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In
CSE, the epidural space is located as described under
'epidural anesthesia'. After locating the epidural
space, a thin needle is passed through the epidural
needle into the spinal fluid to inject a small amount of
medication into the spinal fluid (spinal anesthesia).
This results in the instantaneous onset of pain relief
of child birth and you will begin to feel comfortable.
The thin spinal needle is removed and an epidural
catheter in inserted into the epidural space followed by
the removal of the epidural needle. The epidural
catheter is secured over the back in the usual fashion.
An
epidural pump gradually injects medications into the
epidural space as described in 'epidural anesthesia'.
The spinal part of the CSE usually lasts about 90
minutes. As the effect of spinal anesthesia wears off,
epidural anesthesia kicks in and you will have
comfortable pain relief. The epidural medications are
adjusted to provide optimum pain relief until you
delivery your baby.
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