CT-guided spinal epidural interlaminar injection
Diagnosis not applicable
Updates to Case Attributes
Body
was changed:
1. Obtain localised stack.The technique in this procedure was:
-
obtain a localising scan with some way of
localising ondemarcating the skin (this case radio-opaque 'grid'2. Chose -
chose location that gives as vertical as possible route to epidural space
3. Local anaethetic -
local anesthetic along proximal tract (optional)
4. Advance -
advance needle to until slight resistance (often gritty) is felt
(lig(ligamentum flavum)5. - check location
6. - attach empty syringe with 3 - 4
mlsml of room air, and ballote plunger while advancing remaining distance.7. Epidural -
epidural space has low / negative pressure and air is easily injected.
8. Confirm -
confirm the extra-thecal location
9. Inject Steroid -
inject steroid and
Local anaesthetic.local anesthetic
-<p>1. Obtain localised stack. with some way of localising on skin (this case radio-opaque 'grid'</p><p>2. Chose location that gives as vertical as possible route to epidural space</p><p>3. Local anaethetic along proximal tract (optional)</p><p>4. Advance needle to until slight resistance (often gritty) is felt (lig flavum)</p><p>5. check location</p><p>6. attach empty syringe with 3 - 4 mls of room air, and ballote plunger while advancing remaining distance.</p><p>7. Epidural space has low / negative pressure and air is easily injected. </p><p>8. Confirm extra-thecal location</p><p>9. Inject Steroid and Local anaesthetic.</p>- +<p>The technique in this procedure was: </p><ol>
- +<li>obtain a localising scan with some way of demarcating the skin (this case radio-opaque 'grid')</li>
- +<li>chose location that gives as vertical as possible route to epidural space</li>
- +<li>local anesthetic along proximal tract (optional)</li>
- +<li>advance needle to until slight resistance (often gritty) is felt (ligamentum flavum)</li>
- +<li>check location</li>
- +<li>attach empty syringe with 3 - 4 ml of room air, and ballote plunger while advancing remaining distance</li>
- +<li>epidural space has low / negative pressure and air is easily injected. </li>
- +<li>confirm the extra-thecal location</li>
- +<li>inject steroid and local anesthetic</li>
- +</ol>
Systems changed:
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