Anaes SAQs · Neuraxial anaesthesia
Epidural anaesthesia — technique and complications
Final SAQ on epidural anaesthesia: the loss-of-resistance siting and catheter placement, dilute local anaesthetic with opioid, the test dose with incremental dosing, and the complications (wet tap with pneumorrhachis, epidural-related maternal fever, haematoma and abscess).
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Target exams
ANZCAFRCAABAEDAICFCAIFCA_SA
Prompt
Describe how you would site a lumbar epidural for labour analgesia, the pharmacological principles of the block, and the recognition and prevention of its complications.
Question
Describe how you would site a lumbar epidural for labour analgesia, the pharmacological principles of the block, and the recognition and prevention of its complications[2].
References5ShowHide
- [1]Zhang M, Zhang L, Chen D, et al. Epidural-related maternal fever and metabolomic changes: a pilot exploratory study. Int J Obstet Anesth, 2026.PMID 42361496
- [2]Kutlesić M, Kutlesić R [Epidural analgesia in labor: specific characteristics, dilemmas and controversies]. Med Pregl, 2012.PMID 23214341
- [3]Greenspon NH, Farrer JR Pneumorrhachis After Inadvertent Dural Puncture as a Cause of Severe Neck Pain Limiting Labor Participation and Necessitating Operative Vaginal Delivery: A Case Report. A A Pract, 2026.PMID 42257607
- [4]Jain D, Gandhi K, Gupta M, et al. A survey on labor epidural test dose practices in India. J Anaesthesiol Clin Pharmacol, 2025.PMID 40026751
- [5]Cook TM, Counsell D, Wildsmith JA, et al. Major complications of central neuraxial block: report on the Third National Audit Project of the Royal College of Anaesthetists. Br J Anaesth, 2009.PMID 19139027