Epidural Steroid Injection
Procedure of Epidural steroid injection given in our institution:
All the patients will have routine pre-operative work up done, seen in pre-anaesthesia clinic and once the fitness was given by the anaesthesia department, the steroid injection is given in daycare theatre.
Approach used in our institution is Interlaminar.
The procedure is performed by a trained anaesthesiologist. Pre-procedure, a venous access is created with a 20G insite and patient will be monitored with NIBP, Pulsoximeter and ECG. In sitting position, after cleaning and draping under strict aseptic conditions, the level of injection will be determined according to the bony landmarks, and local anaesthetic solution is injected in the desired space i.e., one space above the level of pathology. With a 18G Touhey needle with the bevel caphalad via loss of resistance technique the epidural space was reached. 80mg of Methyl Prednisolone along with 2ml of 0.25% sterile bupivacaine and 7ml of Normal saline is injected into the epidural space and the needle …show more content…
Outcome measures:
The outcome measures used in this study were Revised Owestry disability index (ODI) for low back pain/ dysfunction and Numeric rating scale (NRS).
Owestry disability index is a report questionnaire that needs to be filled by the patient; it is a functional outcome measure. It has 10 sections with each section having 6 possible answers rating from 0 to 5 points. A total of 50 points can be attained in this questionnaire which will be equivalent to 100% or if one section is omitted, then total points would be 45 and the percentage will be measured accordingly.
The interpretation of the disability scores is as follows
0%-20%: Minimal disability
20%-40% Moderate disability
40%-60% Severe disability
60%-80%
All the patients will have routine pre-operative work up done, seen in pre-anaesthesia clinic and once the fitness was given by the anaesthesia department, the steroid injection is given in daycare theatre.
Approach used in our institution is Interlaminar.
The procedure is performed by a trained anaesthesiologist. Pre-procedure, a venous access is created with a 20G insite and patient will be monitored with NIBP, Pulsoximeter and ECG. In sitting position, after cleaning and draping under strict aseptic conditions, the level of injection will be determined according to the bony landmarks, and local anaesthetic solution is injected in the desired space i.e., one space above the level of pathology. With a 18G Touhey needle with the bevel caphalad via loss of resistance technique the epidural space was reached. 80mg of Methyl Prednisolone along with 2ml of 0.25% sterile bupivacaine and 7ml of Normal saline is injected into the epidural space and the needle …show more content…
Outcome measures:
The outcome measures used in this study were Revised Owestry disability index (ODI) for low back pain/ dysfunction and Numeric rating scale (NRS).
Owestry disability index is a report questionnaire that needs to be filled by the patient; it is a functional outcome measure. It has 10 sections with each section having 6 possible answers rating from 0 to 5 points. A total of 50 points can be attained in this questionnaire which will be equivalent to 100% or if one section is omitted, then total points would be 45 and the percentage will be measured accordingly.
The interpretation of the disability scores is as follows
0%-20%: Minimal disability
20%-40% Moderate disability
40%-60% Severe disability
60%-80%