Technique of epidural anesthetic administration, as used in childbirth. OBS401 Related videos: trialimage.com...
Пікірлер: 178
@AbeLeon073 жыл бұрын
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?
@sirchedge73114 ай бұрын
"He was never heard from again."
@bigdave69528 ай 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.
@Mike92019846 жыл бұрын
Fantastic explanation and animation. We’re so lucky these days to have resources such as this.
@TrialImageInc6 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!
@joestevenson55682 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.
@murmurmountainfoot4 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 😂
@ahhwe-any743423 күн бұрын
I remember looking back on my first when I had my 2nd & imagined it to be so much longer in my apparent dramatic ness. But honestly, even realistically looking at it, it's still long. I remember when they came out w/ that tray of tools & I was like 😦 ure gonna stick that thing in me? Wever, I guess it can't be any worse than bringing in this baby. I had 2 c sections. My 2nd had my tubes tied right after. But I was like I do not even want to watch. Granted I wouldn't have had the greatest view anyways. But I still closed my eyes
@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
@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 !!
@ziajan60375 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
@glenmeades26478 жыл бұрын
Very clear explanation of procedure and following test for placement accuracy.
@TrialImageInc8 жыл бұрын
Thank you Glen. You can access my entire library of medical presentations at www.CalShipleyMD.com
@motorockstar8379 Жыл бұрын
Oh my god, thank you for that. Now it makes sense!
@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
@HafizahHoshni6 жыл бұрын
Simply excellent. Very grateful for clear, concise and well presented video. Thank you for the great channel. 22/8/2018 😊
@TrialImageInc3 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
@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...
@joestevenson55682 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.
@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
@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
@alayraisdeadinside7315 жыл бұрын
When I get older I want to be an OB/GYN. I already know quite a few things. :o
@shahrajabi17804 күн бұрын
It's so hard to understand without subtitles
@sudiptaroy66167 ай бұрын
Wow teacher❤🙏
@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 .
@user-vl4ui2ku5c Жыл бұрын
Thank you 💚
@piecesofme85313 жыл бұрын
OMG, I can’t believe what women have to go through!!!
@TrialImageInc3 жыл бұрын
Indeed, pieces of me...
@prachitasrivastava91197 жыл бұрын
how do u control the upper level...so that the anaesthetic agent doesnt go beyond that level
@TrialImageInc7 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
@prachitasrivastava91197 жыл бұрын
Thank you...that definitely helped 😊
@priy0553ranjankumar3 жыл бұрын
Maim apka number milega apse bat karna hai kuch
@prachitasrivastava91193 жыл бұрын
@@priy0553ranjankumar no sorry
@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
@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
@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?
@truthseeker8033 жыл бұрын
Thanks for this great Video.
@TrialImageInc3 жыл бұрын
My pleasure Truth! You can access my entire library of medical videos at trialimage.com
@RicardoHernandez-yc3gd10 жыл бұрын
Is their a way to make does pains go away???? Please help
@alayraisdeadinside7315 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?
@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
@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
@user-cg2zh2wh9l9 ай бұрын
How do the anesthesiologists know when to stop to not to damage the spinal cord?
@raphaelpellenard97784 ай бұрын
At the moment the pressure of the syringe drops and the saline solution squirts inside the epidural space
@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/
@pratibha66933 жыл бұрын
Why normal saline is put?
@spikexi10magician785 жыл бұрын
I have ankylosing spondylities. My hip and totally blocked.
@roserry11653 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.
@TrialImageInc3 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/
@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
@TheAum76 жыл бұрын
Anesthesiologist
@Joetrout6 жыл бұрын
Or hit the dura sac cause a csf leak now you have the worse headache in your life!!
@alayraisdeadinside7315 жыл бұрын
You will probably feel a relief of pressure, when you reached the cauda equina.
@harikrishnanrajan34325 жыл бұрын
Epidemiologist and anesthesiologist are two separate entity
@luisaivonnedelarosadiaz90969 жыл бұрын
Yo tengo un parche hematico,que cuidados debo tener y cuanto tiempo dura el dolor de la cadera?
@ThePoeticsoulja11 жыл бұрын
I had an epidural done in 2008 and my body started to shake in an uncontrollable manner.
@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
@syedatabassum71522 жыл бұрын
After injection why back side body is to much pain
@gamalfitzpatrick21218 жыл бұрын
Thanks! this was very well done.
@TrialImageInc8 жыл бұрын
Thank you Gamal!
@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
@andreasquizzato1984 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?
@joestevenson55682 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?
@andreasquizzato19842 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.
@shamimakter31102 жыл бұрын
Thanks... 👍 👌 💛
@ericcarroll4082 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
@vanlalhruaii73033 жыл бұрын
Thank you dr. ♥️
@TrialImageInc3 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
@guoshufeng448710 жыл бұрын
very good and thanks!
@Codalook6 жыл бұрын
guoshu feng AL9VE
@balance60163 жыл бұрын
Are there side effects after giving birth?
@TrialImageInc3 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.
@nxd11414 жыл бұрын
Thank you
@TrialImageInc4 жыл бұрын
Thank you NXD! You can access my entire medical video library at trialimage.com
@narshimachary7430 Жыл бұрын
God gift anesthesia
@TrialImageInc Жыл бұрын
😃👍
@anayahealthandbeautytips7 жыл бұрын
nice video
@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
@sharanabasavaj32872 жыл бұрын
What is L
@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
@dlove19532 жыл бұрын
sir can you upload how to collect csf sample
@hemmojito8 жыл бұрын
Thank you very much
@TrialImageInc8 жыл бұрын
+hemmojito my pleasure! Http://www.CalShipleyMD.com
@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.....
@monielashae22634 жыл бұрын
Mines was so fucking painful
@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...
@ziajan60375 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
@MultiSamsoma5 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 :(
@alayraisdeadinside7315 жыл бұрын
Tbh, since there is more pain going on in your abdomen, you can barely feel it.
@AmirAbuleil925 жыл бұрын
thank man very helpful
@TrialImageInc5 жыл бұрын
Thank you TheSeeker! Https://www.CalShipleyMD.com
@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
@alayraisdeadinside7315 жыл бұрын
If you hit it, maybe??
@alayraisdeadinside7315 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.
@jordanbrown714310 жыл бұрын
@ sarah hanke is it important?
@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?
@bekabeka712 жыл бұрын
What?
@OxysLokiMoros2 жыл бұрын
@@bekabeka71 It s a disease.
@bekabeka712 жыл бұрын
@@OxysLokiMoros my mother is suffering with so much pain after 2 failed back surgeries 😒
@OxysLokiMoros2 жыл бұрын
@@bekabeka71 but from a spinal fluid leak?
@bekabeka712 жыл бұрын
@@OxysLokiMoros from nerve damage and disc bulging
@boddumukesh73242 жыл бұрын
Tq
@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
@ahmedsoliman10279 жыл бұрын
pain managment
@PrakashSingh-qj7yl4 жыл бұрын
L4 L5 L5 s1
@prithviraj13858 жыл бұрын
very clear
@TrialImageInc8 жыл бұрын
Thank you Prithvi www.CalShipleyMD.com
@RicardoHernandez-yc3gd10 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
@hasmukhumat62464 жыл бұрын
send u adres
@nepaliman57168 жыл бұрын
sir , what is rate of continuous infusion ?
@TrialImageInc7 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
@raghunathvasavi18674 жыл бұрын
Best hai
@TrialImageInc4 жыл бұрын
Thanks Hai! you can access my entire medical video library at: trialimage.com
@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.
@topaloviclaki86647 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
@user-zu6zg1fr3z8 жыл бұрын
Sliding back treatment
@tinaaurum7 жыл бұрын
thank you!
@TrialImageInc7 жыл бұрын
+Christina Nunez - you are welcome Christina www.CalShipleyMD.com
@mohd.shabbir65105 жыл бұрын
Great
@TrialImageInc5 жыл бұрын
Thank you mohd- you can access my entire library of Medical Videos at www.CalShipleyMD.com
@qumarzaman67274 жыл бұрын
Nice
@TrialImageInc4 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
@miriampopa5436 Жыл бұрын
👍👏
@ahmadnawidmobariz48735 жыл бұрын
Good
@TrialImageInc5 жыл бұрын
Thank you Ahmadnawid. You can access my entire medical video library at www.CalShipleyMD.com
@spikexi10magician785 жыл бұрын
Help me???
@ajaybhalla1085 жыл бұрын
Wht happened
@yanaisahernandez61944 жыл бұрын
🙏🙏🙏
@TrialImageInc4 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
@barbosadasdores22004 жыл бұрын
👍🏻
@TrialImageInc4 жыл бұрын
Thanks Barbosa - www.CalShipleyMD.com
@TrialImageInc4 жыл бұрын
Thanks Barbosa! You can access my entire library of medical videos at trialimage.com
@hasmukhumat62464 жыл бұрын
apke contek nabar mil saktey hey
@hasmukhumat62464 жыл бұрын
sr help mee send u adres
@user-cg2zh2wh9l9 ай бұрын
How do the anesthesiologists know when to stop to not to damage the spinal cord?
@joestevenson55682 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.