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Topic Outline

There are no absolute indications for spinal or epidural anesthesia (Bernards CM, Hostetter LS. Epidural and spinal anesthesia. In: Barash PG, Cullen BF, Stoelting RK, Cahalan MK, Ortega R, Stock MC, eds.Clinical Anesthesia.Philadelphia: Lippincott Williams & Wilkins; 2013:905–934). Spinal anesthesia and epidural anesthesia have been shown to blunt the “stress response” to surgery, decrease intraoperative blood loss, lower the incidence of postoperative thromboembolic events, possibly decrease morbidity in high-risk surgical patients, and serve as a useful method to extend analgesia into the postoperative period (better analgesia than can be achieved with parenteral opioids).


  1. Anatomy
  2. Technique
  3. Spinal Anesthesia
  4. Continuous Spinal Anesthesia
  5. Epidural Anesthesia
  6. Continuous Epidural Anesthesia
  7. Epidural Test Dose
  8. Combined Spinal–Epidural Anesthesia
  9. Pharmacology
  10. Physiology
  11. Complications
  12. Contraindications
  13. Choice of Spinal or Epidural Anesthesia