children and adults. It is suitable for rectal surgery and anal surgery with long operation time, such as anoplasty.

Operation method: The patient is placed in a lateral decubitus position with the waist and back arched and the knees close to the abdominal wall. At the point of the selected disc height fluctuation two spines, do a pichel, then vertically into the needle, advance the needle while a small amount of drug injection, to yellow ligament (resistance increase) exit needles, choose a slightly thick needles, since qiu to Pierce the skin of the yellow ligament, the spoon head epidural needles along the eye of a needle pierced, arrived at yellow ligament, the resistance increased obviously, the exit needle core, a small glass tube connection, Fill with a small amount of isotonic saline, and then slowly push into the needle in the direction of rotation to test resistance. There was a sudden loss of resistance upon penetration of the ligamentum flavum and a little saline was inhaled, indicating that the tip had entered the epidural space. The glass tube was removed, the syringe was connected, and no cerebrospinal fluid and blood were sucked back, which was confirmed to be in the epidural space without straying into the blood vessels and subarachnoid space. If a single epidural is chosen, the drug can be injected. When continuous epidural anesthesia was selected, the plastic catheter was inserted into the needle, the length was 3cm beyond the needle tip, the puncture needle was withdrawn, the plastic catheter was indwelled for fixation, and the drug was administered through the catheter in installments according to the needs of the operation. At the end of the operation, the catheter was removed. Commonly used narcotic drugs are: 2% lidocaine, 0.5% bupivacaine equal volume, add a small amount of epinephrine.

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