Epidural

with the additional complication of Cephalopelvic Disproportion, a C-Section is the only option for safe delivery. A Cesarean is performed by administering first either epidural or spinal anesthesia, do to capability, the characters choose spinal anesthesia. Spinal Anesthesia involves taking a needle and inserting it into the epidural space, and then injecting an anesthetic directly into the Cerebrospinal Fluid (CSF). The procedure is very similar to the lumbar puncture described earlier. This…

6:46 pm on March 16, 1999. When I was born, all of my vital signs were perfect. My lungs were clear, and functioning properly and my heart was pumping as it should have been. My mother was having issues holding me, as she was still shaky from the epidural, so my father was the only family member of mine who got to hold me before everything went south. He went home a few hours after my birth so that my mother could rest. The nurses had taken me from my parents and placed me in the nursery with…

Back injuries in healthcare workers remain a major problem and studies have shown the trend in injuries continues to rise. In the past healthcare organization shave attempted to reduce or eliminate back problems and injuries through training programs to teach workers how to lift, however the need for further changes due to the dynamics of the healthcare populations, nursing shortages and longer work hours indicates a need to focus on ergonomics and assisted devices (Fragala, n.d.). According to…

can be used in pregnancy if she has any symptoms. She states that she does have a follow-up appointment with neurology in the next couple of weeks. The primary issue would be anesthesia during delivery. We would need neurology to let us know if epidural and/or spinal anesthesia are any issues related to the increased intracranial pressure. In addition, whether or not there would be any concern with Valsalva maneuver in the second stage of labor. Again, these would need to be answered by…

During this Grand Round Dr. Anderson started by presenting statistical data that showed the incidence and mortality of acute pancreatitis in the ICU. Acute pancreatitis (AC) is about the 2nd- 3rd most common GI disorder that receive admission in ICU in the US and 10-15% of these ones develop a severe stage of the disease with an increase in mortality up to 30%. In the US, it is expended about one billion dollar in health care to support/treat AC patients. From these cases of AC, 45% are…

AIMS AND OBJECTIVES: To find out the most effective dose of nalbuphine as adjuvant to spinal anaesthesia. To compare the three different doses and find out most optimum dose of nalbuphine with minimal side effects and maximum analgesic effect. MATERIALS AND METHODS: We conducted prospective randomized double blinded controlled study with 120 ASA I and II patients who were undergoing lowerlimb orthopedic surgery under spinal anaesthesia. We randomly allocated four groups A,B,C to receive 0.4, 0…

DOI: 2/11/2014. Patient is a 35-year-old male installation technician who sustained injury when he slipped and fell on staircase. Per OMNI, he sustained contusion to right elbow/back. He had a lumbar caudal epidural steroid injection on 6/28/2014. MRI of the lumbar spine obtained on 3/27/2014 revealed L5/S1 broad right paramedian posterior disc herniation impressing and posteriorly displacing the right S1 nerve root after it exits the thecal sac flattening the contour of the ventral margin of…

We viewed a documentary called Babies Behind Bars which, documented the lives of pregnant women in the Women’s Indiana Prison. In the Babies Behind Bars, we were introduced to a newly implemented program for pregnant mothers called The Wee One’s Nursery. Introduced in 2007, the state of Indiana Women’s Prison holding 670 women prisoners put a new program into effect for 10 “qualified” pregnant inmates, which allows the mother to keep her child while serving the remainder of their sentence in…

Since then several techniques have been described for the surgical treatment of the LDH, such as minimally invasive approaches to access a lumbar disc 12. The aim was to limit the skin incision and decrease muscle damage and epidural scarring. Several lateral percutaneous techniques have been described since. The indications for these percutaneous procedures were mostly limited to contained LDHs. The aim was to reduce postoperative radicular pain and to allow for faster rehabilitation…

doctors had to keep her medicated the whole time, so there wasn 't much so could do to help me but tell me it was going to be okay. the nurse whose name was Kathrine said i was only seven centimeters dilated. i asked my mom if he could as about an epidural I 've had one for a previous surgery so i knew it could help with the pains that were…