Forum

Join PainCast

Do you want to know more about Pain Medicine? Join PainCast to view hundreds of exclusive videos, and access to luminary physicians, forums, and more!

Injectate Volumes for Lumbar Lysis

Anonymous on May 28, 2021 at 4:04 pm
  • Author
    Posts
    • Anonymous
      #69127

      How do you determine the volume of injectates to use for a lumbar lysis? Do you often adjust these volumes because of the patient’s symptomology and/or contrast filling defects?

      • Mert AkbasMert Akbas
        Participant
        Joined: Jun 11, 2015
        Posts: 4
        #69587

        Please check the update done by Gabor racz recently which I submit below.

        The volumes you used is defined in the thecniques. But the thing you must never forget is you must have a run-off of the volumes you inject from the foramens. If you do not have, you will even have problem with the low volumes, if the volumes donot run away from the filling deffect area. Then you may have major complications.
        RUN-OFF…..Dont forget…

        Attachments:
        You must be logged in to view attached files.
          • Anonymous
            #70003

            Dr. Akbas,

            Thank you for posting that paper, it is very informative. If you observe moderate to severe lumbar stenosis on a patent’s MRI for example, how do you determine or adjust the injectate volume? Would this also require a smaller catheter? Would you alter the actual procedure in any way?

            Thanks,
            Simon

          • Mert AkbasMert Akbas
            Participant
            Joined: Jun 11, 2015
            Posts: 4
            #70004

            You perform the actual procedure. If you have run-off of the fluids you will not have any problem. But you may consider to use versa cath if you need a thinner cath. Sometimes it helps.

            Mert

          Viewing 2 reply threads

          Join The Discussion

          Reply To: Injectate Volumes for Lumbar Lysis
          Your information:





          <a href="" title="" rel="" target=""> <blockquote cite=""> <code> <pre class=""> <em> <strong> <del datetime="" cite=""> <ins datetime="" cite=""> <ul> <ol start=""> <li> <img src="" border="" alt="" height="" width="">

          Comments are closed.