In this episode of the Atomic Podcast, practicing CRNA Alex Gorman discusses the dural puncture epidural (DPE), particularly in the obstetrical setting. By incorporating a spinal needle to confirm midline placement and epidural space entry, the DPE provides immediate objective feedback, reducing the likelihood of failed epidurals and improving patient outcomes. Alex highlights the technique’s benefits, including faster analgesia onset and fewer complications like one-sided pain relief or hot spots, while addressing its risks.

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