Anaphylactic Shock Following Nonionic Contrast Medium during Caudal Epidural Injection

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Anaphylactic Shock Following Nonionic Contrast Medium during Caudal Epidural Injection

Caudal epidural injection is a common intervention in patients with low back pain and sciatica. Even though the complications of fluoroscopically directed epidural injections are less frequent than in blind epidural injections, complications due to contrast media can occur. We report a case of anaphylactic shock immediately after injection of an intravenous nonionic contrast medium (iohexol) du...

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To the Editor:—I read with interest the article “Ultrasound Guidance in Caudal Epidural Needle Placement” by Chen et al. However, I have a couple of points to raise. The author’s assertion that the application of ultrasonography to locate the sacral hiatus for caudal epidural injections has not been described is inaccurate. The footprint property of the transducer is not mentioned in the articl...

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Ultrasound-guided Caudal Epidural Injection

To the Editor:—I read with interest the article “Ultrasound Guidance in Caudal Epidural Needle Placement” by Chen et al. However, I have a couple of points to raise. The author’s assertion that the application of ultrasonography to locate the sacral hiatus for caudal epidural injections has not been described is inaccurate. The footprint property of the transducer is not mentioned in the articl...

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Vertical Small-Needle Caudal Epidural Injection Technique

BACKGROUND Anecdotal evidence suggests that a vertical small-needle injection method enters the caudal epidural space with comparable efficacy to cephalad-directed methods, with less intravascular injection. OBJECTIVES Assess the success rate of vertical caudal epidural injection using epidurography and the frequency of intravascular injection using a vertical small-needle approach. PATIENT...

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ژورنال

عنوان ژورنال: The Korean Journal of Pain

سال: 2015

ISSN: 2005-9159,2093-0569

DOI: 10.3344/kjp.2015.28.4.280