Menu
Endoscopic Radiofrequency Facet Medical Branch Ablation
Position and Draping
Procedure
Procedure
1.Prone on OSI table
2.IV sedation
3.Skin preparation and draping
4.Long spinal needle insertion under x-ray
5.Stab incision
6.Dilation and insertion of cannula into space
7.Inject LA in deep tissue
8.Identify the target branch nerve
9.Branch nerve coagulated with RF and cut
10.Close wound
●
Wound closing
Ethilon 3/O
Cosmopore with silver (S)
Circulating nurse preparation
•Dormicum 10mg IV (Loading dose 2mg, repeat after 2-5mins to reach desired level of sedation)
•SpO2 monitoring with EtCO2
•
Scrub nurse preparation
•2ml 2% lignocaine in 8ml NS x5