Epidural/tfe

[smarterchild]

unfortunately, I don’t have the means to do IV sedation as I do them in an office based setting. honestly, I’ve only used po sedation once. Gave a nervous young lady two 2 mg Valium tablets, one 45 min before and the other when she got there. Patient didn’t seem to notice much of a difference. Maybe I should’ve given 5mg tabs

how does consent for the procedure work in this situation? Should the patient sign the consent at the preprocedural visit? I know a lot of people on benzos sign legal docs all the time but wasn’t sure if it was different since I was prescribing specifically for procedure related anxiety.

 

[soccrwz]

triazolam works well without the long duration

 

[SommeRiver]

I disagree. It isn’t anxiety but discomfort. Plenty of times people with severe foraminal stenosis have no pain with the needle in place but jump when the contrast slowly starts flowing. Some pre-procedure hydrocodone helps those people I guess but they would still prefer an IV. I might sedate 1-2 people in a month for a TFESI.

In this case the S1 TFESI would be indicated and shouldn't be difficult for her...

 

[Ducttape]

here we go again...

 

[SommeRiver]

here we go again...

Not my intent...I was merely saying that if this poster wants to do a TFESI but doesn't feel comfortable without sedation he/she will be fine. It is done every day in America.

 

[smarterchild]

oh sorry for the confusion. I would prefer to do the TFE even if I had to give oral sedation. But her insurance "required" me to do an ILESI first.