Transcribed Medical Transcription Sample Reports and Examples
Transcribed Medical Transcription Sample Reports and Examples
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Sample Type / Medical Specialty: Pain Management
Sample Name: Epidural Blood Patch

Description: Epidural Blood Patch. An 18-gauge Tuohy needle was then placed in the epidural space on the first pass utilizing loss of resistance technique with a saline filled syringe.
(Medical Transcription Sample Report)

OPERATION: Epidural Blood Patch.

ANESTHESIA: Local and sedation.

COMPLICATIONS: None.

DESCRIPTION OF PROCEDURE: The procedure risks, hazards and alternatives were discussed with the patient and a proper consent was obtained. The patient was placed in a lateral decubitus position and the skin was prepped and draped in a sterile classical fashion. Excess cleansing solution was removed from the skin. A tourniquet was also placed around the upper arm and the antecubital fossa was prepped and draped in a sterile classical fashion. Local anesthesia was infiltrated subcutaneous and deep at *. An 18-gauge Tuohy needle was then placed in the epidural space on the first pass utilizing loss of resistance technique with a saline filled syringe. 10 cc of autologous blood was withdrawn from the antecubital vein in a sterile fashion. This was then injected into the epidural space in aliquots of 5 cc with negative aspiration prior to each injection. The patient was placed in a recumbent position for another 30 to 60 minutes before being allowed to sit up and ambulate. The patient tolerated the procedure well without any apparent difficulties or complications. They were feeling relief by the time they left the building.

Keywords: pain management, epidural space, loss of resistance technique, epidural blood patch, tuohy needle, tourniquet, epidural,
NOTE: These transcribed medical transcription sample reports and examples are provided by various users and are for reference purpose only. MTHelpLine does not certify accuracy and quality of sample reports. These transcribed medical transcription sample reports may include some uncommon or unusual formats; this would be due to the preference of the dictating physician. All names and dates have been changed (or removed) to keep confidentiality. Any resemblance of any type of name or date or place or anything else to real world is purely incidental.
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Transcribed Medical Transcription Sample Reports and Examples