METHOD FOR EPIDURAL CATHETER INSTALLATION FOR CONDUCTION OF EPIDURAL ANALGESIA IN YOUNG MOTHERS Russian patent published in 2017 - IPC A61M19/00 A61B17/42 A61K33/14 A61K31/167 A61P23/02 

FIELD: medicine.

SUBSTANCE: aseptic treatment and local anesthesia of the puncture site is performed, inserting the Tuohi needle No. 16-18G in the sagittal plane between spinous processes L2-L3. The mandrel is removed after sensation of a dip, a low-pressure syringe with saline is attached and the needle is moved till the loss of resistance for the saline in the syringe. The syringe is disconnected, then the catheter is inserted into the needle and pushed through the needle. A syringe with a 5-7 mm of saline is attaced to the outer end of the catheter. The catheter is slowly and continuously advanced in the cranial direction. Simultaneously, the connective tissue of the epidural space is infiltrated together with the epidural veins with saline, the catheter is placed at a depth of 4-5 cm.

EFFECT: method allows to reduce the risk of epidural hematoma and unintentional injection of local anesthetic into the bloodstream for young mothers.

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