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Epidural anesthesia
Epidural administration (from Ancient Greek ,
"on, upon" + dura mater) is a medical route of
administration in which a drug or contrast agent is
injected into the epidural space of the spinal cord
To achieve epidural analgesia or anaesthesia, a larger dose of drug is typically necessary than
with spinal analgesia or anaesthesia.
The onset of analgesia is slower with epidural analgesia or anaesthesia than with spinal analgesia
or anaesthesia.
An epidural injection may be performed anywhere along the vertebral column (cervical, thoracic,
lumbar, or sacral), while spinal injections are typically performed below the second lumbar
vertebral body to avoid piercing and consequently damaging the spinal cord.
It is easier to achieve segmental analgesia or anaesthesia using the epidural route than using the
spinal route.
lumbar epidural injections carry a low risk of injuring the spinal cord.