epidural with tattoo??

Discussion in 'Anesthesiology' started by ga girl117, May 11, 2008.

  1. ga girl117

    ga girl117 New Member

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    Can you give a woman in labor an epidural if she has a tattoo around L4-L5? It doesn't seem like it would be a problem but just curious what everyone thinks.
     
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  3. InductionAgent

    InductionAgent Senior Member

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    No, because patients with tattoos are always afraid of needles.
     
  4. Planktonmd

    Moderator Emeritus Lifetime Donor Classifieds Approved

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    No problem unless she just had the tatoo done or it looks infected.
     
  5. dfk

    dfk Banned
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    i think there's a six month "rule".. however,
    literature isn't clear (strong enough to support) if going thru a tattoo is
    harmful or not..
    you can always stretch/move the skin around so a non-ink spot correlates with your preferred insertion site..
     
  6. militarymd

    militarymd SDN Angel

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    tattoo's are absolute contraindications to epidurals...don't do it...you'll be paralyzed for life.
     
  7. SleepIsGood

    SleepIsGood Support the ASA !

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    as long as the tatto wasnt done the day before or something...there's no problem. yes i would try to avoid the 'ink' and go somewhere without it...however, i've noticed tht tattoos help in that it helps you know where you put the local....:D
     
  8. Fastrach

    Fastrach New Member

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    I put one in a gal the other day who had a tat of a globe, some sorta earth worshipper I guess. Was kinda fun jabbin the needle right thru Greenland... could have speared Iraq if I did a paramedian, I suppose...
     
  9. dfk

    dfk Banned
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    hey mil,
    i've not seen in the literature that tattoos are absolute contraindications, unless the ink is fairly new. can you cite or is this 'paralyzed for life' comment in conjunction with your years of experience? thanks-
     
  10. militarymd

    militarymd SDN Angel

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    sounded like ga girl has a tat...and is preg...and wanted reassurance from strangers here that it's ok for her to have an epidural...

    so I was being an as s....and made something up.
     
  11. Bertelman

    Bertelman Maverick!

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    He's pulling your chain.
     
  12. Laurel123

    Laurel123 Member

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    Strangely, and more often in men, I have had patients with lots of tats and are afraid of needles. This one 'tough guy' had a full sleeve and then whimpered and fussed when I put in the local for his IV.
     
  13. dfk

    dfk Banned
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    oh that's just rich~
     
  14. Coastie

    Coastie Junior Member

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    The real question for said patients is whether or not they can deliver vaginally with their active HSV lesions.

    The answer is a resounding no.
     
  15. DrDre'

    DrDre' Senior Member

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    Right- because everyone with tattoos must have HSV!



     
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  17. Coastie

    Coastie Junior Member

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    :idea:

    I was joking, man. :cool:
     
  18. coprolalia

    coprolalia Bored Certified

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    Ain't that the truth! :laugh: Can't tell you how many times I've heard that one.

    My thoughts: You have a stylet in the Tuohy. What are you going to entrain into the epidural space? Nothing.

    -copro
     
  19. IctalSmile

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  20. dfk

    dfk Banned
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    styletting for CSE, not for straight epidural.
    so, technically, you could "entrain" junk into the space...
    IMO anyway--
     
  21. coprolalia

    coprolalia Bored Certified

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    You leave the stylet in the Tuohy as you push it through the skin. IOW, you pull the stylet out after it's passed through the tattoo. Highly unlikely that you will pull more dye in at that point, which you already passed with the Tuohy needle a long time ago. Besides, what would it hurt in the epidural space anyway? It doesn't do a damn thing intradermally.

    -copro
     
  22. DreamMachine

    DreamMachine Porn$tar

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    .
     
    #20 DreamMachine, May 13, 2008
    Last edited: May 21, 2009
  23. jetproppilot

    jetproppilot Turboprop Driver

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    You are the exception, Homie.

    Not the rule.

    Theres a definite correlation to the tramp stamp parturient and:

    1) Medicaid

    2) STDs

    3) Husbands......OOOPS!....sorry....BOYFRIENDS... with cap down low, turned forty degrees left, pants belted below pubic symphysis, oversized T shirt, sporting a nicer video camera than I have, even though baby-momma is paying for her epidural with medicaid.

    This parturient in question is half the time white and half the time black, so no racial undertones going on with my observation.

    I posted a cuppla months ago about how a colleague of mine, with keen accuracy, was able to predict which obstetrician was in charge of the patient by presence or absence of tramp stamp only.....since we have one OB dude who does primarily medicaid....and mosta his patients have tramp stamps.....and...uhhhhh....mosta the OBs that cater to the insurance crowd have patients that ....uhhhh.....don't sport DA STAMP.

    Don't hate da playa, Dre...hate the game. :smuggrin:

    BTW, I love it when I have to stick the Tuohy thru the eye of the tramp stamp....(so obviously I don't think putting an epidural thru a TS is an issue... I've stabbed so many tramp stamps with a Tuohy that I'm sure Id've heard from a personal injury lawyer by now....)
     
  24. Bougie

    Bougie Junior Member

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    The best is the baby daddy who says he can't wait for that fat welfare check so he can get them new air force ones.
     
  25. dfk

    dfk Banned
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    yea, guess i didn't look at it or think of it that way..
    cool-
     
  26. DrDre'

    DrDre' Senior Member

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    I figured. I was worried becuz if u werent, I would have to check myself for HSV.


     
  27. DrDre'

    DrDre' Senior Member

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    As always u r right, Jet.

    I only hate da game

     
  28. jetproppilot

    jetproppilot Turboprop Driver

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    No need, bro.....

    you are

    D

    R

    E :laugh:
     

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