As a part of my Anesthesiology residency, tomorrow is going to be my first attempt at Epidural block. I came here to review the method. Thanks for the wonderful video.
Can this technique be an alternative to the general anesthesia in a patient with myelomeningocele L3-L4 not tolerating general anaesthesia? Is it possible that that type of anesthesia does not take effect in that case, causing the patient to feel the painful stimulus completely?
I agree Terry! It’s an amazingly simple, yet effective, way to determine the entry of the needle into the epidural space, and in spite of the availability of bedside imaging techniques like ultrasound to aid in needle insertion, it’s almost never used because the plunger resistance technique is so accurate...
My pleasure Hafizah! Apologies for the very delayed response - I didn't realize RU-vid was holding some of my comments for approval. You can view my entire medical video library at trialimage.com
do you maybe know what happend to my brother he almost die doing simple surgery of knee he had 10 days 40c temperature not be able to move his head even go to toilet then they take out more fluid from spine and he was better after few days .Thank you so much
If the first catheter placement results in intrathecal placement determined by the patient's inability to move their legs after a test dose of lidocaine or other local anesthetic, how would correct placement of the catheter be determined on the second attempt if the patient is unable to move their legs?
Hi Marie - the consequences of an errant injection depend on specifically where and how much of the anesthetic is injected. Theoretically, a misplaced injection could cause serious problems, especially if the continuous drip affects the spinal cord in the area of the heart and lungs. Fortunately, incorrect placement of the anesthetic is rare owing to the test dose that is administered ( as seen in my animation)...trialimage.com
Hi Maritza - a misplaced injection can cause serious side effects, including respiratory arrest. Fortunately, this is very rare provided the test dose is performed as noted in the video...You can access my entire medical video library at: trialimage.com
Hi, i was given an epidural at my daughter's birth and right after a few hours when i was 10 centimeters open i got a terrible pain arround my shoulders my neck and my head.. it was so severe that i couldn't lift my head at all.. my lover body was totally numb that i couldn't even move my legs or be able to sit. I went through this terrible pain along with nausea for 10 days.. never going to forget that horrible experience !!
Sheeri Zainab its normal in epidural but its may be drugs reaction becouse i seen that feeling in 30% female who cry and shout alot in spinal but some time some patients are lie alot even they dont feel any thing with out she feel some one tuch but she dont know pain are surgery
+Prachita Srivastava - the epidural space is filled with fatty tissue, and this fatty tissue resists the upward movement of the anesthetic agent. This resistance can be overcome by the dose and rate of medication infusion. Thus, a lower rate of infusion results in a lower level of medication movement in the epidural space, and a higher rate of infusion will result in the medication moving higher in the space. The level of the anesthetic can be determined by careful monitoring of limb sensation, and an anesthetic level that is too high may cause cardiovascular symptoms, nausea and agitation. I hope this helps... CalShipleyMD.com
Is this the same one my pain doctor said I'd be getting injections in my back for pain I have,I have hernated discs and lumbar radiculopathy plus nerve damage in my right foot and leg,please help its injection for pain,anastetic without steroids as they failed 2wice the steroid injections so I'll be giving just the anastetic injection to help with back pain
is at possible to fly with an liquorcanal damage, liquorunderpressuere syndrom(not postpuncture) ? and is it possible to fly with this syndrom and a subdural hämatoma caused by liquorunderpressure?
Thanks for your comment roserry! The epidural anesthetic revolutionized pain control during labor without adverse effects on the fetus You can view my entire medical video library at trialimage.com/
Is it normal after 4hour or more receiving epidural anesthesia that you cant even move your leg....i've got an infection on my right thigh nerve,swelling and full of pus so the doctor need to discard it and suggest me to take an epidural anesthesia.....
Hi - there is no hard limit on how many needle insertions can be performed, but most authorities recommend no more than 2-4 per procedure. Once you have performed that many unsuccessful attempts, you really need to stop and re-evaluate the situation - is there an anatomical or physiological reason for the problem, or is the insertion technique of the operator at fault, and is there a less invasive method available for achieving anesthesia?
The reason for the epidural is to get rid of the pain. If the pain doesn't go away, they may have administered it wrong, or you may have an allergy to Lidocaine?
I want more information about this treatment because I have patient at home .who had been got fractured at L5 and there is no movement from her waist to palm. Can anybody help me and me more information.
Or, maybe not? Because it's a pretty.. small incision.. So, it should heal fast. Don't take my word on it, I am still trying to learn. And I am too young to be an MD.
I love epidural. Because I have a lot of pain while I getting labor my son.epidural looks magic for me because went they injeck me and put the needle of my back it takes me stickles I was laughting a lot .I'm such helrious I dint not feel the pain.two nurse hold my hand .and one doctor I try to turn my back how they put epidural on me because I was curious. I'm not a loud so I heard everything all my tick less in my back it came out men.its feels so good its just they put some raser bleed
A mi me hicieron cuatro hace trece años que no me sirvieron para nada, al final tuvieron que operarme, y ahora me veo que mañana me lo vuelven hacer por que aun operado se ha reproducido la hernia
I have sciatic pain severe I have never went through sciatic pain like I did the day before yesterday I was in the floor crying I couldn't even get out of the floor and I found out something that really helped me I even went to the hospital and the muscle relaxer they gave me in the more thing did not even help I'm going to be making a video telling what I did to help my sciatic pain and I will demonstrate it and show you what I take too so hopefully I can get this video record it and upload it after I feel a little bit better my leg and my calf is still numb and I still got pain in my back but it's not like it was the day before yesterday
+nepaliman - rate of continuous infusion varies according to the type and concentration of anesthetic medication used, and patient response. If you send me a message through the contact page of my website at CalShipleyMD.com, I can forward an excellent review of epidural anesthesia to you...cjs
Its so amazing men.the dortor and nurses look at me I'm weard .the truth for real men.its the fault s give me tick less while they put epidural on my back OK.he makes me laught I cannot stop it
Hi - only the sensory branches of nerves are anesthetized - no motor (muscular) branches. That's the reason for checking that the patient can move their legs after the test dose. You can access my entire library of medical videos at trialImage.com
Eman sweileh we doing that with help of local anesthetic madicine first of all we injact small amount of local becouse of that patient dobt feel needale but some Doctors are dont useing they follow book
My girl got thag when given birth now she can't stand her back she gets pain like no other after the whole birth thing ... :( all the time for her rest of her life she's going to have does back pains
