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Procedure Right Lumbar L5 dorsal ramums and S1-3 Sacral Lateral Branch Block Injections under Fluoroscopy .
Consent The patient's consent was obtained after the risks, benefits and alternatives of the procedure were explained. The patient expressed understanding of the procedure and willingness to undergo the procedure.
Description of Procedure Time out was taken. Anatomical landmarks were identified and a sterile skin prep and drape was performed using Chloraprep. A skin wheal and underlying soft tissues were anesthetized over the Right L5-S1 region between the superior articular process of L5 and the sacral ala and S1-3 lateral neuroforamens, using 1% lidocaine, 1 mL total at each level, via a 25-gauge 1 1/2-inch needle. A 3.5 -inch spinal needle curved tip, 22 gauge, was used to locate each region. Several views were taken to ascertain the proper locations. There was no cerebrospinal fluid or heme after careful intermittent aspiration, or paresthesias produced by the needle at each site. The dorsal ramus of L5 and S1-3 lateral sacral nerve branch locations were found, 1 mL of 0.5 bupivicaine% was injected at each site about 10mm lateral to each neuroforamen. The needle was withdrawn and a sterile dressing was then immediately applied to the injection sites. Estimated blood loss 0.2ml. No specimens obtained. Vital signs were monitored throughout and after the procedure. Patient tolerated the procedure well.The patient was then taken to the recovery room. The patient was observed for the standard period of time post procedure. With no noted complications from the procedure, detailed verbal and written instructions were given. The patient can call our office should any untoward effects result following this procedure. A pain worksheet was given for the patient to fill out for results after injections..
Procedure Right Lumbar L5 dorsal ramums and S1-3 Sacral Lateral Branch Block Injections under Fluoroscopy .
Consent The patient's consent was obtained after the risks, benefits and alternatives of the procedure were explained. The patient expressed understanding of the procedure and willingness to undergo the procedure.
Description of Procedure Time out was taken. Anatomical landmarks were identified and a sterile skin prep and drape was performed using Chloraprep. A skin wheal and underlying soft tissues were anesthetized over the Right L5-S1 region between the superior articular process of L5 and the sacral ala and S1-3 lateral neuroforamens, using 1% lidocaine, 1 mL total at each level, via a 25-gauge 1 1/2-inch needle. A 3.5 -inch spinal needle curved tip, 22 gauge, was used to locate each region. Several views were taken to ascertain the proper locations. There was no cerebrospinal fluid or heme after careful intermittent aspiration, or paresthesias produced by the needle at each site. The dorsal ramus of L5 and S1-3 lateral sacral nerve branch locations were found, 1 mL of 0.5 bupivicaine% was injected at each site about 10mm lateral to each neuroforamen. The needle was withdrawn and a sterile dressing was then immediately applied to the injection sites. Estimated blood loss 0.2ml. No specimens obtained. Vital signs were monitored throughout and after the procedure. Patient tolerated the procedure well.The patient was then taken to the recovery room. The patient was observed for the standard period of time post procedure. With no noted complications from the procedure, detailed verbal and written instructions were given. The patient can call our office should any untoward effects result following this procedure. A pain worksheet was given for the patient to fill out for results after injections..
RT lumbar L5 dorsal ramums &S1-3 Sacral Lateral Branch Block injections under Fluoro
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