SDN Members don't see this ad. (About Ads) Is there any way to reduces the risk of catastrophe with cervical procedures to near zero (I know zero risk is impossible)? If one uses fluoro with contrast with careful loss of resistance technique (never hanging drop), avoids a transformational approach (always interlaminar), uses non-particulate/dex, blunt tip needles, avoids IV/heavy sedation, always aspirate prior to injection, what level of risk remains when performing cervical epidurals? Also, which of these techniques are most important for risk reduction? Which am I forgetting?