Single thoracic epidural injection for intra‐ and post‐lateral thoracotomy analgesia in a dog

2021 ◽  
Author(s):  
Mary Tonge ◽  
Katherine Robson ◽  
Briony Alderson
Keyword(s):  
Epidural Injection ◽  
Thoracic Epidural ◽  
Lateral Thoracotomy

scholarly journals Complete recovery of consciousness in a patient with decorticate rigidity following cardiac arrest after thoracic epidural injection

2000 ◽  
Vol 85 (4) ◽  
pp. 632-634 ◽  
Author(s):  
K. Taga ◽  
M. Tomita ◽  
I. Watanabe ◽  
K. Sato ◽  
K. Awamori ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Epidural Injection ◽  
Complete Recovery ◽  
Thoracic Epidural ◽  
Recovery Of Consciousness

Persistent Hiccup Associated with Thoracic Epidural Injection

2001 ◽  
Vol 80 (8) ◽  
pp. 618-621 ◽  
Author(s):  
Curtis W. Slipman ◽  
Carl H. Shin ◽  
Rajeev K. Patel ◽  
Debra L. Braverman ◽  
David A. Lenrow ◽  
...  
Keyword(s):  
Epidural Injection ◽  
Thoracic Epidural

scholarly journals A Systematic Evaluation of Thoracic Interlaminar Epidural Injections

2012 ◽  
Vol 4;15 (4;8) ◽  
pp. E497-E514
Author(s):  
Ramsin M. Benyamin
Keyword(s):  
Systematic Review ◽  
Back Pain ◽  
Randomized Trial ◽  
Spinal Stenosis ◽  
Pain Syndrome ◽  
Epidural Injection ◽  
Thoracic Pain ◽  
Discogenic Pain ◽  
Thoracic Epidural ◽  
Epidural Injections

Background: There is a paucity of literature on the use of epidural injections for the treatment of chronic mid and upper back pain due to disc herniation and radiculitis, axial or discogenic pain, spinal stenosis, post surgery syndrome, and post thoracotomy pain syndrome. Study Design: A systematic review of therapeutic thoracic epidural injection therapy for chronic mid and upper back pain. Objective: The objective of this systematic review is to determine the effects of thoracic interlaminar epidural injections with or without steroids, with or without fluoroscopy, and for various conditions including disc herniation and radiculitis, axial or discogenic pain, spinal stenosis, post thoracic surgery syndrome, and post thoracotomy pain syndrome. Methods: The available literature on thoracic interlaminar epidural injections with or without steroids in managing various types of chronic mid and upper back pain was reviewed. The quality assessment and clinical relevance criteria utilized were the Cochrane Musculoskeletal Review Group criteria as utilized for interventional techniques for randomized trials and the criteria developed by the Newcastle-Ottawa Scale criteria for observational studies. The level of evidence was classified as good, fair, or limited (or poor) based on the quality of evidence developed by the U.S. Preventive Services Task Force (USPSTF). Data sources included relevant literature identified through searches of PubMed and EMBASE from 1966 to March 2012, and manual searches of the bibliographies of known primary and review articles. Outcome Measures: The primary outcome measure was pain relief (short-term relief = up to 6 months and long-term > 6 months). Secondary outcome measures were improvement in functional status, psychological status, return to work, and reduction in opioid intake. Results: For this review, 17 studies were identified, including studies examining adverse reactions. Only 2 studies were included: one randomized trial and one non-randomized or observational study. The results of this systematic review evaluating the effectiveness of thoracic epidural injections with or without steroids in managing chronic thoracic pain shows fair evidence with one randomized trial in patients with various causes; whereas the evidence is limited based on one non-randomized study evaluating chronic pain in post thoracotomy syndrome. Limitations: The limitations of this study include paucity of evidence. Conclusion: The evidence based on this systematic review for thoracic epidural injection in treating chronic thoracic pain is considered fair and limited for post thoracotomy pain. Key words: Spinal pain, chronic mid back pain, chronic upper back pain, post-thoracotomy pain, thoracic epidural injection, radiculopathy, herniation, steroids, local anesthetic, epidural steroid

scholarly journals Paraplegia Following Intercostal Nerve Neurolysis with Alcohol and Thoracic Epidural Injection in Lung Cancer Patient

2015 ◽  
Vol 28 (2) ◽  
pp. 148 ◽  
Author(s):  
Byoung Ho Kim ◽  
Min Young No ◽  
Sang Ju Han ◽  
Cheol Hwan Park ◽  
Jae Hun Kim
Keyword(s):  
Lung Cancer ◽  
Cancer Patient ◽  
Lung Cancer Patient ◽  
Epidural Injection ◽  
Intercostal Nerve ◽  
Thoracic Epidural

scholarly journals A REPORT OF ACUTE THORACIC EPIDURAL HEMATOMA AFTER INTERLAMINAR EPIDURAL INJECTION

2017 ◽  
pp. 33-38
Author(s):  
Laxmaiah Manchikanti
Keyword(s):  
Case Report ◽  
Antithrombotic Therapy ◽  
Epidural Hematoma ◽  
Low Dose ◽  
Epidural Injection ◽  
Potential Effect ◽  
Surgical Decompression ◽  
Thoracic Epidural ◽  
Epidural Injections ◽  
Increased Risk

While interlaminar and caudal epidural injections are frequently performed for chronic spinal pain, thoracic epidural injections are uncommon; constituting less than 5%. As a result, reports of complications related to thoracic epidural injections are rare including epidural hematoma leading to surgical decompression. Multiple strategies to prevent epidural hematoma in any region of the spine exist and include cessation of therapy with antithrombotics and anticoagulants, fi sh oil, and other drugs with a potential effect on coagulation. Thus far, multiple guidelines have recommended continuation of nonsteroidal antiinfl ammatory drugs (NSAIDs) and low dose aspirin. Some guidelines also have recommended continuation of antithrombotic therapy because of the increased risk of thromboembolic phenomenon in these patients. We report a case of thoracic epidural hematoma requiring surgical decompression without resultant residual dysfunction. It involves a thoracic epidural injection following which the patient developed left leg paresis over a 2-hour postinjection period. She was receiving low dose (81 mg) aspirin. She underwent surgical decompression with rapid recovery. This case report of acute thoracic epidural hematoma following interlaminar epidural steroid injection in a patient without antithrombotic therapy is rare, that could have been fatal without appropriate diagnosis and intervention. This case report shows that various commonly considered factors and precautions undertaken to avoid epidural hematoma formation are ineffective. This case report also illustrates the importance of prompt diagnosis, and emphasizes increasing levels of axial pain as most signifi cant features for the diagnosis. Key words: Interventional techniques, thoracic epidural injections, thoracic epidural hematoma, bleeding disorders, aspirin, antithrombotic agents, anticoagulants, nonsteroidal antiinfl ammatory drugs

The Cardiovascular Effects of Thoracic Epidural Injection of Ropivacaine during Sevoflurane General Anesthesia

2007 ◽  
Vol 52 (4) ◽  
pp. 403
Author(s):  
In Sang Yoo ◽  
Si Young Ok ◽  
Kyu Young Choi ◽  
Soon Im Kim ◽  
Sun Chong Kim
Keyword(s):  
General Anesthesia ◽  
Cardiovascular Effects ◽  
Epidural Injection ◽  
Thoracic Epidural

Aortic Valve Replacement through a Mini Lateral Thoracotomy with High Thoracic Epidural Anesthesia

2006 ◽  
Vol 1 (4) ◽  
pp. 160-164 ◽  
Author(s):  
Siclari Francesco ◽  
Demertzis Stefanos ◽  
Mauri Romano ◽  
Cassina Tiziano ◽  
Pedrazzini Giovanni ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Epidural Anesthesia ◽  
Thoracic Epidural Anesthesia ◽  
Uneventful Recovery ◽  
Moderate Hypothermia ◽  
Thoracic Epidural ◽  
High Thoracic Epidural ◽  
Lateral Thoracotomy

Background Minimally invasive aortic valve surgery is usually performed through a right parasternal incision or a modification of partial sternotomy. We explored the feasibility of using a videoassisted small right lateral thoracotomy (RLT) to approach the aortic valve. Methods From August 2003 to December 2004, 12 patients with aortic stenosis (9) or regurgitation (3) underwent an aortic valve replacement through an 8 cm RLT in the 4th intercostal space. There were 4 men and 8 women with a mean age of 61 years (range 30–79 years). Nine mechanical and 3 biologic prostheses were implanted. Endotracheal narcosis was combined with high thoracic epidural anesthesia. Transesophageal echocardiographic monitoring was performed in all cases. Cannulation was done via the right femoral artery and vein and right jugular vein. The video-assisted operation was performed in moderate hypothermia (30°C) and in cardioplegic arrest. Transthoracic aortic clamping was used in all cases. Results Mean operation, perfusion, and clamping times were 223 minutes, 132 minutes, and 73 minutes, respectively. There was no mortality. One patient required conversion to sternotomy due to discovery of a calcium fragment entrapped in a mechanical prosthesis. One patient developed a groin seroma that was treated surgically. All patients, except one were extubated in the operative room and transferred to the intermediate care unit after 6 hours; all had an uneventful recovery. Conclusions Aortic valve replacement through an RLT is feasible and safe. Operative time, perfusion, and cross-clamping times are only marginally longer than a conventional operation, and recovery is rapid.

Aortic Valve Replacement through a Mini Lateral Thoracotomy with High Thoracic Epidural Anesthesia

2006 ◽  
Vol 1 (4) ◽  
pp. 160-164
Author(s):  
Siclari Francesco ◽  
Demertzis Stefanos ◽  
Mauri Romano ◽  
Cassina Tiziano ◽  
Pedrazzini Giovanni ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Epidural Anesthesia ◽  
Thoracic Epidural Anesthesia ◽  
Thoracic Epidural ◽  
High Thoracic Epidural ◽  
Lateral Thoracotomy
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