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Epidural anesthesia is considered the gold standard among anesthesia methods for facilitating labor. It is recommended by the World Health Organization (WHO) and is estimated to be used in 10 to 64 % of cases in high-income countries.1 As a neuraxial labor anesthesia technique, it is invasive but remains the most effective and one of the most commonly used methods of pain relief during labor.2
Even after a prior Cesarean section, EDA is advocated by German, British, and American professional societies for subsequent attempts at VBAC (Vaginal Birth after Cesarean Section).3 As a perioperative anesthesia technique, the epidural is also favoured for the majority of open abdominal surgical procedures.4
It is the most commonly used anesthesia technique for intensive care patients.5
Arranged around the first 1.8cm with closed tip. Contributes to even distribution of the anesthetic.
Graduations on the first 30cm helps ensure visualization of insertion depth during catheter placement.
Indicates how far the catheter should be inserted into the clamping adapter.
1 Halliday, Lucy et al. (2022). Epidural analgesia in labor: A narrative review. International Journal of Gynecology & Obstetrics, 159(2), pp. 356–364. DOI: 10.1002/ijgo.14175.
2 Fernando R. et al. (2018). Neuraxial labor analgesia: a focused narrative review of the 2017 literature. Current Opinion in Anesthesiology, 31(3): 251–257.
3 Annecke T. et al. (2020). Die geburtshilfliche Analgesie und Anästhesie. S1-Leitlinie der Deutschen Gesellschaft für Anästhesiologie und Intensivmedizin in Zusammenarbeit mit der Deutschen Gesellschaft für Gynäkologie und Geburtshilfe. AWMF online Portal der wissenschaftlichen Medizin.
4 Bauer P. A. et al. (2019). Meta-analysis of epidural analgesia in patients undergoing pancreatoduodenectomy. BJS Open, 3(5): 559–571.
5 De Andres J. et al. (2019). Regional analgesia techniques for pain management in patients admitted to the intensive care unit. Edizioni Minerva Medica, 85(10): 1118–1128.