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  • Title
  • 1. Neuraxial Ultrasound
  • 2. Combined Spinal-Epidural (CSE) Anesthesia

Article type:Descriptions of Clinical and Surgical Procedures

Neuraxial Ultrasound and Combined Spinal-Epidural (CSE) Anesthesia for Cesarean Delivery

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Lauren Blake, MD; Fatine Karkri, MD; Brendan Carvalho, MBBCh, FRCA, MDCH, FASA
Stanford University School of Medicine

Anesthesia

Manuscript Format: Case Overview

Procedure Outline

Table of Contents

  1. 1. Neuraxial Ultrasound
    1. 2. Combined Spinal-Epidural (CSE) Anesthesia

      1. Neuraxial Ultrasound

      1. Ultrasound Setup
      2. Identify Sacrum
      3. Move Up Interspaces to L3-L4 and Identify Anatomy

      2. Combined Spinal-Epidural (CSE) Anesthesia

      1. Prep the Patient and Set Up Epidural Kit with Spinal Needle
      2. Inject Local Anesthesia to Numb the Skin and Superficial Tissues
      3. Insert Epidural Needle (Tuohy) and Advance to Epidural Space, Indicated by Loss of Resistance
      4. Insert Spinal Needle (Gertie-Marx) Through Epidural Needle into Subarachnoid Space
      5. Confirm Correct Location with CSF Flow
      6. Injection of Spinal Anesthesia into Subarachnoid Space
      7. Thread Epidural Catheter
      8. Confirm Negative Aspiration
      9. Reposition the Patient and Secure Catheter

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      Authors

      Filmed At:

      Stanford University School of Medicine

      Article Information

      Publication Date
      Article ID589
      Production ID0589
      Volume2026
      Issue589
      DOI
      https://doi.org/10.24296/jomi/589