caudal epidural and ganglion impar block technique dr rajeev harshe

16
CAUDAL EPIDURAL TECHNIQUE Dr Rajeev Harshe MD (Anesthesiology) Pain Consultant Apollo Hospitals, Ahmadabad (Hon. Pain consultant to H.E.Govorner of Gujarat) Apollo Hospital 11 am to 5 pm Consulting Room “Relief” pain clinic 35/1,sector 2 A Gandhinagar 9 to 11 am and 5 to 8 pm Email: [email protected] Blog: www.drharshe.blogspot.in

Upload: rajeev-harshe

Post on 23-Jun-2015

432 views

Category:

Health & Medicine


0 download

TRANSCRIPT

Page 1: Caudal epidural and ganglion impar block technique dr rajeev harshe

CAUDAL EPIDURAL TECHNIQUE

Dr Rajeev Harshe MD (Anesthesiology)

Pain Consultant

Apollo Hospitals, Ahmadabad

(Hon. Pain consultant to H.E.Govorner of Gujarat)

Apollo Hospital

11 am to 5 pm

Consulting Room“Relief” pain clinic35/1,sector 2 A

Gandhinagar9 to 11 am and 5 to 8 pm

Email: [email protected]: www.drharshe.blogspot.in

Page 2: Caudal epidural and ganglion impar block technique dr rajeev harshe

STEPS Patient Position Prone with pillow under abdomen C-arm Tilt: Minimal cephalic Rotate: neutral Scout Image AP sacrum Pubic symphysis at bottom of screen

Page 3: Caudal epidural and ganglion impar block technique dr rajeev harshe

AP VIEW

Page 4: Caudal epidural and ganglion impar block technique dr rajeev harshe

PUT MARKER

Page 5: Caudal epidural and ganglion impar block technique dr rajeev harshe

LATERAL VIEW WITH MARKER IN MIDLINE

Page 6: Caudal epidural and ganglion impar block technique dr rajeev harshe

NEEDLE ON WAY TO IMPAR

Page 7: Caudal epidural and ganglion impar block technique dr rajeev harshe

IN DISC

Page 8: Caudal epidural and ganglion impar block technique dr rajeev harshe

FURTHER

Page 9: Caudal epidural and ganglion impar block technique dr rajeev harshe

BEYOND THE BONE AND DISC

Page 10: Caudal epidural and ganglion impar block technique dr rajeev harshe

DYE INJECTED FOR IMPAR

Page 11: Caudal epidural and ganglion impar block technique dr rajeev harshe

NEEDLE INSERTED FOR CAUDAL

Page 12: Caudal epidural and ganglion impar block technique dr rajeev harshe

NEEDLE IN PROGRESS

Page 13: Caudal epidural and ganglion impar block technique dr rajeev harshe

NEEDLE AT TARGET

Page 14: Caudal epidural and ganglion impar block technique dr rajeev harshe

DYE INJECTED IN EPIDURAL SPACE

Page 15: Caudal epidural and ganglion impar block technique dr rajeev harshe

AP VIEW WHILE INJECTING MEDICINE

Page 16: Caudal epidural and ganglion impar block technique dr rajeev harshe

THANKS

Dr Rajeev Harshe MD (Anesthesiology)

Pain ConsultantApollo Hospitals, Ahmadabad

(Hon. Pain consultant to H.E.Govorner of Gujarat)

Mobile: 9825252100