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Ask Dr Moore




Mark Moore MD, best-selling author of the gender selection book Baby Girl or Baby Boy--Choose the Sex of Your Child,
answers readers' questions on pregnancy, pediatrics, pain management and anesthesia.
 

 

EPIDURAL ANESTHESIA--the word "epidural" is a general term to refer to a way to deliver anesthetic medications --there are several different types of epidurals, depending on their use and the mix of medications infused into them.

The definition or meaning of the word "epidural" has to do with "an area on top of the dural space" which is the covering of the spinal canal. So an epidural is placement of medications into the epidural space, directly by injection or more usually through a tiny catheter, so the medicines can be as a continuous infusion. There are epidurals that are used for labor and delivery, epidurals that are used for surgery, such as cesarean section or other abdominal surgery, and epidurals that are given as back pain treatments (these usually have steroids added).

Epidurals that are used for surgery make the body numb from the chest down. The patient is awake during the surgery but can be sedated so they do not become too anxious. Epidurals can be continued after the surgery to keep the site of surgery pain-free during the postoperative recovery period.

 

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