sedation for guided block

Nerve blocks using many techniques, and medications - options discussed in detail
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Krisssy
Posts: 50
Joined: Wed Jun 22, 2011 1:24 am
Location: New York

sedation for guided block

Post by Krisssy »


Is it true that Dr. Hibner sedates for the guided block and Dr, Quesada does not? Can you request to be sedated ? Krisssy

surgery 2004 for prolapsed rectum
surgery 2005 for obstruction due to abdominal scar tissue
surgery 2007 for obstruction due to abdominal scar tissue
2008-clitoral pain, arousal disorder, frequent urination began
2011-pelvic pain specialist-Dr. Robert Echenberg
MRI-Dr. Potter 8/11 showing scar formation of pudental nerve
appt. Dr. Conway-10/11
appt. for guided sedated nerve block with Dr. Quesada-10/11
appt. with Dr. Hibner-1/12
nyt
Posts: 1165
Joined: Sun Oct 31, 2010 3:24 am

Re: sedation for guided block

Post by nyt »

As far as I know Dr. Hibner is the only one doing dorsal pudendal nerve blocks and they are done under anesthesia. The other pudendal blocks either to Alcock's Canal or Ischial spines are not done under anesthesia no matter who does them. Dr. Westesson in Rochester, NY has done 100's of CT guided pudendal blocks. He has done about 7 or 8 on me, I've lost track! It takes him less then 5 minutes to do a block on one side. I'm sure Dr. Quesada numbers for pudendal blocks are right up there. If you ask he might give you something for your nerves like when you get a colonscopy but I doubt he would put you under anesthesia because of the risks of anesthesia.
2/07 LAVH and TOT 7/07 TOT right side removed 9/07 IL, IH and GN neuropathy 11/07 PN - Dr. Howard
6/08 Obturator neuralgia - Dr. Conway 11/08 Disability, piriformis syndrome - Dr. Howard
4/09 Bilateral obturator decompression surgery, BLL RSD - Dr. Howard
9/10 Removed left side TOT, botox, re-evaluate obturator nerve - Dr. Hibner
2/11 LFCN and saphenous neuralgia - Dr. Dellon 2/11 MRI with Dr. Potter - confirmed entrapment
5/11 Right side TG - Dr. Hibner 2012 Left side TG - Dr. Hibner
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Amanda
Posts: 450
Joined: Thu Sep 02, 2010 2:33 pm
Location: Dublin, Ireland
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Re: sedation for guided block

Post by Amanda »

I have had one Pudendal Nerve Block done under sedation which was vis the alcocks canal many years ago....Dr Riant never gave me any sedation in France and nor did i need it either. He guided the needles via CT guidance and I never felt a thing for a while. The main thing is to remember to stay still and let these doctors who know how to do this injection do their stuff.
PNE started 2003 following Vaginal Hysterectomy, pelvic floor repair and right oophorectomy; eventually after many tests had BilateralTG surgery Nantes 2004; following this tried many other treatments including 7 day epidural, ketamin infusions to no avail; Trialed and was implanted with a Neurostimulator in 2007- Dr Van Buyten Belgium, this has enabled me to manage my pain much better.
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