How is Epidural and Spinal Catheter Application Performed?

Pain sensors in the body transmit the pain stimulus to the spinal cord via nerve fibers. The pain stimulus is transferred from the spinal cord to higher centers and transmitted to the pain centers of the brain and the feeling of pain occurs. and pain is prevented. This area contains fat tissue and blood vessels.
The patient is placed in a prone or side position. Depending on the location of the pain, the area where the intervention will be performed in the back or waist region is cleaned sterile. With the scopy control, the area where the intervention will be made is displayed. Spinous processes are determined in the spine at the level where the intervention will be made, and the epidural space is entered between the two protrusions with an appropriate needle. A catheter is passed through the needle in the epidural space. The needle is removed and the catheter is fixed to the skin so that it does not come out of the epidural area.

Who Can Be Applied to the Epidural Catheter?

Continuous epidural analgesia with opioids applied to the epidural area is the method frequently preferred in stage cancer patients. It can also be applied to identify the source of pain in unidentified pain.

Who Cannot Have Epidural Catheter Application?

• Blood coagulation disorders
• Fluid in the body scarcity (hypovolemia)
• Cannot be applied in the intervention area or in the presence of infection in the body.

What are the Risks for Epidural Catheter?

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Perforation of the cerebrospinal membrane and total spinal block

Drug diffusion under the cerebral cortex

Hemorrhage and abscess formation on the cerebrospinal membrane

Anterior spinal artery syndrome formation

Catheter rupture in the epidural space

Toxic effects of local anesthetic agents

Back pain

The risks of impaired bladder function.

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