Hot Air Balloons

As I have been quite busy with my other blog, I feel that I owe something to the readers of this one. Before going on with more medical information subjects, here is a bit of entertainment which is a bit faster than the last one, but fun to watch. It is showing the famous annual Albuquerque Balloon Fiesta, hosting over 1000 balloons from allover the world. For an informative post on it, you will find this brand new blog, named The Land of Enchantment, a joy to read....

Relax in the Forest

This post is to relax the mind & the body by showing the beauty of nature in the Redwood National Forest near the Pacific ocean, between California and Oregon.

Epidural (Cont-2)

Question:
What are the contraindications of epidural anaesthesia?

Answer:
1) Patient refusal of the procedure.
2) Inability to communicate with the patient.
3) Severe psychiatric disease.
4) Allergy to the drugs used for epidural anaesthesia.
5) Low blood pressure due to hemorrhage or shock state.
6) Anatomical deformity of the spine.
7) Acute neurological disease.
8) Infection at the insertion site of the intended epidural.
9) Systemic infection and septic state.
10) Coagulation disorders.
11) Anticoagulant therapy (blood thinners).
12) Very high blood pressure.
13) Very high blood sugar.
14) Inexperience of the medical practitioner.

Some of the above contraindications are absolute and some are relative. The final decision normally rests after careful consideration of all the factors involved, and after open consultation between the patient and the physician.