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Factors that can increase the risk of developing epidural or spinal hematomas in these patients include: use of indwelling epidural catheters concomitant use of other drugs that affect hemostasis, such as non-steroidal anti-inflammatory drugs (NSAIDs), platelet inhibitors, or other anticoagulants a history of traumatic or repeated epidural or spinal puncture a history of spinal deformity or spinal surgery Monitor patients frequently for signs and symptoms of neurologic impairment

Treatment The injection is typically administered into the deltoid (shoulder), vastus lateralis (thigh), or ventrogluteal (side of the hip) muscle

Last updated: 1 January 2023.

The dermatome pattern for the trunk is simple, that for the limbs is more complex

Basic dosage: 2.5-3.75 micrograms/kilogram of body weight/time/twice a day

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