Thoracic Epidural Nerve Block

Brief

The technique of thoracic epidural nerve block is used with increasing frequency in the practice of pain management. The presence of the spinal cord at the thoracic levels demands that the clinician have significant technical proficiency in performing epidural techniques without complications. A thorough knowledge of anatomic and physiologic changes associated with a thoracic epidural block is essential to avoiding complications.

Indications

Surgical Procedures

Postoperative Analgesia

Herpes Zoster and Postherpetic Neuralgia

Epidural Steroids

Acute Pain Secondary to Trauma

Angina

Cancer Pain

Spinal Cord Stimulation

Acute Pancreatitis

Contraindications to thoracic epidural nerve block are the same as for any other neuraxial procedure:

Infection in the area or septicemia

Bleeding or clotting disorders, such as thrombocytopenia, or current anticoagulant therapy

Uncorrected hypovolemia

Thoracic Epidural Nerve Block Techniques

Midline approach

Paramedian lateral approach

Laminar approach

Drugs used for thoracic epidural nerve block

Thoracic-Epidural-Nerve-Block

Controlling chronic pain using modern and advanced interventional techniques

More Info
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