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Your first epidural.

Discussion in 'Anesthesiology' started by badasshairday, Dec 11, 2008.

  1. badasshairday

    badasshairday Vascular and Interventional Radiology
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    What was it like? As an M1, it seems insane to stick a needle in between a patient's vertebrae and getting though the ligamentous structures all the way to the dura mater. :eek:
     
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  3. Noyac

    Noyac ASA Member
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    I wet tapped my first one. He was a 70 yo vet at the VA for a TKA. No PDPH.
     
  4. isoman2000

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    wet tapped my first 20 Y/o labor, she had one hell of a headache.
     
  5. Bertelman

    Bertelman Maverick!
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    Wet Tap has got to be my favorite medical slang.

    "I wet tapped her- she never complained of a headache, though."

    First epidural went swell. I tend to always do acceptably well the first couple of times for anything new. It's usually the 3rd or 4th time, when I try to do it my way, when I begin to have problems.
     
  6. KungPOWChicken

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    I wet-tapped her twice in the same night and she did have a headache after that
     
  7. lfesiam

    lfesiam Regional Guy for Hire!
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    M4 here. Ditto, Wet tapped first one.

    Stony brook and Vermont has some interesting research into detecting wet taps.....One using electrophysiology, the other using the good old biochemistry methods :nod:
     
  8. Code99

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    The first time alone I wet taped a 20 in labor...I called my attending went up a level or two and he also got wet tap :D...she was so shallow and I didnt feel the ligament:confused:...she got a headach :(I would be surprised if she didnt...
     
  9. pgg

    pgg Laugh at me, will they?
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    Count me in on the wet tapped the first one crowd. Zero since though. :)

    Now, having said that, my next one will be a wet tap.
     
  10. proman

    proman Member
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    Me too, she flinched from a contraction and backed into the needle. Was the wife of one of our GI fellows, had a headache.
     
  11. usnavdoc

    usnavdoc Senior Member
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    If you havent wet tapped someone you havent done enough. I never believe the folks that say they have never done it.
     
  12. jetproppilot

    jetproppilot Turboprop Driver
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    Sad...read your post and honestly dont remember the first time I yielded a Tuohy. :(
     
  13. coprolalia

    coprolalia Bored Certified
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    I remember my first epidural. No wet tap, but it took me like 25 minutes to put it in... advance 0.1 milimeter.... test syringed.... 0.1 millimeter advance... test syringe.... :laugh:

    -copro
     
  14. DET0897

    DET0897 DET
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    Went nearly 1.5 years, and scores of epidurals before my first wet tap. Of course, it happened in a laboring pediatric attending who is (was?) a close personal friend of our family. I called it a combined spinal/epidural catheter. Worked great.

    12 hours after delivery, headache galore. Blood patch thru epidural cath, problem solved.
     
  15. Tenesma

    Tenesma Senior Member
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    i remember my first few epidurals.... the attending kept on saying: "feel the anatomy with the tip of the needle"....

    unfortunately before doing those epidurals i had checked out the anatomy on Netter's Atlas and was convinced the epidural space would be 5 cm from the skin... so i had this mental block about advancing the needle beyond 5cm...

    little did i realize what a few layers of fat can mean when it comes to advancing the needle.
     

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