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Epidural at T9 - T10 (HIPEC Series: Part 1)

Xiaodong Bao, MD, PhD
Massachusetts General Hospital

Abstract

The patient is undergoing hyperthermic intraperitoneal chemotherapy (HIPEC) for which he is receiving an epidural block placed at T9-T10 before undergoing the procedure. Epidural injection refers to drug administration to the epidural space surrounding the spinal cord in the vertebral column. The epidural space can be entered in the cervical, thoracic, lumbar, or sacral regions. It is often used to achieve anesthesia in the spinal segments below the site of placement of the epidural catheter. The site of injection in the patient’s back is prepared with a cleaning solution, followed by injection of a local anesthetic to numb the site where the epidural needle will be placed. An epidural needle is inserted in the numbed area until it reaches the epidural space. Negative aspiration upon testing indicates correct placement of the catheter. A catheter is then threaded into the epidural space followed by administration of a test dose ensure correct placement.

Part 2: Cystoscopy and Placement of Uretal Stents, performed by Dr. McGovern. Found at jomi.com/article/218.2

Main text coming soon.

Citations