Doctor insights on:
Sedation For Lumbar Puncture In Adults
Strong med: Fentanyl is a very potent opiate pain med and I wouldn't advise using it for a procedure unless you are already on it, and familiar with dosage and have significant pain. If you have left over meds from prior surgery, taking it again could kill you as you no longer have the same tolerance. This is how opiate abusers accidentally overdose after a period of abstinence. ...Read moreSee 1 more doctor answer
I had lumbar tap. No ms, after 1year more lesions in the scord one in the brain. Should repeat the puncture?
Yes: Same thing, different names.Get a more detailed answer ›
No: Three a year is outdated. In the past, docs used to do a series of 3 esi's in sequence. Patients were limited to 3-4 "series of 3" per year. This is different from your question, which is how many injections should be part of one procedure. I typically do one or two injections at each sitting, which covers the targeted area. In the past 10 years, I have 3 in one sitting twice. 5 is excessive. ...Read moreSee 2 more doctor answers
Mom has severe osteoarthritis in spine. Had cerv. Laminectomy. Lumbar surgery to put rod in recommended. Consequences of no surgery?
What are the complications of having a lumbar puncture (spinal tap) to check for bacterial meningitis?
When going under anesthesia . what other than benzo,s can be used for MRI of brain an lumber spine ?
Can dural puncture from spinal anesthetic from csection cause tarlov cysts? Also where do they put needle for spinal?
Tarlov cysts: Tarlov cysts are not known to be triggered by a dural puncture. For a spinal "tap" the needle is inserted at the level of l4-5 for surgical spinal anesthesia. It may be inserted higher for a myelogram (injecting the "x-ray dye" into the spinal fluid it may be inserted at higher levels. After about L2 level there is no spinal cord inside the spine - just the nerve roots so any approach higher than. ...Read moreSee 1 more doctor answer
Can dural puncture from spinal anesthetic for csection cause brain damage? Had the spinal headache for 2 weeks no blood patch. Symptoms were severe.
Dural puncture: Dural puncture cannot cause any brain damage unless there is very high CSF (cerebrospinal fluid) pressure inside the skull (increased icp - intracranial pressure), in which case the skull contents can herniate outside the skull through the foramen magnum (through which the spinal cord exits). This would be an emergency and if you are writing this, you dont have it ! ...Read more
Is it okay to have severe pain at the injection site of a lumbar puncture followed by leg weakness?
No, get evaluated: While the symptoms you describe may simply be a result of nerve root irritation, they may represent a hematoma- bleeding from the lumbar puncture site can put pressure on the nerve root or the spine itself. This can be extremely dangerous, and you should definitely get checked to rule out the possibility. ...Read moreSee 1 more doctor answer
Yes: A person with symptoms of encephalitis (inflammation, swelling in the brain) or meningitis (inflammation, infection of the fluid and membranes covering the brain & spinal cord) has a serious illness that can cause permanent brain damage or death. A lumbar puncture is safe because it is not a risky test, and because the bad effects of the diseases are so much worse than the little risks of an l.P.. ...Read moreSee 1 more doctor answer
Is it a standard practice to use ketamine in anesthesia for orthopedic surgery. I had some severe responses to anesthesia and it was used.
Radiologist: a fluoroscopy for epidural spinal injections for back pain (l5-s1). It's about the same radiation exposure for me as one chest X-ray ?
Not Exactly True: Depends on how long the procedure takes. Typically most epidural injections take about 15-20 sec of fluoroscopy time, that is in order of 10x less than typical chest x-ray. Now if injection takes longer than one minute (60 sec) of fluoroscopy time than you will be close for exposure. That's a lot of flouro for this injection! ...Read more
Does a epidural injection for low back pain L5 s1 disk herniated usually help in patients? What is the procedure for having a epidural injection?
Yes: It can work. In my experience 50% of patients do very well and the other half only partially helped.The procedure involves injecting meds in the epidural space which is inside the spinal canal but outside the sac which contains the nerves and spinal fluid, it is done either by feel or using x-ray guidance. ...Read moreSee 2 more doctor answers
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