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- Gamal Ejaimi, Alrossasy Zakaria, Areeg Ahmed, Sitelnissa Ahmed, and Mohamed Ezzat Maaly.
- From the Department of Anesthesia and Intensive Care, Taiba Hospital, Sabah Al Salem, Kuwait.
- A A Pract. 2021 May 4; 15 (5): e01453.
AbstractA central neuraxial block may be difficult to perform in elderly patients with lumbar spine deformities, calcified ligaments, and narrowing of the epidural space. We report a case of difficult epidural needle placement in an elderly patient scheduled for bilateral total knee replacement (TKR). We attempted epidural needle placement many times without success. However, when a modified technique was used, the epidural space was identified easily and confirmed, the epidural catheter was inserted and fixed, and the postoperative epidural analgesia was effective.Copyright © 2021 International Anesthesia Research Society.
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