Medical Specialty:
Pain Management

Sample Name: Celiac Plexus Block

Description: Standard celiac plexus block procedure note.
(Medical Transcription Sample Report)

NAME OF PROCEDURE: Celiac plexus block.

ANESTHESIA: Local/IV sedation.


PROCEDURE: INT was placed. The patient was in the prone position back prepped and draped in sterile fashion. Then 1.5% of Lidocaine for skin wheal was made approximately 10 cm lateral to the L1-L2 vertebral junction. A 20 gauge, 15 cm needle was then placed in a cephalad medial 45o direction; the tip of the needle was just inside the L1 vertebral body. On lateral view, this was noted to be approximately 1.5-2.5 cm anterior to the vertebral body. At this time, 3 cc of Omnipaque dye was injected to the opposite side where the same sequence was performed. Following this, a mixture of 18 cc of 0.5% Marcaine was injected on each side Neosporin and band-aids was applied over the puncture sites. The patient was taken to the outpatient recovery where blood pressure was monitored and fluids given as needed. The patient was discharged to operating room recovery in stable condition.

Keywords: pain management, omnipaque, vertebral body, puncture sites, celiac plexus block, celiac, plexus, block, vertebral,