Epidural puncture position

The common position for hard anesthesia is the lateral position. Pregnant women with hard anesthesia should always take the left lateral decubitus position, because the pregnant uterus is dextrorotated to varying degrees. The dose of anesthesia test is generally injected while keeping the lateral decubitus position after successful hard anesthesia puncture. Considering the influence of the gravity of the drug solution, if the operation on one side of the body is performed, the operating side should be down when the anesthesia position is placed, such as appendectomy. The anesthesia position for surgery should be in the right lateral decubitus position. The left lateral position should be used for high-position anesthesia, because the left lateral position is more convenient than the right lateral position when the doctor holds the needle for puncture.

   Before the operation starts, the block plane can be adjusted by adjusting the position. If the operation is on the left (or right) side, adjust the position to adjust the left (or right) oblique position; or the block plane is lower (or higher) than the surgical site, depending on the situation After adding local anesthetic, adjust the body position to head down (or head up and down) position. This also utilizes the gravitational effect of the local anesthetic.

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