Techniques in Regional Anesthesia & Pain Management
Volume 13, Issue 4 , Pages 229-235, October 2009

Ultrasound guidance for epidural steroid injections

  • Hariharan Shankar, MBBS

      Affiliations

    • Corresponding Author InformationAddress reprint requests and correspondence: Hariharan Shankar, MBBS, Medical College of Wisconsin, Department of Anesthesiology, 5000 West National Avenue, Milwaukee, WI 53295
    • ,
  • Christine M. Zainer, MD

Department of Anesthesiology, Clement J Zablocki VA Medical Center and the Medical College of Wisconsin, Milwaukee, Wisconsin

Ultrasound (US) guidance is practiced widely in regional anesthesia. It is becoming increasingly used for pain medicine interventions. US-guided neuraxial analgesia has also been demonstrated despite many technical challenges. The applicability of US guidance for neuraxial steroid injections adds the dimension of complications secondary to particulate steroids. This review will discuss the available evidence for the use of US in neuraxial analgesia and for epidural steroid injections (ESIs), the technique and limitations, and the potential uses of US for ESIs.

Keywords: Ultrasound, Epidural, Steroid

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PII: S1084-208X(09)00035-4

doi:10.1053/j.trap.2009.06.007

Techniques in Regional Anesthesia & Pain Management
Volume 13, Issue 4 , Pages 229-235, October 2009

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