Background Context. Products that can reduce development of epidural fibrosis may reduce risk for ongoing pain associated with development of scar tissue and make subsequent epidural reexploration easier. Purpose. To evaluate the use of dehydrated human amnion/chorion membrane (dHACM) on the formation of soft tissue scarring in the epidural space. Study Design. Case series. Patient Sample. Five...

Cervical transforaminal blocks are frequently performed as a treatment of cervical radicular pain. These blocks are performed mostly under fluoroscopy, but a CT-guided technique also has been described. We describe a modification that leads to a more extraforaminal than transforaminal and equally selective nerve root block.

Anesthesiology, V 124 • No 1 239 January 2016 To the Editor: We read with interest the safe-use steroid consensus of opinions from 13 societies in the most recent issue of Anesthesiology.1 We applaud the multidisciplinary working group (MWg) on formulating safety guidelines for clinicians of the multiple specialties involved with neuraxial steroid injections....

919 Scientific abstract: Chronic pain Utility of Digital Subtraction Angiography in Cervical Transforaminal Epidural Steroid Injections: Does Digital Subtraction Improve Safety Over Live Fluoroscopy? Andrew Rubens, Carlos A. Pino, Clarence Ivie The University of Vermont Medical Center Introduction Cervical transforaminal epidural steroid injections (CTFESI) have been used for many years in the ...

OBJECTIVE To observe the change of PVI after thoracic epidural block on the basis of general anesthesia. METHODS In 26 patients undergoing elective upper abdominal operations, changes of SVI, PVI, SVV, PPV and CVP were monitored immediately before and 10 minutes after T8-9 thoracic epidural anesthesia on the basis of general anesthesia. The definition was that patients with ΔSVI greater than ...

BACKGROUND Epidural injections are performed utilizing 3 approaches in the lumbar spine: caudal, interlaminar, and transforaminal. The literature on the efficacy of epidural injections has been sporadic. There are few high-quality randomized trials performed under fluoroscopy in managing disc herniation that have a long-term follow-up and appropriate outcome parameters. There is also a lack of ...