By James P. Rathmell MD
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Extra info for Atlas of Image-Guided Intervention in Regional Anesthesia and Pain Medicine
The guidelines include suggested intervals following discontinuation of each agent before injection can be carried out safely. A multidisciplinary group of experts at our own institution has made minor adaptations to the ASRA guidelines and publishes an update each year for use in our institution (Table 4-8). indd 31 REOPRO Drug (Generic) Abciximab Time Interval for Removal of Catheter after Post-op Dose Time Interval to Restart Med after Catheter is removed 48 h 48 h 12 h Time to recovery of normal platelet aggregation after ABCIXIMAB/REOPRO is 24–48 h At least 6 h after administration Check PTT or ACT 2h of last dose; check PTT or ACT Placement and removal of catheter is okay Time Interval for Placement of Catheter after Last Dose CELEBREX, MOTRIN, NAPROSYN, etc.
The epidural space itself progressively narrows in 9/22/2011 2:37:32 PM 36 Atlas of Image-Guided Intervention in Pain Medicine C1 C1 C2 C2 C3 C3 C4 C4 C5 C5 C6 C6 C7 C7 T1 15 – 20° T1 T2 T2 T3 T3 T4 T4 T5 T5 T6 T6 T7 T7 T8 T9 T8 10 – 15° from sagittal plane T9 55 – 60° T10 T10 T11 T11 T12 T12 L1 L1 L2 L2 L3 L3 L4 L4 L5 L5 15 – 20° Figure 5-3. Anatomy of the vertebral column. In most humans, the most prominent spinous process at the base of the neck is the spinous processes of C7 (the vertebrae prominens).
Reston, VA: American College of Radiology; 1999. Bhave G, Lewis JB, Chang SS. Association of gadolinium based magnetic resonance imaging contrast agents and nephrogenic systemic fibrosis. J Urol. 2008;180:830–835. Dawson P, Cosgrove DO, Grainger RG, eds. Textbook of Contrast Media. Oxford, UK: ISIS Medical Media; 1999. indd 22 Ellis JH, Cohan RH. Prevention of contrast-induced nephropathy: an overview. Radiol Clin North Am. 2009;47:801–811. Grainger RG. Intravascular radiologic iodinated contrast media.