Sheared or Break of Caudal Catheters After Epidural Steroid Injection
Fig. 17.1 Catheter sheared when threaded through a needle with a bent tip 17.2 Discussion The physical and social impact of low back pain is enormous. It is one of…
Sensory and Motor Deficit with High Amplitude Stimulation in Spinal Cord Stimulators
Fig. 50.1 (a, b) AP and lateral view chest X-ray : Termination of electrodes at T8 and T10 confirms the absence of obvious lead migration. Images from personal library At…
Motor Weakness After Transforaminal Epidural Steroid Injection
Fig. 15.1 Oblique view of transforaminal epidural steroid injection and needle placement. Image from personal library Fig. 15.2 Contrast spread in anteroposterior view showing contrast material spread primarily on the…
Generator and/or Lead Extrusion
Fig. 37.1 Initial presentation of the implantable pulse generator (IPG) extrusion. Image from personal library Fig. 37.2 Extrusion of the IPG immediately before explantation. As seen in this image, the…
Traumatic Spinal Cord Injury After Cervical Interlaminar Epidural Steroid Injections
Route of needle entry Site of injury Interlaminar approach 1. Injury to the spinal cord 2. Injury of spinal nerve, ventral or dorsal ramus with lateral deviation of the needle Transforaminal approach…
Intrathecal Drug Delivery System Infections (Meningitis, Encephalitis, Pump Pocket Contaminants)
Fig. 34.1 Early would infection, localized to the intrathecal pump pocket with small dehiscence and purulent drainage 2 weeks after initial placement. Image from Dr. Malik personal library 34.4 Clinical…
Complications Related to Intrathecal Pump Catheter Infection
Fig. 28.1 Cross section of abdominal wall depicting CDC classification of surgical site infection [3] Diagnosis of surgical site infections can be very challenging but is crucial in dictating the…
Buprenorphine Challenges in the Perioperative Period
Formulation Administration Dose Half-life Indication Buprenex IM, IV 0.3 mg/mL 1.2–7.2 h Moderate to severe pain Butrans Transdermal patch 5, 7.5, 10, 15, 20 μg/h 24–46 h Chronic pain Subutex…
Septic Knee
Volume, mL (knee) Clarity Color Viscosity WBC/mm2 PML (%) Culture Normal <3.5 Transparent Clear High <200 <25 Negative Noninflammatory Often >3.5 Translucent-opaque Yellow High 0–2000 <25 Negative Inflammatory Often…
Pneumothorax After Serratus Anterior Trigger Point Injection
Fig. 44.1 Serratus anterior muscle with common trigger point. Image based on web open-source material: https://www.quora.com/What-causes-side-stitch-while-running-and-what-are-good-ways-to-deal-with-this-pain General and musculoskeletal physical exam findings in a patient with a serratus anterior trigger…
