Is the epidural anesthesia painful or not, will you give anesthesia to the puncture site first?

When performing epidural anesthesia in clinic, the intervertebral space of C7-L5 is generally selected for puncture. Generally, those above T6 are referred to as high epidurals. In addition, caudal block is also an epidural anesthesia.

In the case of the heel, the L3-4 gap is generally punctured, and a cannula can be placed at the caudal end. L4-5 puncture may be difficult.

The effect of epidural anesthesia is to block several segments of spinal nerves. For example, if you choose L3-4 puncture, the anesthesia plane is generally around T12-S1.

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