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Pt. having an epidural blood patch. A s/l Husset epidural needle was used to

Posted By: Spice on 2006-03-21
In Reply to:

Subject: Pt. having an epidural blood patch. A s/l Husset epidural needle was used to

inject 20 cc of sterile blood.  Anyone??? 


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  • Yes epidural
    Subject: Yes epidural


    epidural steroid injections
    Subject: epidural steroid injections


    doing epidural steroid injection
    Subject: doing epidural steroid injection

    The skin was then infiltrated with 0.25% bupivacaine, and an ANTIMED????? introducer needle with sheath was inserted and directed towards the 6 o'clock position of the pedicle at L5.  Thanks.


    epidural steroid injection
    Subject: epidural steroid injection

    Sounds like 1 cc "OSORVIEW" was injected.. Any ideas please?
    epidural steroid injection s/l
    Subject: epidural steroid injection s/l

    abscence of "sheen", CSF or paresthesia. Appreciate any and all suggestions!
    Yes, I listened again and it was epidural. How could I miss that??! Thanks nm
    Subject: Yes, I listened again and it was epidural. How could I miss that??! Thanks nm

    nm
    s/l *epidural bar and broad line * pls sm
    Subject: s/l *epidural bar and broad line * pls sm

    The canal was narrowed to 7 mm, and the disc osteophyte complex extended 4 mm into the canal.  At C6-7 there was moderate disc space narrowing with broad-based disc osteophyte complex, mild anterior s/l *epidural bar and broad line *central stenosis, a filling defect in the right neural foramen possibly representing a lateral disc protrusion, which would impact the exiting C7 nerve root, and a filling defect extending 7 mm in length x 4 mm.  It was uncertain whether this represented disc or disc osteophyte. 


    This doesn't seem to make sense..  Any suggestions here? thanks


    Epidural steroid injection help please
    Subject: Epidural steroid injection help please

    1 mL of *** injected demostrated nice flow in the posterior epidural space.  Thanks for any help!
    based on your sounds like, epidural? nm
    Subject: based on your sounds like, epidural? nm


    Racz epidural catheter ?
    Subject: Racz epidural catheter ?


    Lumbar epidural steroid injection ...sm
    Subject: Lumbar epidural steroid injection ...sm


    Using #22 gauge needle and loss-of-resistance (s/l 2A or to air) technique. 



    Is this epidural or general? They usually test the skin if
    Subject: Is this epidural or general? They usually test the skin if

    s
    are you doing an epidural steroid injection procedure?
    Subject: are you doing an epidural steroid injection procedure?

    wheal not wheels...give me a little more info before I try to fill in the blanks.  Cat


    Epidural Steroid Injection Technique
    Subject: Epidural Steroid Injection Technique

    s/l Air Ballentine Technique
    Yes, sometimes also as LESI or lumbar epidural steroid injection. nm
    Subject: Yes, sometimes also as LESI or lumbar epidural steroid injection. nm

    s
    probably "benefit" (of pain relief from an epidural steroid injection?) nm
    Subject: probably "benefit" (of pain relief from an epidural steroid injection?) nm


    doing L5/S epidural steroid injection says s/l serium??? floroscopy was used to identify the L5/S1
    Subject: doing L5/S epidural steroid injection says s/l serium??? floroscopy was used to identify the L5/S1

    interspace
    The combined spinal–epidural technique (CSE) has become increasingly popular
    Subject: The combined spinal–epidural technique (CSE) has become increasingly popular

    Can you hear any of this in it?
    She would be an excellent candidate for an epidural and would recommend a s/l call approach SM
    Subject: She would be an excellent candidate for an epidural and would recommend a s/l call approach SM

    since she does have bilateral discogenic-type low back pain, multilevel.
    is it thoracic? Maybe TESI - thoracic epidural steroid injection? Just a guess - nm
    Subject: is it thoracic? Maybe TESI - thoracic epidural steroid injection? Just a guess - nm

    xx
    s/l blood patch ? sm
    Subject: s/l blood patch ? sm

     States "She had post myelogram headaches and CSF leak.  She ultimately underwent _____ and her current headaches have resolved."  


     


     


    blood patch x2 to prevent...??? nm
    Subject: blood patch x2 to prevent...??? nm

    s
    Blood patch is correct.
    Subject: Blood patch is correct.

    nm
    Any chance he is saying blood patch ?
    Subject: Any chance he is saying blood patch ?


    Might be cloth patch. I was thinking of post op patch. Sorry. nm
    Subject: Might be cloth patch. I was thinking of post op patch. Sorry. nm


    Type of (med) patch s/l literem patch
    Subject: Type of (med) patch s/l literem patch


    Yes that is right UR needle, sometimes they will a UR6 needle on a needlepoint suture passer, etc.
    Subject: Yes that is right UR needle, sometimes they will a UR6 needle on a needlepoint suture passer, etc.

    nm
    LEUKO- White, Colorless, EMIA- Blood or referring to the presence of a substance in the blood
    Subject: LEUKO- White, Colorless, EMIA- Blood or referring to the presence of a substance in the blood


    Chlorthalidone is used for treating high blood pressure alone or in combination with other blood pre
    Subject: Chlorthalidone is used for treating high blood pressure alone or in combination with other blood pressure medicines. It may be used along with other medicines for the treatment of fluid retention and swelling associated with congestive heart failure, cirrhosis of the liver and other causes.


    blood transfusion: 3 units s/l spectra blood cells
    Subject: blood transfusion: 3 units s/l spectra blood cells


    May be Quincke needle. This is a spinal needle.
    Subject: May be Quincke needle. This is a spinal needle.


    heme, means blood or the red part of blood. nm
    Subject: heme, means blood or the red part of blood. nm

    s
    blood pressures vs blood pressure's
    Subject: blood pressures vs blood pressure's

    blood pressures vs blood pressure's
    Is it Kopan needle, Kopan's needle or Kopans needle? nm
    Subject: Is it Kopan needle, Kopan's needle or Kopans needle? nm


    UA shows "a field tact" with white blood cells and red blood cells. What's he saying here?
    Subject: UA shows "a field tact" with white blood cells and red blood cells. What's he saying here?


    Dram Sheedy Needle or Dram Sheehy needle
    Subject: Dram Sheedy Needle or Dram Sheehy needle

    Does anyone know of the correct spelling for this? I come up empty on a google search.
    Kugel Mesh Patch or Composix Kugel Mesh patch..nm
    Subject: Kugel Mesh Patch or Composix Kugel Mesh patch..nm

    nm
    ? patch
    Subject: ? patch

    The only patch I can think of is a blood patch (I had 3 that didn't work), but that's in the L/S.  It was after a myelogram, which I would NEVER have again. 
    Kugel patch
    Subject: Kugel patch


    type of patch
    Subject: type of patch

    Used during angioplasty, sounds like "ki-doe-seal"
    s/l Wittenan patch
    Subject: s/l Wittenan patch

    Female patient status post MVA with "multiple abdominal washouts, s/l Wittnan patch or Whitnan patch closure "  googled it and cannot find
    Wittman patch ? sm
    Subject: Wittman patch ? sm

    Found some hits but not 100% sure of the spelling.  Here's one of the websites


     


    http://www.emedicine.com/med/topic2737.htm


    Sorry, but Lyderm is not a patch
    Subject: Sorry, but Lyderm is not a patch

    yes it is a topical corticosteroid but the poster mentioned the word PATCHES and Lidoderm is a patch.
    Lyderm patch
    Subject: Lyderm patch

    a corticosteroid for local irritation
    It would be Lidoderm patch but
    Subject: It would be Lidoderm patch but

    not sure on the alcohol topian? I will keep on thinking about that one for you. May be someone else can get that.
    Vivelle patch?
    Subject: Vivelle patch?

    Estradiol is a form of estrogen, a female sex hormone the regulates many processes in the body.


    Estradiol transdermal skin patches are used to treat certain symptoms of menopause such as dryness, burning, and itching of the vaginal area. Estradiol transdermal also reduces urgency or irritation of urination. Estradiol skin patches are also used to treat ovarian disorders, infertility, and abnormal vaginal bleeding. Some estradiol skin patches are used to prevent postmenopausal osteoporosis. Transdermal skin patches release the drug slowly, and it is absorbed through your skin.


    Estradiol transdermal may also be used for purposes other than those listed in this medication guide.


    elvevel patch
    Subject: elvevel patch

    does anyone know what the correct spelling is.  Elvevel patch.  I don't know what it's for.


    thanks!


    try "Carrel" patch .nm
    Subject: try "Carrel" patch .nm

    .