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- Sep 29, 2003
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Nobody else likes bolusing through the Tuohy then infusing through the catheter? Kinda like a single shot epidural followed immediately by a continuous epidural without the need to place the needle twice. Kinda like a cse without the need to puncture the dura?
I know it isn't popular these days, but it works well and works fast with no pdph and no wasting time wasting narcotics and no itching.
I know, I know...
YES. I like this a lot. Learned it from some of my older partners, would be a big no no at my residency program. I give 8-10 cc bolus through the tuohy and then another 8 cc through the catheter after test dose. Placed at L4/5 3 cm into the space I never get called back and it sets up fast. Nurses frequently tell me that what a great epidural and sometimes ask me to turn it down because the patients are "too numb" What? I run 12 cc/hr.