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John Bonica was a pioneer and stalwart figure in pain medicine but he did not discover the epidural. Epidural anesthesia and analgesia had been around for many years. It is difficult to pinpoint who 1st described the technique. The 1st use came at the turn of the 20th century when numerous people attempted epidurals for surgical procedures but were met by failure. Over many years articles were published describing "caudal" anesthesia and analgesia which is a cousin to epidurals. Continuous "caudals" were 1st used in the 1940's where the needle would be left in patients for a period of time and a drip of local anesthetic infused into them.

Dr. Bonica has many achievements and is credited with the 1st obstetric epidural in the Pacific NW. His wife nearly died in childbirth from open drop ether anesthesia and for the birth of his 2nd child Dr. Bonica placed an epidural into his own wife.

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Dr. John Bonica

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Q: Who created epidural block?
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Under what circumstances is epidural therapy performed?

Epidural anesthesia can block most of the pain of labor and birth for vaginal and surgical deliveries. Epidural analgesia is also used after cesarean sections


What does an epidural help you on?

During labor. Epidural analgesia, sometimes called an epidural block, causes some loss of feeling in the lower areas of your body, yet you remain awake and alert. An epidural block may be given soon after your contractions start, or later as your labor progresses. An epidural block with more or stronger medications (anesthetics, not analgesics) can be used for a cesarean delivery or if vaginal birth requires the help of forceps or vacuum extraction. Your doctors will work with you to determine the proper time to give the epidural.


How long after having a facet block on the low back will you know if it is working or not?

It depends on the shots you receive. I recently had two such appointments. the First time, I had an epidural with 2 facet block injections. The following time I had an epidural only. With the epidural / facet block, I could tell by the end of the day that it had worked. My particular situation only flares up while I am sleeping. When I had just the epidural, it did not help me at all. Now, you must remember that results will be different with each individual.


Where does epidural go?

Epidural Analgesia - Epidural analgesia, sometimes called an epidural block, causes some loss of feeling in the lower areas of your body, yet you remain awake and alert. An epidural block may be given soon after your contractions start, or later as your labor progresses. An epidural block with more or stronger medications (anesthetics, not analgesics) can be used for a cesarean delivery or if vaginal birth requires the help of forceps or vacuum extraction. Your doctors will work with you to determine the proper time to give the epidural.An epidural block is given in the lower back into a small area (the epidural space) below the spinal cord. You will be asked to sit or lie on your side with your back curved outward and to stay this way until the procedure is completed. You can move when it's done, but you may not be allowed to walk around.Source: http://www.lifelinetomodernmedicine.com/ArticlePage.aspx?ID=e746e318-69c5-4fef-aa4d-899a827d08c0&LandingID=4f04afc4-4f77-4eff-b20c-01e6e6ede922


Where do epidural opioids work?

The anesthetic agents that are infused through the small catheter block spinal nerve roots in the epidural space and the sympathetic nerve fibers adjacent to them.


Who created the epidural?

Dr. John Bonica invented the epidural in the 1930's and administered it to his own wife who was in labor at the time.


What is epidural?

Epidural analgesia, sometimes called an epidural block, causes some loss of feeling in the lower areas of your body, yet you remain awake and alert. An epidural block may be given soon after your contractions start, or later as your labor progresses. An epidural block with more or stronger medications (anesthetics, not analgesics) can be used for a cesarean delivery or if vaginal birth requires the help of forceps or vacuum extraction. Your doctors will work with you to determine the proper time to give the epidural.An epidural block is given in the lower back into a small area (the epidural space) below the spinal cord. You will be asked to sit or lie on your side with your back curved outward and to stay this way until the procedure is completed. You can move when it's done, but you may not be allowed to walk around.Source: http://www.lifelinetomodernmedicine.com/ArticlePage.aspx?ID=e746e318-69c5-4fef-aa4d-899a827d08c0&LandingID=4f04afc4-4f77-4eff-b20c-01e6e6ede922


What does the term epidural mean?

Epidural analgesia, sometimes called an epidural block, causes some loss of feeling in the lower areas of your body, yet you remain awake and alert. An epidural block may be given soon after your contractions start, or later as your labor progresses. An epidural block with more or stronger medications (anesthetics, not analgesics) can be used for a cesarean delivery or if vaginal birth requires the help of forceps or vacuum extraction. Your doctors will work with you to determine the proper time to give the epidural.An epidural block is given in the lower back into a small area (the epidural space) below the spinal cord. You will be asked to sit or lie on your side with your back curved outward and to stay this way until the procedure is completed. You can move when it's done, but you may not be allowed to walk around.Source: http://www.lifelinetomodernmedicine.com/ArticlePage.aspx?ID=e746e318-69c5-4fef-aa4d-899a827d08c0&LandingID=4f04afc4-4f77-4eff-b20c-01e6e6ede922


What determines whether an anaesthetic is injected into the sub-arachnoid space versus the epidural space?

when an anaesthetic is injected into the sub-aracnoid sapce the patient can have a copmlete block that can lead to death,whilst into the epidural space painrelief will be effective.,


What does epidural mean?

Epidural analgesia, sometimes called an epidural block, causes some loss of feeling in the lower areas of your body, yet you remain awake and alert. An epidural block may be given soon after your contractions start, or later as your labor progresses. An epidural block with more or stronger medications (anesthetics, not analgesics) can be used for a cesarean delivery or if vaginal birth requires the help of forceps or vacuum extraction. Your doctors will work with you to determine the proper time to give the epidural.An epidural block is given in the lower back into a small area (the epidural space) below the spinal cord. You will be asked to sit or lie on your side with your back curved outward and to stay this way until the procedure is completed. You can move when it's done, but you may not be allowed to walk around.Source: http://www.lifelinetomodernmedicine.com/ArticlePage.aspx?ID=e746e318-69c5-4fef-aa4d-899a827d08c0&LandingID=4f04afc4-4f77-4eff-b20c-01e6e6ede922Please recheck your spelling to ensure word is spelled correctly. I will add to my watchlist. very respectfully


When was Block to Block created?

Block to Block was created in 1981.


Where do you have your epidural?

An epidural block is given in the lower back into a small area (the epidural space) below the spinal cord. You will be asked to sit or lie on your side with your back curved outward and to stay this way until the procedure is completed. You can move when it's done, but you may not be allowed to walk around.Source: http://www.lifelinetomodernmedicine.com/ArticlePage.aspx?ID=e746e318-69c5-4fef-aa4d-899a827d08c0&LandingID=4f04afc4-4f77-4eff-b20c-01e6e6ede922