Introduction to a Cervical Epidural Steroid Injection
HomeNewsIntroduction to a Cervical Epidural Steroid Injection
April 30, 2024
Cervical epidural steroid injections are common procedures for managing neck pain and spinal conditions. Understanding what happens during such procedures can alleviate anxiety and prepare patients for what to expect. This blog post provides a detailed walkthrough of a cervical epidural steroid injection procedure, as demonstrated by a healthcare team in a clinical setting.
The Procedure Team and Their Roles
Upon entering the operating room (OR), patients are introduced to various OR staff members crucial to the procedure. The team includes an anesthesiologist, who ensures the patient's comfort and safety by administering anesthesia. X-ray technicians, like Jocelyn in the transcript, play a pivotal role by assisting with real-time imaging to guide the injection. The procedure is typically led by a doctor, who coordinates with nurses and technicians to ensure everything runs smoothly.
Setting Up for the Procedure
Before the injection, the patient is carefully positioned to allow precise needle placement. A small pillow is placed under the chest to flex the spine appropriately, and various monitors are connected to track vital signs such as blood pressure, heart rate, and oxygen levels. The area of injection is disinfected with Betadine to eliminate bacteria, ensuring a sterile environment.
The Injection Process
During the procedure, the doctor locates the injection site using a device called a swivel stick, which helps in identifying the exact spot for needle insertion. The process involves a gentle approach to minimize discomfort, described metaphorically as a 'gentle pinch'. Real-time X-ray imaging provided by the C-arm helps the doctor monitor the needle's position and ensure the medication is delivered accurately into the epidural space.
Ensuring Safety and Comfort
Safety checks and communication are integral throughout the procedure. A "time out" is taken to verify the patient's identity, the procedure to be performed, and any known allergies. The anesthesiologist and nurses continuously monitor the patient's vitals and comfort levels, adjusting their approach as needed.
Conclusion and Follow-Up
Once the injection is complete, the effectiveness of the procedure is immediately assessed through quick neurological tests and patient feedback. Most patients experience minimal recall of the procedure, thanks to the sedation and pain management techniques employed. Follow-up appointments are crucial to monitor the treatment's long-term effectiveness and manage any subsequent care needed.This walkthrough aims to demystify the process of a cervical epidural steroid injection, highlighting the meticulous care and advanced techniques used to ensure patient safety and the best possible outcomes.
