PPT-Failed Epidural Catheter: what now?

Nathaniel Hsu MD Assistant Professor Department of Anesthesiology and Critical Care Hospital of the University of Pennsylvania Presented AAAA Meeting Austin April 2017 Disclosures I have no financial relationships to disclose related to this educational content. in a Tertiary Obstetric Hospital. Lie J – ST7 in Anaesthesia, North Western Deanery. Wai C – ST7 in Anaesthesia, North Western Deanery. Howells A – Consultant Anaesthetist, Central Manchester University Hospitals NHS Foundation Trust. Kristin Washburn. May 23, 2014. Conflicts of Interest. None. Outline. Background/history . Physiologic benefits . Current practice. Current Research . Fluoroscopy and . epidurograms. RCT. Timeline. 1885: Coring documented epidural anesthesia in animals. regional anesthesia.  that blocks pain in a particular region of the . body. The . goal of an epidural is to provide . analgesia. , or pain . relief. , rather than . anesthesia,.  which leads to total lack of feeling. Epidurals block the nerve impulses from the lower spinal segments. This results in decreased sensation in the lower half of the body.. Anesthesia. دكترحميدرضاشتابي. . دستياربيهوشي. The differences:. . Spinal anesthesia. . . Requires a . small mass. (volume) of drug, virtually . devoid of systemic pharmacologic effect .. James Ko, M.D., M.P.H.. Elliot Krane, M.D.. Stanford Children’s Health, Stanford University. Stanford, CA. Updated 7/2017. Overview. Indications. Special considerations. Technique. Local anesthesia options. Anesthesia. دكترحميدرضاشتابي. . دستياربيهوشي. The differences:. . Spinal anesthesia. . . Requires a . small mass. (volume) of drug, virtually . devoid of systemic pharmacologic effect .. 2/26/19Basic multimodal medicationsOxyContin/MSContin determined it is needed based on 24 h usageOxycodone 5-15 mg q3hTylenol 650-1000 mg ATCGabapentin 300mg TID ix0000f 70 yrs 100mg TIDCelebrex 100 Steroid InjectionsJonathan Kamerlink MDKamerlinkPain InstituteEpidural Steroid Injections1Indications2Pre-injection Imaging3Mechanism of Action4Types and Techniques5OutcomesIndicationsCervical thoraci fadi. . haddad. Anatomy. Epidural. . space. . –. . base. . of. . skull. . (foramen. . magnum). . to. . the. . coccyx . (. sacrococcygeal. . membrane. ). the . peridural. space between the . Developing Countries Regional Anesthesia Lecture Series. Daniel D. Moos CRNA, . Ed.D. . U.S.A. . moosd@charter.net. . Lecture 13. Soli . Deo. Gloria . Disclaimer. Every effort was made to ensure that material and information contained in this presentation are correct and up-to-date. The author can not accept liability/responsibility from errors that may occur from the use of this information. It is up to each clinician to ensure that they provide safe anesthetic care to their patients.. This presentation is based on the . December 2013. AHRQ WebM&M Spotlight Case. See the full article at . http://webmm.ahrq.gov. . CME credit is available. Commentary by: . Margaret . C. Fang. , MD, MPH, University of California, San Francisco. Education Slide Presentation. A presentation prepared by the . Pregnancy and Newborn Services Network. acknowledging the ACI Pain Management Network, State Pain Forms Group and Pain Interest Group Nursing Issues who have developed Educational Materials for the NSW Standardised Pain Forms. Recibido: 2007; 18: 2007; 18: complication of spinal surgery, but the incidence of post-surgical SEHs that result in neurologic de�cits is extremely rare (0.1%). Patients that require mul Annette Butler and Mark Denton . Provision of quality involves provision of choice . PD . vs. . Haemodialysis. Peritoneal Dialysis allows for:. A flexible lifestyle and independence. No need for vascular access / needles.