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Epidural Abscess

Epidural abscess - an infectious process that develops between the bones of the skull and the outer leaf of the dura mater, may be accompanied by osteomyelitis. Due to the fact that the pathogen easily penetrates through the dura mater along the emissary veins, the epidural abscess is often accompanied by subdural empyema.

The main pathogens

The most common causes of epidural abscesses are sinusitis, mastoiditis, or craniotomy. The etiology is similar to that of subdural empyema.

Antimicrobial Selection

As with an abscess of the brain.
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Epidural Abscess

    Clinic. The disease develops as a result of hematogenous transfer from foci of infection into the epidural tissue, on the membranes and substance of the spinal cord. It can be observed with osteo-myelitis of the spine. The onset is acute, with fever, chills, rapidly growing pains, initially local, then spreading along the spine. There is tension of the paravertebral muscles and muscles
  2. Epidural anesthesia
    Epidural anesthesia, a form of central blockade, is widespread. Improvements in equipment and techniques have made epidural anesthesia extremely popular in surgery, obstetrics, and the treatment of chronic pain syndromes. Unlike spinal anesthesia, the result of which is a complete blockade or its complete absence ("all or nothing"), with epidural
  3. Epidural blockade
    The influence of epidural blockade by local anesthetics on the functional state of organs and systems makes it one of the main methods of intensive care. In the intraoperative period, the main effect of the epidural blockade is most often used - segmental regional anesthesia, characterized by loss of all types of sensitivity, motor and autonomic blockade. Depending on the goals and
  4. Epidural and spinal anesthesia
    These methods in essence relate to conduction anesthesia, since the analgesic effect is achieved mainly due to the blockade of the roots of the spinal cord, and not a direct effect on it. The first step towards the development and implementation of the methods under consideration should be considered the results of a Corning study (1885), which studied the effect of cocaine solution on conductivity
  5. Epidural hemorrhage
    DEFINITION Epidural hemorrhage (hematoma) - hemorrhage arising from venous vessels located between the periosteum and the inner surface of the integumentary bones of the skull (often the parietal). CODE П0 МКБ-Р10.8 Other intracranial ruptures and hemorrhages due to birth injury. EPIDEMIOLOGY It occurs mainly in full-term and long-term newborns, almost always combined with
  6. Epidural hematoma
    Epidural hematoma - a local accumulation of blood in the space between the inner surface of the skull and the outer leaf of the dura mater (epidural space). Pathophysiology Epidural hematoma is the result of an injury, such as a skull fracture. Initial Examination • Assess the patient’s level of consciousness. • Perform a neurological assessment of his condition. • Evaluate breath quality
  7. Epidural anesthesia
    Diagnosis (diagnosis and monitoring) when establishing a diagnosis (before surgery) is mandatory: It is determined by the patient’s membership in group 1, 2 or 3, depending on the nature of the surgery and its duration, additional (as shown) is determined by the patient’s membership in group 1, 2 or 3, depending on the nature of the surgical intervention and its
  8. Epidural Blockade Technique
    The hands of the anesthetist and the puncture site are treated with strict adherence to aseptic rules, as for a surgical operation. Processing of the surgical field with iodine solution is not recommended, since microparticles of iodine, when they enter the epidural space, can cause aseptic inflammation. The interspinous spaces widen when the back is bent. You can perform a puncture in the side position,
  9. Permanent epidural infusion in the postoperative period
    1. Use a local anesthetic solution or its combination with a narcotic analgesic (synergism) for infusion. 2. Equipment: programmable infusion pump, 50 ml syringe, 150 cm extension tube, bacterial filter for connection to an epidural catheter. 3. Preparation of the solution: bupivacaine (WITHOUT ADRENALINE !!!) 0.25% 30 ml + saline (0.9% NaCl) 30 ml
  10. Spinal, epidural and caudal anesthesia
    John E. Tetslaf, MD1 Spinal, epidural and caudal anesthesia involve the introduction of a local anesthetic in the immediate vicinity of the spinal cord, which is why they are united by the concept of “central block”. Although these types of anesthesia are fundamentally close, each of them has its own anatomical, physiological and clinical features. In addition, each of them requires
  11. Lumbar and thoracic epidural anesthesia
    Sizes of epidural needles: 0-1 year 22 G, 30 mm long 1 year-8-10 years 20 G, 50 mm long over 10 years: 18 or 19 G, 90 mm long Choice of local anesthetic: lidocaine 1-2%, mepivacaine 1-1.5% and bupivacaine 0.125-0.25% (less often 0.5%). Bupivacaine is the drug of choice. The volume of the solution of local anesthetic (provided that the level of puncture and the depth of introduction of the epidural catheter closely matches
  12. Brain Abscess
    Clinic. An abscess of the brain is a limited abscess in the brain tissue - intracerebral, or epidural, subdural. Caused by streptococci, staphylococci, pneumococci, etc. Contact (otogenically determined), metastatic (pneumonia, lung abscess), bronchiectatic abscesses and abscesses occurring during open craniocerebral injuries are pathogenetically distinguished.
  13. Epidural, Caudal, and Spinal Anesthesia
    With the gradual spread of pain, a two-catheter method of epidural anesthesia, proposed by J. Cieland (1949), is shown. The first catheter is inserted in the caudal direction at the level Txi-Txn, and the second from the sacral opening or at the Lv-Si level. In the latter case, the catheter is also advanced in the caudal direction. During the period of the opening of the cervix, pain is eliminated by the administration of an anesthetic
    Epidural, epidural and extradural anesthesia are synonyms for the method of anesthesia by injection of a solution of local anesthetic into the extradural space in the lumbar, less often in the thoracic or lumbosacral region. Anatomy. The epidural space begins at the large occipital opening and ends at the opening of the sacral canal, where it is limited
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