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Dr. M.Suguna
Dept. of Anesthesia
GTMC-Theni
INTRODUCTION
• Epidural space or Peridural space or Extradural space is the
space that lies between the spinal meninges and the sides of the
vertebral canal.
HISTORY
• 1885: Corning first performed epidural analgesia.
• 1901: Sicard and Cathelin first used cadual approach, Tuffier
attempted epidural analgesia by lumbar approach in the same
year.
• 1921: Fidel Pages first used epidural anaesthesia in his surgical
practice.
• Tuohy introduced the needle used in Epidural Anaesthesia in
1945.
• 1951: Crawford used epidural anesthesia for thoracic surgery
• The epidural space is the potential space between periosteum
lining the vertebral canal and the spinal dura mater.
• It extends from the foramen magnum to the sacral hiatus, and
surrounds the dura mater anteriorly, laterally, and posteriorly
Cont…
mater are closely united, but below the foramen magnum the
the spinal canal and the inner forming the spinal dura mater
BOUNDARIES
• Above: the foramen magnum.
discs
vertebral bodies.
intervertebral foramina.
penetrated:
2. Supraspinous ligaments
3. Interspinous ligaments
4. Ligamentum flavum