Pre-procedure ultrasound imaging enhances successful neuraxial placement through determination of the optimal vertebral interspace, identification of the midline, location of the optimal insertion point, best angle for needle insertion, and accurate depth for needle advancement to the epidural or intrathecal space. In the experienced clinician, neuraxial ultrasound imaging can be of particular benefit in parturients with difficult anatomy and/or landmarks. The current article outlines the benefits as well as step-by-step assessment of lumbar spine.

Neuraxial anesthesia offers analgesia and anesthesia for labor, vaginal delivery, cesarean section, and is considered the gold standard because of its limited effects on both the mother and fetus. Unique Challenges In Providing Neuraxial (Spinal Or Epidural) Blockade In Obstetrics Neuraxial analgesia/anesthesia relies primarily on the…