What is the role of the translaminar or interlaminar approach for cervical epidural blocks (CEBs) in pain management?

Updated: Jun 19, 2018
  • Author: Anthony H Wheeler, MD; Chief Editor: Meda Raghavendra (Raghu), MD  more...
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Answer

Answer

The translaminar or interlaminar approach is considered the safest and most effective technique for cervical epidural placement of local anesthetic, corticosteroids, and sometimes opioids, for various diagnostic, therapeutic, or prognostic purposes. CEBs with LA and/or opioids may be used to dampen acute pain, especially during emergencies while waiting for more definitive or effective treatment through pharmacologic, surgical, and/or antiblastic methods. CEBs may be used to manage pain after trauma or surgery, as well as various other disorders that are hard to manage, even with parenteral opioids, such as acutely painful conditions as herpes zoster, cancer, limb amputation, and acute vascular insufficiency. [19, 20, 21]


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