See :
www.medigraphic.com/pdfs/rma/cma-2010/cma104g.pdf
Title: Cauda equina syndrome and arachnoiditis from an epidural dose of chloroprocaine injected subdural: Farewell to a local anesthetic
Authors: J Antonio Aldrete, M.D., M.S,* Nora Godinez-Cubillo, MD,**Alfredo Ramirez-Bermejo,** Rhamsis F. Ghaly, MD***
discussion includes:
"Currently, the generic form of CHLP contains Na bisulfite with the indication «For peripheral nerve block and infiltration»; the non-generic indicates «for caudal and epidural anesthesia
only» plus the clear warning «not for intrathecal anesthesia».
This cautious advice ignored that not uncommonly, incidental dural punctures occur and epidural catheters may migrate to
the subdural or to the subarachnoid spaces. By removing the bisulfite from CHLP, a false sense of security has resulted assuming that all presentations of this anesthetic could be used
inside of the vertebral canal, as long as it was kept extradural."
" We must ask ourselves, knowing what we know, should we continue
to inject an acid medication (pH 2.8 to 3.2) into the delicate
subarachnoid space, so patients may be discharged 12 minutes
earlier?"
Sarah Andreae-Jones posted in Arachnoiditis
Sarah Andreae-Jones
24 November 13:32
Expecting doctors to be perfect is a setup for dysfunction
www.kevinmd.com
The problem in medicine is, the body is complex and our knowledge is incomplete.
Sarah Andreae-Jones posted in Arachnoiditis
Sarah Andreae-Jones
24 November 13:34
Choosing a doctor should be like the Amazon shopping experience
www.kevinmd.com
Right now, there is no way for consumers to comparatively shop for a doctor.
Sarah Andreae-Jones posted in Arachnoiditis
Sarah Andreae-Jones
24 November 13:40
Living with chronic illness during the holiday season
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The holidays can be a recipe for double disaster—the increase in activity exacerbates your physical ...