Extends across spinous processes from cervical vertebra 7 to sacrum. Continuous with nuchal ligament above cervical vertebra 7. Thicker and broader in lumbar region than thoracic region. Fibers extend across 3-4 vertebrae superficially, 2-3 vertebrae deeper. Deepest fibers connect adjacent vertebrae spinous processes
Cocaine was first discovered as natural local anesthetic. Local anesthetics block pain sensation by reversibly blocking sodium channels. Pain fibers are first blocked by LAs
Epidural means above dura mater, used for spinal cord anesthesia. Subdural means below dura mater, referring to brain bleeding. Epidural space is filled with fat and blood vessels surrounding spinal cord. Subdural space is between dura and arachnoid mater layers
Children have different spinal anatomy than adults, especially in sacrum development. Epidural space depth is 1 mm/kg in children over 10 kg. US imaging helps assess neuraxial anatomy and catheter placement. Single-injection or continuous infusion techniques available
Hospital operates 24/7 with modern technology and specialist physicians. Established as Turkey's 8th Special Maternity Hospital in 2010. Focuses on complete healthcare with modern technology