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62350
The anesthetic agents that are infused through the small catheter block spinal nerve roots in the epidural space and the sympathetic nerve fibers adjacent to them.
It is imperative for the effects of the epidural to wear off beofre the foley catheter is discontinued. The last area of the body to resolve the effects of the epidural is the sacral/perineal area, which innervate the bladder. The patient may not be able to sense that his/her bladder is full and may become distended (and uncomforatble) as a result. It may save a reinsertion if taken out too early. It is imperative for the effects of the epidural to wear off beofre the foley catheter is discontinued. The last area of the body to resolve the effects of the epidural is the sacral/perineal area, which innervate the bladder. The patient may not be able to sense that his/her bladder is full and may become distended (and uncomforatble) as a result. It may save a reinsertion if taken out too early. It is imperative for the effects of the epidural to wear off beofre the foley catheter is discontinued. The last area of the body to resolve the effects of the epidural is the sacral/perineal area, which innervate the bladder. The patient may not be able to sense that his/her bladder is full and may become distended (and uncomforatble) as a result. It may save a reinsertion if taken out too early.
Epidural injections can be done 1 time or multiple times, depending on the drug, as well as an continuous drip. Examples of a 1 time epidural injection would be as a woman has entered an active stage of labor. An epidural injection will be made AFTER a catheter is placed in the epidural space. This catheter usually remains till after birth, or in the case the person needs surgery, the previously placed catheter will allow another dose or even a continuous drip of medication to be administered. Also there are medications other than narcotics that can be a 1 or multiple time injection. Examples of this would be steroids, antibiotics, and intrathecal chemotherapy. In these cases the cathether may or may not be left in place. Any catheter left in place is cared for with strict sterile procedures as it can be a conduit for infection. Epidural is a common term used by lay persons to describe any sort of injection into the spinal area...however there is a difference in medical terminology related to the different anatomical spaces of the spinal area that is more descriptive to the medical person. The level of the injection will determine to a great deal as to effectiveness of the treatments, for example, if placed too high before an abdominal surgery, you can get respiratory depression, so placement is critical.
The medication is called "Duramorph"-- it is a long-acting morphine.
CPT Code 63650 - Percutaneous implantation of neurostimulator electrode array, epidural
Many women also receive some pain medication--either a short-term medication, such as Nubain or Numorphan, or an epidural anesthesia.
By definition an epidural is a shot that goes into the epi-outmost, dura- part of the spinal cord. In simple terms it is a long needle place between your back bones into the edge of the spinal column. An IV is place intravenously; meaning in the veins. There is medication for pain that can be given IV if one does not want and epidural. However, medication given in the blood stream may affect unborn children whereas medication in the spinal column does not.
CPT code 77003- Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid).
No. The medication is assimilated (absorbed) by the body. The amount of time it takes to absorb depends on the type of medication being administered. The amount of relief provided depends not only on the type of medication, but the amount, and the condition being treated. Do not forget about individual physiology. No two people react identically to the same treatement.
is always performed with the patient under general anesthesia. An epidural catheter is inserted for the management of pain after the operation. The surgeon makes two incisions.
It depends on what you're having the epidural for generally. If you're having a baby, they insert a needle with a plastic sheath (catheter), and then they withdrawl the needle leaving the catheter in place. The correct placement is important in how well it will work, it must be in the epidural space around the nerves of the spine. They then run medication into it just like they do an IV. It is important that you do exactly as your anesthesiologist says in order to help him/her get the best placement. The medication is similar to what you get when the dentist numbs your mouth for a filling. They can control how much medications you get, from completely numb to slightly numb. If you're having an epidural for back pain, they generally inject steroids and numbing agents into the space and then withdraw the whole thing immediately. Some can keep the catheter like for childbirth if the pain is really bad (think Cancer). There are all different kinds of spinal nerve anesthesia with some being placed in different locations for different areas they're targeting.