4/9/2024 0 Comments Dorsal column stimulatorThis area was sterilely prepped and draped in usual fashion. At this point, a roll was placed underneath the right shoulder and the head was placed in a horseshoe reverse question mark. TEE monitor was placed due to the patient's significant cardiac history. OPERATION PERFORMED: After informed consent was obtained, the patient was taken to the operating room and induced under general endotracheal anesthesia without incident. They understood these risks and wanted to proceed ahead. After a thorough discussion with the family, we explained to them that this would be a life-saving procedure and we could not ensure that there would be any further neurological improvement from the state that he was in. The significant shift was following commands on the right side and hemiplegia on the left side. ESTIMATED BLOOD LOSS: Approximately 400 ml INDICATIONS: is a 56 year-old male with significant past medical history who came in this evening with an ischemic infarct to his right MCA territory which converted to hemorrhagic transformation. OPERATION PERFORMED: Right-sided decompressive hemicraniectomy with duraplasty. What are the CPT® and ICD-10-CM codes reported? The patient was transferred to the recovery area with no apparent procedural complications. The patient's back was cleaned, and a Band-Aid was applied. We proceeded to inject a mixture of 4 ml of 0.25% Marcaine plain plus 80 mg of methylprednisolone divided between the four joints. We used a lateral x-ray to assess the proper placement of the needle. With the use of fluoroscopic assistance, first to the right and then to the left 20-degrees, the scotty-dog view was identified, and we were able to place the spinal 22-gauge needle, first to the right 元-L4, then to the right L4-L5, then to the left 元-L4, and then to the left L4-L5. The patient's back was prepped with Betadine in a sterile fashion, and we used lidocaine, 1% plain as a local anesthetic at the injection site. A smooth IV sedation was given with midazolam and fentanyl. DESCRIPTION OF PROCEDURE: The patient was transferred to the operative suite and placed in the prone position with a pillow under the abdomen. PERFORMED: Bilateral Paravertebral facet joint injection of steroid at the 元-L4 and L4-L5 with fluoroscopic guidance.
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