TABLE 1.
Catheter location | Motor response | Current |
---|---|---|
Subcutaneous | None | NA |
Subdural | Bilateral (many segments) | <1 mA |
Subarachnoid | Unilateral or bilateral | <1 mA |
Epidural space against nerve root | Unilateral | <1 mA |
Nonintravascular | Unilateral or bilateral | 1 mA to 10 mA (threshold current increases after local anesthetic is injected) |
Intravascular | Unilateral or bilateral | 1 mA to 10 mA (no change in threshold current after local anesthetic is injected) |
Confirmation of catheter placement in the epidural space is recieved once obtaining either a bi- or unilateral motor response, and when the threshold current is 1 mA to 10 mA initially and increases with injection of local anesthetic