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Epidural administration
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== Contraindications == The use of epidural analgesia and anesthetic is considered safe and effective in most situations. Epidural analgesia is contraindicated in people who have complications such as [[cellulitis]] near the injection site or severe coagulopathy.<ref name=":0" /> In some cases, it may be contraindicated in people with low platelets, increased [[intracranial pressure]], or decreased [[cardiac output]].<ref name=":0" /> Due to the risk of disease progression, it is also potentially contraindicated in people with preexisting progressive neurologic disease.<ref name=":0" /> Some heart conditions such as [[stenosis]] of the aortic or mitral valves are also a contraindication to the use of epidural administration, as is low blood pressure or [[hypovolemia]].<ref name="episteroid" /> An epidural is generally not used in people who are being administered [[anticoagulant|anticoagulation therapy]] as it increases the risk of complications from the epidural.<ref name="episteroid" />
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