An epidural catheter was placed for postoperative pain relief. Note that just a flexible catheter is left after the procedure.

The catheter can remain in place, safely, for up to 5 days. Your surgeon and CRNA will continually reassess you during your recovery to determine the right dose and when to remove the epidural catheter.

🌙 Understanding Epidural Analgesia for Pain Relief

Epidural analgesia is a common and effective way to manage pain after surgery—especially for procedures involving the chest, belly, or lower body. Although it's well-known for use during childbirth, it’s also helpful for managing pain after major surgeries.

How It Works

  • While you're sitting up, your Certified Registered Nurse Anesthetist (CRNA) will carefully place a thin tube (called a catheter) into a space in your lower back called the epidural space.

  • This catheter stays in place and delivers pain-relieving medication (a local anesthetic, sometimes with a small dose of opioid).

  • The medicine blocks pain signals from reaching your brain, helping you feel more comfortable while still allowing some movement.

Benefits of an Epidural

  • Excellent pain control, especially after major abdominal or chest surgeries

  • Lower need for opioid medications, which can reduce side effects like nausea and drowsiness

  • The dose can be adjusted during your recovery to meet your needs

  • Can be used alongside general or spinal anesthesia for better pain relief

🕒 What to Expect

  • Pain relief usually starts within 10 to 20 minutes after the medication begins.

  • Your CRNA will regularly check in to adjust the medicine as needed.

  • You may still be able to move your legs and feel light pressure, but pain will be greatly reduced.

⚠️ Possible Risks and Side Effects

Epidurals are generally very safe, but like all medical procedures, they carry some risks:

  • Low blood pressure

  • Itching, especially if opioids are used

  • Difficulty urinating (a temporary side effect)

  • Headache, if the needle accidentally punctures the spinal fluid space

  • Infection or nerve injury (rare)

  • Inadequate pain relief, if the catheter moves or medication spreads unevenly

Your CRNA will monitor you closely and take steps to prevent or manage any side effects.

🚨 Important Note

Be sure to tell your CRNA if you take any blood thinners or medications that affect clotting. These can increase the risk of bleeding near the spine and may require special planning.

Your anesthesia awaits.