As a part of my Anesthesiology residency, tomorrow is going to be my first attempt at Epidural block. I came here to review the method. Thanks for the wonderful video.
@TrialImageInc3 жыл бұрын
Hi Dr. Abe90 - how did it go?
@hafsarashid9233 жыл бұрын
It hurts youuu
@nihadk8393 Жыл бұрын
how did it go?
@sirchedge73118 ай бұрын
"He was never heard from again."
@bigdave6952 Жыл бұрын
lotta respect to the doctors all around the world for what they do and to my dad who is also a doctor, its just wild to see this animation. Thank you.
@Mike92019847 жыл бұрын
Fantastic explanation and animation. We’re so lucky these days to have resources such as this.
@TrialImageInc7 жыл бұрын
Thank you Mike! You can access my entire library at www.CalShipleyMD.com
@oceanbeast4953 жыл бұрын
This is the only video that didn't make me nervous. I feel much better about what will happen. Thank you
@TrialImageInc3 жыл бұрын
Glad it helped Ocean! You can access my entire library of medical videos at trialimage.com
@terrytytula5 жыл бұрын
The release of the plunger resistance to indicate that needle has been inserted the correct distance, is pure genius!
@TrialImageInc5 жыл бұрын
I agree Terry! It’s an amazingly simple, yet effective, way to determine the entry of the needle into the epidural space, and in spite of the availability of bedside imaging techniques like ultrasound to aid in needle insertion, it’s almost never used because the plunger resistance technique is so accurate...
@terrytytula5 жыл бұрын
@@TrialImageInc Excellent!
@joestevenson55687 ай бұрын
@@TrialImageIncUltrasound isn't used because the acoustic window is very poor, and even if it wasn't it's not possibleto reliably see ligamentum flavum or the dura on B-mode. The reason ultrasound is not used is not because LOR technique is so good - it's because it doesn't work.
@murmurmountainfoot8 ай бұрын
Just did spinal anesthesia three weeks ago. Did not know the needle was so long. I felt more nervous watching this than during the surgery 😂
@realone24624 жыл бұрын
Dr cal Shipley md.. how many times can a doctor stick you in( one) epidural procedure? Please and thank you
@TrialImageInc4 жыл бұрын
Hi - there is no hard limit on how many needle insertions can be performed, but most authorities recommend no more than 2-4 per procedure. Once you have performed that many unsuccessful attempts, you really need to stop and re-evaluate the situation - is there an anatomical or physiological reason for the problem, or is the insertion technique of the operator at fault, and is there a less invasive method available for achieving anesthesia?
@ChristieBlack-e3u Жыл бұрын
How do the anesthesiologists know when to stop to not to damage the spinal cord?
@raphaelpellenard97789 ай бұрын
At the moment the pressure of the syringe drops and the saline solution squirts inside the epidural space
@VoidHalo7 жыл бұрын
If the first catheter placement results in intrathecal placement determined by the patient's inability to move their legs after a test dose of lidocaine or other local anesthetic, how would correct placement of the catheter be determined on the second attempt if the patient is unable to move their legs?
@TrialImageInc7 жыл бұрын
+Nothing\ test dose is small and short acting - patient must have complete return of leg movement prior to second attempt...
@joestevenson55687 ай бұрын
@@TrialImageIncspinal catheters themselves are useful tools. Would you remove the one you've just accidentally inserted? The AOA suggests leaving them in because of their utility and the reduction in PDPH compared to taking them straight out. You might be grateful for it if the patient later needs LSCS.
@rapture13304 жыл бұрын
doc pls after doing this I have get too much head and waist pain for 4 months now ,what should I do .thanks
@TrialImageInc4 жыл бұрын
Hi Rapture. Sorry to hear of your troubles. You should definitely follow up with your doctor. I wish you well .
@sheerizainab59607 жыл бұрын
Hi, i was given an epidural at my daughter's birth and right after a few hours when i was 10 centimeters open i got a terrible pain arround my shoulders my neck and my head.. it was so severe that i couldn't lift my head at all.. my lover body was totally numb that i couldn't even move my legs or be able to sit. I went through this terrible pain along with nausea for 10 days.. never going to forget that horrible experience !!
@ziajan60376 жыл бұрын
Sheeri Zainab its normal in epidural but its may be drugs reaction becouse i seen that feeling in 30% female who cry and shout alot in spinal but some time some patients are lie alot even they dont feel any thing with out she feel some one tuch but she dont know pain are surgery
@pratibha66933 жыл бұрын
Why normal saline is put?
@andreasquizzato19842 жыл бұрын
Can this technique be an alternative to the general anesthesia in a patient with myelomeningocele L3-L4 not tolerating general anaesthesia? Is it possible that that type of anesthesia does not take effect in that case, causing the patient to feel the painful stimulation completely?
@joestevenson55687 ай бұрын
Meningoceles can certainly interfere with the spread of local. They are generally considered a contraindication to any neuraxial anaesthesia, not just epidural. Why would the patient not tolerate general anaesthesia?
@andreasquizzato19847 ай бұрын
@@joestevenson5568 it ends out in me strongly vomiting for at least 6-7 Times during the next 6 hours since waking up from the surgery. Not a good feeling.
@prachitasrivastava91198 жыл бұрын
how do u control the upper level...so that the anaesthetic agent doesnt go beyond that level
@TrialImageInc8 жыл бұрын
+Prachita Srivastava - the epidural space is filled with fatty tissue, and this fatty tissue resists the upward movement of the anesthetic agent. This resistance can be overcome by the dose and rate of medication infusion. Thus, a lower rate of infusion results in a lower level of medication movement in the epidural space, and a higher rate of infusion will result in the medication moving higher in the space. The level of the anesthetic can be determined by careful monitoring of limb sensation, and an anesthetic level that is too high may cause cardiovascular symptoms, nausea and agitation. I hope this helps... CalShipleyMD.com
@prachitasrivastava91198 жыл бұрын
Thank you...that definitely helped 😊
@priy0553ranjankumar4 жыл бұрын
Maim apka number milega apse bat karna hai kuch
@prachitasrivastava91194 жыл бұрын
@@priy0553ranjankumar no sorry
@motorockstar8379 Жыл бұрын
Oh my god, thank you for that. Now it makes sense!
@glenmeades26479 жыл бұрын
Very clear explanation of procedure and following test for placement accuracy.
@TrialImageInc9 жыл бұрын
Thank you Glen. You can access my entire library of medical presentations at www.CalShipleyMD.com
@ratankumarsutradhar5287Ай бұрын
How long work
@syedatabassum71522 жыл бұрын
After injection why back side body is to much pain
@RicardoHernandez-yc3gd11 жыл бұрын
Is their a way to make does pains go away???? Please help
@alayraisdeadinside7316 жыл бұрын
The reason for the epidural is to get rid of the pain. If the pain doesn't go away, they may have administered it wrong, or you may have an allergy to Lidocaine?
@paulyoung47812 жыл бұрын
Is this the same one my pain doctor said I'd be getting injections in my back for pain I have,I have hernated discs and lumbar radiculopathy plus nerve damage in my right foot and leg,please help its injection for pain,anastetic without steroids as they failed 2wice the steroid injections so I'll be giving just the anastetic injection to help with back pain
@maritzamarie11564 жыл бұрын
Super helpful !👍🏼 what if it it injected in the wrong place? Is it automatically death for the patient? Or can it be reversible without damage?
@TrialImageInc4 жыл бұрын
Hi Marie - the consequences of an errant injection depend on specifically where and how much of the anesthetic is injected. Theoretically, a misplaced injection could cause serious problems, especially if the continuous drip affects the spinal cord in the area of the heart and lungs. Fortunately, incorrect placement of the anesthetic is rare owing to the test dose that is administered ( as seen in my animation)...trialimage.com
@TrialImageInc4 жыл бұрын
Hi Maritza - a misplaced injection can cause serious side effects, including respiratory arrest. Fortunately, this is very rare provided the test dose is performed as noted in the video...You can access my entire medical video library at: trialimage.com
@animefn8 жыл бұрын
How does an epidemiologist know when the tuohy needle has reached the epidural space? Is there a difference in the way it feels through the needle?
@TrialImageInc8 жыл бұрын
Yes - there is a sudden feeling of less resistance as the needle enters the epidural space www.CalShipleyMD.com
@TheAum77 жыл бұрын
Anesthesiologist
@Joetrout6 жыл бұрын
Or hit the dura sac cause a csf leak now you have the worse headache in your life!!
@alayraisdeadinside7316 жыл бұрын
You will probably feel a relief of pressure, when you reached the cauda equina.
@harikrishnanrajan34326 жыл бұрын
Epidemiologist and anesthesiologist are two separate entity
@yousifsaleh74643 жыл бұрын
Why heart muscles don't anesthetize when the anesthesiologist anesthetize the body
@TrialImageInc3 жыл бұрын
Hi - only the sensory branches of nerves are anesthetized - no motor (muscular) branches. That's the reason for checking that the patient can move their legs after the test dose. You can access my entire library of medical videos at trialImage.com
@lingling28236 жыл бұрын
Wow that was a very good video! Loved how you got specific with everything!
@TrialImageInc6 жыл бұрын
Thanks Brian! You can access my entire library at www.CalShipleyMD.com
@balance60164 жыл бұрын
Are there side effects after giving birth?
@TrialImageInc4 жыл бұрын
Hi Balance. Side effects after birth are generally minor. There may be some low back soreness briefly as a result of the puncture wound.
@HafizahHoshni6 жыл бұрын
Simply excellent. Very grateful for clear, concise and well presented video. Thank you for the great channel. 22/8/2018 😊
@TrialImageInc4 жыл бұрын
My pleasure Hafizah! Apologies for the very delayed response - I didn't realize KZbin was holding some of my comments for approval. You can view my entire medical video library at trialimage.com
@davidure672 жыл бұрын
Beautifully done and very concise. Thanks.
@TrialImageInc2 жыл бұрын
Thank you David! You can access my entire library of medical videos at trialimage.com
@luisaivonnedelarosadiaz909610 жыл бұрын
Yo tengo un parche hematico,que cuidados debo tener y cuanto tiempo dura el dolor de la cadera?
@sharanabasavaj32873 жыл бұрын
What is L
@Syed-Zameer8 жыл бұрын
Wonderful video for learners like me. Thanks a lot Dr.
@TrialImageInc8 жыл бұрын
Glad it helped Zameer - You can access my entire library at www.CalShipleyMD.com
@alayraisdeadinside7316 жыл бұрын
When I get older I want to be an OB/GYN. I already know quite a few things. :o
@rageshcg62086 жыл бұрын
Does it cause damage to the spinal disc?
@TrialImageInc6 жыл бұрын
Hi Ragesh - the discs are not involved as the injection is placed between them. Https://www.CalShipleyMD.com
@alayraisdeadinside7316 жыл бұрын
If you hit it, maybe??
@alayraisdeadinside7316 жыл бұрын
Or, maybe not? Because it's a pretty.. small incision.. So, it should heal fast. Don't take my word on it, I am still trying to learn. And I am too young to be an MD.
@OxysLokiMoros7 жыл бұрын
is at possible to fly with an liquorcanal damage, liquorunderpressuere syndrom(not postpuncture) ? and is it possible to fly with this syndrom and a subdural hämatoma caused by liquorunderpressure?
@bekabeka713 жыл бұрын
What?
@OxysLokiMoros3 жыл бұрын
@@bekabeka71 It s a disease.
@bekabeka713 жыл бұрын
@@OxysLokiMoros my mother is suffering with so much pain after 2 failed back surgeries 😒
@OxysLokiMoros3 жыл бұрын
@@bekabeka71 but from a spinal fluid leak?
@bekabeka713 жыл бұрын
@@OxysLokiMoros from nerve damage and disc bulging
@shahrajabi17804 ай бұрын
It's so hard to understand without subtitles
@dlove19532 жыл бұрын
sir can you upload how to collect csf sample
@stephensanchez2014 жыл бұрын
Great video, i never leave comments but i did for this because it was really well done. Thank you!
@TrialImageInc4 жыл бұрын
Thank you Stephen - you can access my entire library at trialimage.com
@TrialImageInc4 жыл бұрын
Thank you Stephen! Apologies for the delayed response. You can access my entire medical video library at: trialimage.com
@qiongwan62654 жыл бұрын
Very good video. New anaesthesia nurse here.
@TrialImageInc4 жыл бұрын
Thank you Qiong! You can access my entire library of medical videos at trialimage.com
@TrialImageInc4 жыл бұрын
Thanks Qiong! I wish you all the best in your career! You can access my entire medical video library at: trialimage.com
@spikexi10magician786 жыл бұрын
I have ankylosing spondylities. My hip and totally blocked.
@ericcarroll4083 жыл бұрын
I have sciatic pain severe I have never went through sciatic pain like I did the day before yesterday I was in the floor crying I couldn't even get out of the floor and I found out something that really helped me I even went to the hospital and the muscle relaxer they gave me in the more thing did not even help I'm going to be making a video telling what I did to help my sciatic pain and I will demonstrate it and show you what I take too so hopefully I can get this video record it and upload it after I feel a little bit better my leg and my calf is still numb and I still got pain in my back but it's not like it was the day before yesterday
@هياعمرفؤاد2 жыл бұрын
Thank you 💚
@tomsbunk37906 жыл бұрын
Is it normal after 4hour or more receiving epidural anesthesia that you cant even move your leg....i've got an infection on my right thigh nerve,swelling and full of pus so the doctor need to discard it and suggest me to take an epidural anesthesia.....
@marilynandong931310 жыл бұрын
I love epidural. Because I have a lot of pain while I getting labor my son.epidural looks magic for me because went they injeck me and put the needle of my back it takes me stickles I was laughting a lot .I'm such helrious I dint not feel the pain.two nurse hold my hand .and one doctor I try to turn my back how they put epidural on me because I was curious. I'm not a loud so I heard everything all my tick less in my back it came out men.its feels so good its just they put some raser bleed
@jordanbrown714311 жыл бұрын
@ sarah hanke is it important?
@roserry11654 жыл бұрын
i had to go through this and just popped in out of curiosity what i went though. just wow whoever discovered this process.
@TrialImageInc4 жыл бұрын
Thanks for your comment roserry! The epidural anesthetic revolutionized pain control during labor without adverse effects on the fetus You can view my entire medical video library at trialimage.com/
@Sandysand132 жыл бұрын
Hi sir I am the student of B.sc Anaesthesia & operation theatre Tech
@TrialImageInc2 жыл бұрын
That's great Santhiya! You can access my entire library of medical videos at trialimage.com
@ElCineastaFrustrado9 жыл бұрын
A mi me hicieron cuatro hace trece años que no me sirvieron para nada, al final tuvieron que operarme, y ahora me veo que mañana me lo vuelven hacer por que aun operado se ha reproducido la hernia
@truthseeker8034 жыл бұрын
Thanks for this great Video.
@TrialImageInc4 жыл бұрын
My pleasure Truth! You can access my entire library of medical videos at trialimage.com
@nepaliman57168 жыл бұрын
sir , what is rate of continuous infusion ?
@TrialImageInc8 жыл бұрын
+nepaliman - rate of continuous infusion varies according to the type and concentration of anesthetic medication used, and patient response. If you send me a message through the contact page of my website at CalShipleyMD.com, I can forward an excellent review of epidural anesthesia to you...cjs
@AniKavtaradze6 жыл бұрын
Hello, pls, send it to me too: qavtara@yahoo.com ; thank you
@ThePoeticsoulja11 жыл бұрын
I had an epidural done in 2008 and my body started to shake in an uncontrollable manner.
@piecesofme85313 жыл бұрын
OMG, I can’t believe what women have to go through!!!
@TrialImageInc3 жыл бұрын
Indeed, pieces of me...
@princesssmile79586 жыл бұрын
oh heck no ... I'm not taking that thing when it's my time to deliver my baby .. I'd rather be in pain than having a needle inserted into my back
@TrialImageInc6 жыл бұрын
I don’t blame you, Eman. That’s exactly what my daughter said - until she’d been in labor for 9 hours -
@TrialImageInc6 жыл бұрын
You and millions of other women have had the same experience, Sj. It can be immensely helpful...
@ziajan60376 жыл бұрын
Eman sweileh we doing that with help of local anesthetic madicine first of all we injact small amount of local becouse of that patient dobt feel needale but some Doctors are dont useing they follow book
@MultiSamsoma6 жыл бұрын
that's what I said until I was in labour for 12 hours and then I was willing to take ANYTHING to stop that killing pain :(
@alayraisdeadinside7316 жыл бұрын
Tbh, since there is more pain going on in your abdomen, you can barely feel it.
@samarraj20925 жыл бұрын
I want more information about this treatment because I have patient at home .who had been got fractured at L5 and there is no movement from her waist to palm. Can anybody help me and me more information.
@gamalfitzpatrick21219 жыл бұрын
Thanks! this was very well done.
@TrialImageInc9 жыл бұрын
Thank you Gamal!
@shamimakter31102 жыл бұрын
Thanks... 👍 👌 💛
@topaloviclaki86648 жыл бұрын
do you maybe know what happend to my brother he almost die doing simple surgery of knee he had 10 days 40c temperature not be able to move his head even go to toilet then they take out more fluid from spine and he was better after few days .Thank you so much
@RicardoHernandez-yc3gd11 жыл бұрын
My girl got thag when given birth now she can't stand her back she gets pain like no other after the whole birth thing ... :( all the time for her rest of her life she's going to have does back pains
@hasmukhumat62465 жыл бұрын
send u adres
@guoshufeng448711 жыл бұрын
very good and thanks!
@Codalook6 жыл бұрын
guoshu feng AL9VE
@tulasikondaluatchi36394 жыл бұрын
Good showing through this
@TrialImageInc4 жыл бұрын
Thanks Tulasikondalu - here is a video from my library on Endotracheal intubation trialimage.com/endotracheal-intubation-video-2/
@vanlalhruaii73034 жыл бұрын
Thank you dr. ♥️
@TrialImageInc4 жыл бұрын
My pleasure Vanlalhruaii! You can access my entire library of medical videos at trialimage.com
@aguzzerodxt6 жыл бұрын
Make me want to be anesthesiologist, thank you so much
@TrialImageInc6 жыл бұрын
Glad it was inspirational for you, Bagus! You can access my entire library at www.CalShipleyMD.com
@spikexi10magician786 жыл бұрын
Help me???
@ajaybhalla1086 жыл бұрын
Wht happened
@anayahealthandbeautytips7 жыл бұрын
nice video
@sudiptaroy661611 ай бұрын
Wow teacher❤🙏
@AmirAbuleil926 жыл бұрын
thank man very helpful
@TrialImageInc6 жыл бұрын
Thank you TheSeeker! Https://www.CalShipleyMD.com
@marilynandong931310 жыл бұрын
Its so amazing men.the dortor and nurses look at me I'm weard .the truth for real men.its the fault s give me tick less while they put epidural on my back OK.he makes me laught I cannot stop it
@nxd11414 жыл бұрын
Thank you
@TrialImageInc4 жыл бұрын
Thank you NXD! You can access my entire medical video library at trialimage.com
@ىتؤنةرت9 жыл бұрын
Sliding back treatment
@hemmojito8 жыл бұрын
Thank you very much
@TrialImageInc8 жыл бұрын
+hemmojito my pleasure! Http://www.CalShipleyMD.com
@narshimachary7430 Жыл бұрын
God gift anesthesia
@TrialImageInc Жыл бұрын
😃👍
@hasmukhumat62465 жыл бұрын
apke contek nabar mil saktey hey
@ahmedsoliman10279 жыл бұрын
pain managment
@PrakashSingh-qj7yl4 жыл бұрын
L4 L5 L5 s1
@monielashae22634 жыл бұрын
Mines was so fucking painful
@boddumukesh73242 жыл бұрын
Tq
@miriampopa54362 жыл бұрын
👍👏
@prithviraj13859 жыл бұрын
very clear
@TrialImageInc9 жыл бұрын
Thank you Prithvi www.CalShipleyMD.com
@raghunathvasavi18674 жыл бұрын
Best hai
@TrialImageInc4 жыл бұрын
Thanks Hai! you can access my entire medical video library at: trialimage.com
@yanaisahernandez61945 жыл бұрын
🙏🙏🙏
@TrialImageInc5 жыл бұрын
Thank you Yanaisa! You can access my entire library of medical videos at: www.CalShipleyMD.com
@TrialImageInc4 жыл бұрын
Thanks Yanaisa! You can access my entire medical video library at trialimage.com
@tinaaurum7 жыл бұрын
thank you!
@TrialImageInc7 жыл бұрын
+Christina Nunez - you are welcome Christina www.CalShipleyMD.com
@qumarzaman67275 жыл бұрын
Nice
@TrialImageInc5 жыл бұрын
Thanks Qumar! Https://www.CalShipleyMD.com
@TrialImageInc4 жыл бұрын
Thank you Qumar! You can access my entire library of medical videos at trialimage.com
@TrialImageInc4 жыл бұрын
Thank you Qumar! You can access my entire library of medical videos at trialimage.com
@ahmadnawidmobariz48735 жыл бұрын
Good
@TrialImageInc5 жыл бұрын
Thank you Ahmadnawid. You can access my entire medical video library at www.CalShipleyMD.com
@mohd.shabbir65106 жыл бұрын
Great
@TrialImageInc6 жыл бұрын
Thank you mohd- you can access my entire library of Medical Videos at www.CalShipleyMD.com
@hasmukhumat62465 жыл бұрын
sr help mee send u adres
@barbosadasdores22005 жыл бұрын
👍🏻
@TrialImageInc5 жыл бұрын
Thanks Barbosa - www.CalShipleyMD.com
@TrialImageInc4 жыл бұрын
Thanks Barbosa! You can access my entire library of medical videos at trialimage.com
@ChristieBlack-e3u Жыл бұрын
How do the anesthesiologists know when to stop to not to damage the spinal cord?
@joestevenson55687 ай бұрын
There is no spinal cord below L2. They avoid dural puncture by the loss of resistance technique. This is all explained very clearly in the video. Rewatch it.
@dr.omprakashgupta58058 жыл бұрын
thank you very much
@TrialImageInc8 жыл бұрын
+Dr. om prakash gupta - you're welcome, Doctor. You can access my entire library at CalShipleyMD.com