Sample Type / Medical Specialty: Pain Management
Sample Name: Cervical Epidural Steroid Injection
Cervical epidural steroid injection without fluoroscopy. An 18-gauge Tuohy needle was placed into the epidural space using loss of resistance technique.
(Medical Transcription Sample Report)
Cervical epidural steroid injection without fluoroscopy.ANESTHESIA:
Local sedation.VITAL SIGNS:
See nurse's notes.COMPLICATIONS:
None.DETAILS OF PROCEDURE:
INT was placed. The patient was in the sitting position. The posterior neck and upper back were prepped with Betadine. Lidocaine 1.5% was used for skin wheal made between C7-T1 ________. An 18-gauge Tuohy needle was placed into the epidural space using loss of resistance technique and no cerebrospinal fluid or blood was noted. After negative aspiration, a mixture of 5 cc preservative-free normal saline plus 160 mg Depo-Medrol was injected. Neosporin and band-aid were applied over the site. The patient discharged to recovery room in stable condition.
pain management, epidural space, loss of resistance, cervical epidural steroid injection, fluoroscopy, lidocaine, steroid, epidural, cervical, injection,
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