Speed of epidural injection

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Epidural hematoma after routine epidural steroid injection

BACKGROUND There are few reported cases of an epidural spinal hematoma following interventional pain procedures. CASE DESCRIPTION We report a case of a spinal epidural hematoma in a patient with no known risk factors (e.g. coagulopathy), who underwent an epidural steroid injection (ESI) in the same anatomic location as two previously successful ESI procedures. CONCLUSION Early detection was...

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Cervical epidural steroid injection: impact of cervical epidural anatomy.

To the Editor:—The case reported by Dietrich and Smith again demonstrates that performing steroid epidural injections under fluoroscopic guidance does not absolutely prevent perforation of the dura by the needle tip, because the needle is usually advanced before the next bolus of dye is injected. Measurements of skin to epidural space in magnetic resonance imaging films showed that the posterio...

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Ultrasound-guided Caudal Epidural Injection

To the Editor:—I read with interest the article “Ultrasound Guidance in Caudal Epidural Needle Placement” by Chen et al. However, I have a couple of points to raise. The author’s assertion that the application of ultrasonography to locate the sacral hiatus for caudal epidural injections has not been described is inaccurate. The footprint property of the transducer is not mentioned in the articl...

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Medical Policy Epidural Steroid Injection

• Recommended as a possible option for short-term treatment of radicular pain (defined as pain in dermatomal distribution with corroborative findings of radiculopathy). The purpose of an ESI is to reduce pain and inflammation, thereby facilitating progress in more active treatment programs, reduction of medication use and avoiding surgery, but this treatment alone offers no significant long-ter...

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Ultrasound-guided Caudal Epidural Injection

To the Editor:—I read with interest the article “Ultrasound Guidance in Caudal Epidural Needle Placement” by Chen et al. However, I have a couple of points to raise. The author’s assertion that the application of ultrasonography to locate the sacral hiatus for caudal epidural injections has not been described is inaccurate. The footprint property of the transducer is not mentioned in the articl...

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ژورنال

عنوان ژورنال: Anaesthesia

سال: 1987

ISSN: 0003-2409,1365-2044

DOI: 10.1111/j.1365-2044.1987.tb05354.x