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ESI on h/o of guillen barre syndrome

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PinchandBurn

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If the patient has a remote h/o of guillan barree disease. Would you do a ESI if they are having radicular pain?

I know in 'anesthesia', we typically tried avoiding neuraxial anesthesia in these types of patients......
 

clubdeac

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Shoot, the treatment for CIDP, the chronic form of GB, is steroids. No problems with ESI
 

Ducttape

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Just document a thorough Neuro exam prior to the injection. Might be extra nice to have a copy of the last exam by neuro... Just in case...
 
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PinchandBurn

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I think I will do it. But just wont use any local in the injectate. Only PF saline and steroid. Thanks guys!
 

Gauss

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would you do ESI in MS?
so what's the reason not to do it for a peripheral demyelinating disease? Would you not do an ESI in DM polyneuropathy?
and lidocaine would be fine as well
 

SSdoc33

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Local is fine, dude. Don't overthink things
 
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