Are you using epidurals in your practice? The epidural is a neuroaxial technique that provides preemptive analgesia by injecting drug into the epidural space surrounding the spine. Epidurals can be used for abdominal surgery, perineal surgery, and orthopedic procedures involving the pelvic limb or spine. Some opioids can also travel cranially to provide supplemental analgesia for chest and thoracic limb procedures. Epidurals serve as an adjunct to systemic analgesia, and epidural analgesia also reduces the amount of anesthetic drug needed. Epidurals can also shorten recovery time.