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Epidural Through Tattoo Safety — FRCA Final MCQ

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EasyRegional AnaesthesiaEpidural Through Tattoo SafetyFRCA Final

A parturient with a lower back tattoo at L3-L4 requests labour epidural. What is the correct approach?

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Correct answer: D — Insert through tattoo — no evidence of harm

No evidence that neuraxial insertion through tattooed skin causes harm. Theoretical concern of tracking pigment into epidural/intrathecal space not borne out clinically. Tattoo is not a contraindication. If tattoo-free area equally accessible, may be preferred.

Reference: Association of Anaesthetists – 2022 – Neuraxial anaesthesia and tattooed skin