The indications and contraindications of epidural anesthesia are similar to the spinal anesthesia. 3- It can be used for high procedures as in the thoracic and cervical regions (in addition to the lumbar and sacral regions; the latter is described as caudal block). It can produce a segmental block because the anesthetic does not spread readily by CSf and can be confined close to the level at which it has been injected. A segmental block is characterized by a well defined band of anesthesia at certain nerve roots. This can be seen with thoracic or cervical epidural. Thoracic epidural provides upper abdominal anesthesia while sparing cervical and lumbar nerve roots
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