Definition
Epidural abscess formation .either spontaneously or after attempted or successful epidural anaesthesia
Presentation
one-Back pain pain along nerve root distribution weakness
two-Progressive weakness with abscess formation if abscess left untreated paraplegia
three-Neck ftiffness headacke signs of meningitis
four-Fever .tenderness at epidural site
six-leucocytosis
Differential
Epidural hematoma
muscular or ligamentous injury related to needle placement
Residual local anaesthesia effect
spinal artery thrombosis
Immediate Management
Stop Epidural drug administrationj
Emergency MRI
Emergency neurosurgical consultation for drainage of abscess
Risk factors
Existing infection
Diabetes mellitus
cancer
steroid use
alcohol abuse
[left][b]
Epidural abscess formation .either spontaneously or after attempted or successful epidural anaesthesia
Presentation
one-Back pain pain along nerve root distribution weakness
two-Progressive weakness with abscess formation if abscess left untreated paraplegia
three-Neck ftiffness headacke signs of meningitis
four-Fever .tenderness at epidural site
six-leucocytosis
Differential
Epidural hematoma
muscular or ligamentous injury related to needle placement
Residual local anaesthesia effect
spinal artery thrombosis
Immediate Management
Stop Epidural drug administrationj
Emergency MRI
Emergency neurosurgical consultation for drainage of abscess
Risk factors
Existing infection
Diabetes mellitus
cancer
steroid use
alcohol abuse
[left][b]
Sat Jun 01, 2024 2:31 pm by yagocom
» pulmonary function test
Mon May 08, 2023 3:14 pm by yagocom
» ultrasound of lung in critical care patients
Mon Apr 24, 2023 9:50 am by yagocom
» respiratory diseases , anaesthetic management 2023
Sat Feb 18, 2023 6:42 pm by yagocom
» thoracic anaesthesia 2023
Fri Feb 10, 2023 10:43 pm by yagocom
» indication to SICU admission
Sun Nov 20, 2022 3:21 pm by yagocom
» electrolyte disturbances
Sat Jul 23, 2022 11:11 pm by yagocom
» fluid physiology
Mon Jul 11, 2022 12:09 pm by yagocom
» TAP block USG
Mon Jul 11, 2022 11:56 am by yagocom
» Assisted ventilation for surgical patients
Fri Jul 08, 2022 10:40 am by yagocom
» nutrition in critical ill patient
Sun Jun 12, 2022 11:14 pm by yagocom
» US workshop in Mosul
Fri May 27, 2022 2:56 pm by yagocom
» Basics of ultrasound
Fri May 27, 2022 2:28 pm by yagocom
» الملتقى العلمي الاول للجمعية العراقية للتخدير والعناية المركزة والحد من الالم فرع الموصل
Mon May 09, 2022 7:15 pm by yagocom
» Geriatric anaesthesia
Sun May 08, 2022 10:35 pm by yagocom
» thoracic anaesthesia 2022
Sat Jan 15, 2022 11:14 pm by yagocom
» chronic pain management
Fri Dec 03, 2021 5:53 pm by yagocom
» anaesthesia in respiratory diseases
Mon Nov 29, 2021 8:33 pm by yagocom
» anaesthesia for plastic procedures
Mon Jul 19, 2021 11:17 am by yagocom
» ECG for candidate
Mon Jul 19, 2021 11:14 am by yagocom