Well explained Very informative Thanks for sharing

Thank you mam

Thank you

Outstanding presentation and discussion!! Thank you!

Excellent initiative by classroom team congratulations, keep doing ,keep learning

👉 *Promo sm*

Excellent presentation Dr Ankit Singh.

Promo-SM

Fantastic ..Dr. Medha. The presentation was very sharp

Very informative!

Very informative. Thank you 🎉

Thank you Dr. Sapthami, for the excellent lecture!

Excellent. Keep it up

Hai sir, excellent presentation, We are so proud to work with you

What is the dose of mannitol and hypertonic saline… how many days I need to continue,

Wow nice presentation

😔 𝓅𝓇o𝓂o𝓈𝓂

Very elaborated IOM with Blend of Anesthesia. Thanks for such a good presentation

0:17 activedating-24.online

Very good discussion by the experts, very informative 👌👌

Great work sir. Keep up the good work.

very informative sir

best one

Very informative class

Very comprehensive and informative .

Loved It!

Very nice, concise and informative class sir...

Nice video sir thanks

Michelle Watt (Hollywood actress) took her own life because of chronic headaches caused by a spinal procedure i.e. Lumber puncture www.dailymail.co.uk/news/article-3146969/Michelle-Watt-killed-chronic-headaches.html Spinal Needle type and size To avoid post dural puncture, world is moving towards lesser gauge needle for lesser risks. If there is no lesser gauge needle or fluoroscopy or CT machine then patient should not be put on risk. Post dural puncture headache is life threatening and treatment is very rare and depends on patients luck. The incidence is less than 1% following subarachnoid block performed with a 25-gauge spinal needle. This increases to nearly 36% when using a 20-gauge or 22-gauge needle for diagnostic lumbar puncture. Following inadvertent puncture of the dura with a 17-gauge epidural needle, the incidence of PDPH is approximately 75% to 80%. Related article: www.ncbi.nlm.nih.gov/books/NBK482336/ www.medicalsciencejournal.com/archives/2019/vol5/issue1/5-1-17 Gartie Marx 26G is preferred for spinal tap (lumber puncture), should be done under fluoroscopy or CT guided. spinalcsfleak.org/iatrogenic-csf-leaks-from-diagnostic-lumbar-punctures-a-commentary/ To avoid spinal csf leak they use 26G needle, Gartie Marx. Post spinal anesthesia or lumber puncture in india, many spinal csf leak patients suffer and they dont get treatment because all the report comes normal. 80% patient show brain sag or dural enhancement, SIH sign but 20% patient doesn't show. Spinal MRI doesn’t show exact leak location. At times CT mylogram which means again lumber puncture doesn’t show exact leak location. CT cisternogram is out dated but still being used. Most of the tine imaging report comes normal. Only neuro radiologists can some time identify leak. Digital subtraction myelogram which can show spine csf leak location is not available in India. Digital Subtraction mylogram to identify the leak. www.ajnr.org/content/early/2019/12/19/ajnr.A6368 I would be happy to know if any hospital or Dr in india uses 25G or lesser G needle for lumber puncture or epidural procedure [email protected]

Nice videos sir

Very helpful , please continue the good work ......

Very informative. Thank you for the channel.

Very useful

Good one

Wonderful discussion. Brilliantly orchestrated Ponniah.

Thanks Dr Jyothi Kumar Singh, Dr Pandia, Dr Tanmay, Dr Kiran Jangra, Dr Ramamani, Dr Prabu, Dr Abhishek, Dr Bhagyashree, Dr Ganesh for participating in Live Chat. For further clarification you may post your questions in comments Thank you

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