Barbotage refers to the repeated aspiration and re-injection of CSF following injection of local anaesthetic into the intrathecal space, and its practice varies among anaesthetists. This article reviews the evidence for and against this practice to alter block dynamics following intrathecal injection reserved for spinal anaesthesia.
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Is barbotage in central neuraxial blockade a ritual habit or an evidence-based technique?
Br J Hosp Med (Lond)
January 2024
Department of Anaesthesia, University College London Hospital NHS Foundation Trust, London, UK.
Barbotage refers to the repeated aspiration and re-injection of CSF following injection of local anaesthetic into the intrathecal space, and its practice varies among anaesthetists. This article reviews the evidence for and against this practice to alter block dynamics following intrathecal injection reserved for spinal anaesthesia.
View Article and Find Full Text PDFKALK study: ultrasound guided needling and lavage (barbotage) with steroid injection versus sham barbotage with and without steroid injection - protocol for a randomized, double-blinded, controlled, multicenter study.
BMC Musculoskelet Disord
April 2017
Department for Physical Medicine and Rehabilitation, Oslo University Hospital, P.O.B. 4956, Nydalen, 0424, Oslo, Norway.
Background: For the treatment of calcific tendinitis of the shoulder a variety of treatment regimes exist. Commonly used treatment measures include medication with oral analgesics, corticosteroid injections, extracorporeal shockwave therapy, ultrasound guided needling and lavage, and surgical treatment. Earlier cohort studies suggest that patients may benefit from these treatments, but there are few randomized studies and conflicting evidence about the effectiveness of the various treatments.
View Article and Find Full Text PDFUltrasound-guided barbotage for calcific tendonitis of the shoulder: a systematic review including 908 patients.
Arthroscopy
September 2014
Faculty of Medicine and Dentistry, Blackpool Victoria Hospital, University of Central Lancashire, Lancashire, United Kingdom. Electronic address:
Purpose: A systematic review was performed to assess the outcomes and complications of ultrasound-guided barbotage (repeated injection and aspiration) for calcific tendonitis of the shoulder.
Methods: A literature search of the Medline, Embase, and Cochrane databases using all relevant keywords found 1,454 original articles. After removal of duplicates and application of inclusion criteria, 13 original articles were selected for review.
Inadvertent intrathecal injection of daunorubicin with fatal outcome.
Med Pediatr Oncol
June 1992
Division of Clinical Pharmacology/Toxicology, Ohio State University, Columbus 43205.
We report the first known case of daunorubicin administered directly into the human central nervous system. A 3 1/2-year-old female with pneumonia and otitis media was diagnosed with acute lymphoblastic leukemia and was admitted for antibiotics and chemotherapy. On the first day she inadvertently received a 17 mg intrathecal (IT) injection of daunorubicin.
View Article and Find Full Text PDFParaplegia following chemonucleolysis. A case report and discussion of neurotoxicity.
Spine (Phila Pa 1976)
May 1985
A case report of inadvertent chymopapain introduction into the lumbar theca is reported. It led to an extensive subarachnoid and subdural hemorrhage, producing paraplegia. The neurotoxicity of chymopapain in the experimental model is reviewed and related to a clinical setting.
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