falan42/nurse_detection huggingface dataset:
Cervical Medial Branch Blocks 

PREOPERATIVE DIAGNOSIS:,  Cervical spondylosis.,POSTOPERATIVE DIAGNOSIS:,  Cervical spondylosis.,OPERATION PERFORMED:,  Cervical Medial Branch Blocks under fluoroscopic control.,ANESTHESIA:,  Local and IV.,COMPLICATIONS:,  None.,DESCRIPTION OF PROCEDURE:,  After proper consent was obtained, the patient was taken to the fluoroscopy suite and place on a fluoroscopy table in a prone position with a chest roll in place.  The neck was placed in a flexed position.  The patient was monitored with blood pressure cuff, EKG, and pulse oximetry and given oxygen via nasal cannula.  The patient was lightly sedated.  The skin was prepped and draped in a sterile classical fashion.,Under fluoroscopy control, the waists of the articular pillars were identified and marked.  Local anesthesia infiltrated subcutaneously and deep extending down toward these previously marked points.  Once the anesthesia was established, a 10-cm, 22-gauge needle was placed in contact with the waists of the articular pillars at the affected levels that were previously mentioned.  This was done under direct fluoroscopic control with PA views initially for orientation utilizing a gun barrel technique and then a lateral view to determine the depth of the needle.  The needle tip was positioned such that the tip was at the posterior aspect of the articular pillar's waist and was then incrementally advanced until the tip was at the center of the pedicle, where the medial branch lies.  For C3 to C6, the medial branch is along the ventral aspect of a line that connects the greatest antero-posterior diameter of the articular pillar but remains dorsal to the foramen as seen on lateral imaging.  For a C7 medial branch block, the needle tip is positioned more superiorly such that it overlies the superior articular process.  For a C8 medial branch block, the needle is placed at the junction of the superior articulating facet and the base of the transverse process of T1.,Once the needles were in place, each level was then injected with 1cc of a 10 cc solution of Marcaine 0.5% mixed with 50mg on methyl prednisolone acetate.  The patient tolerated the procedure well without any difficulties or complications.pain management, fluoroscopic control, fluoroscopy, cervical medial branch blocks, medial branch blocks, cervical spondylosis, articular pillars, cervical, anesthesia, spondylosis, fluoroscopic, blocks, needle, medial, branch,
Costochondral Cartilage Injection 

COSTOCHONDRAL CARTILAGE INJECTION,PROCEDURE PREPARATION:,  After being explained the risks and benefits of the procedure, the patient signed the standard informed consent form.  The patient was placed in the supine position.,Intravenous access was established.  The patient was given mild narcotics for sedation.  For further details, please refer to anesthesia note.,DESCRIPTION OF PROCEDURE:,  The area of discomfort was palpated under fluoroscopy and the costochondral cartilages that were symptomatic were marked out.  After careful asepsis, local anesthesia was given subcutaneously and a 0.25-gauge hypodermic needle was inserted into the costochondral cartilage junction, taking care not to stray from the rib.  Fluoroscopy in AP and lateral positions confirmed good position of the needle in the * costochondral junction and subsequently after aspiration, 0.5 mL of Depo-Medrol 80 and 0.5 mL of 0.5% Marcaine was injected.  The same procedure was carried out at the * costochondral junction.,POSTPROCEDURE INSTRUCTIONS:,1.  After a period of 30 minutes of observation, during which there was no distress and good relief of symptoms was noted, the patient was discharged home.,2.  The patient has been given instructions on watching for possible pneumothorax and any respiratory distress.  The patient will call us if any inflammation, swelling, or other associated discomfort arises.  We will call the patient in 48 hours.pain management, costochondral cartilage injection, 0.5% marcaine, ap and lateral, costochondral, depo-medrol, costochondral junction, fluoroscopy, hypodermic needle, pneumothorax, subcutaneously, supine position, cartilage injection, costochondral cartilage, needle, distress, cartilage, injection,
Caudal Epidural Steroid Injection 

CAUDAL EPIDURAL STEROID INJECTION,PROCEDURE:,:,1.  Caudal epidural steroid injection with contrast.,2.  Utilization of fluoroscopy for confirmation of needle placement.,PREPROCEDURE PREPARATION:,  After being explained the risks and benefits of the procedure, the patient signed the standard informed consent form.  The patient was placed in the prone position and standard ASA monitors applied.  Intravenous access was established and IV sedation was used.  For further details of IV sedation and infusion, please refer to anesthesia notes.  Fluoroscopy was used to identify the appropriate anatomy.  The skin was prepped and draped in a sterile fashion and sterile technique was maintained throughout the procedure.,PROCEDURE DETAILS:,pain management, steroid injection, 1% lidocaine, ap and lateral, asa monitors, caudal epidural steroid injection, epidural, fluoroscopy, ligament, needle placement, sacral hiatus, sacrococcygeal, caudal epidural, epidural steroid, caudal, steroid, injection,
Cervical Epidural Steroid Injection 

PROCEDURE:,  Cervical epidural steroid injection without fluoroscopy.,ANESTHESIA: , Local sedation.,VITAL SIGNS: , See nurse's notes.,COMPLICATIONS: , None.,DETAILS OF PROCEDURE: , INT was placed.  The patient was in the sitting position.  The posterior neck and upper back were prepped with Betadine.  Lidocaine 1.5% was used for skin wheal made between C7-T1 ________.  An 18-gauge Tuohy needle was placed into the epidural space using loss of resistance technique and no cerebrospinal fluid or blood was noted.  After negative aspiration, a mixture of 5 cc preservative-free normal saline plus 160 mg Depo-Medrol was injected.  Neosporin and band-aid were applied over the site. The patient discharged to recovery room in stable condition.pain management, epidural space, loss of resistance, cervical epidural steroid injection, fluoroscopy, lidocaine, steroid, epidural, cervical, injection,
Depo-Medrol Injection 

PROCEDURE: , Right L5-S1 intralaminar epidural steroid injection with 120 mg of Depo-Medrol under fluoroscopic guidance.,INDICATION: , The patient is a 51-year-old female with back pain referring into the right leg.,RISKS VERSUS BENEFITS: , The risks and benefits were discussed with the patient prior to the procedure.  She agrees to accept the risks and signs a written consent to proceed with the procedure.,DESCRIPTION OF PROCEDURE: , The patient was placed prone on the table.  The skin was thoroughly cleansed with Betadine swabs x3 and wiped off with a sterile gauze.  The subcutaneous intramuscular and interligamentous region was anesthetized with 4% lidocaine.,A 3-1/2-inch 20-gauge Tuohy catheter was directed under intermittent fluoroscopic guidance at the lamina.  Once the lamina was detected, the catheter was directed cephalad and medially and loss of resistance technique was used to determine the epidural space.,EPIDUROGRAM: , Omnipaque 300 1.5 mL was placed just to the right of the midline.  This was viewed on the AP and lateral projections.  It showed typical epidural spread pattern with good cephalad and caudad flow, and the flow was unrestricted.,Depo-Medrol 120 mg along with an additional bacteriostatic normal saline for a total of 60 mL injected solution was placed just to the right of the midline at L5-S1.,The patient tolerated the procedure well without procedural complications.  She will follow up with me in the office in the next few weeks to monitor her response to the injection.pain management, epidural steroid injection, fluoroscopic guidance, depo medrol, injection
Celiac Plexus Block 

NAME OF PROCEDURE: , Celiac plexus block.,ANESTHESIA:,  Local/IV sedation.,COMPLICATIONS:,  None.,PROCEDURE: , INT was placed.  The patient was in the prone position back prepped and draped in sterile fashion.  Then 1.5% of Lidocaine for skin wheal was made approximately 10 cm lateral to the L1-L2 vertebral junction.  A 20 gauge, 15 cm needle was then placed in a cephalad medial 45o direction; the tip of the needle was just inside the L1 vertebral body.  On lateral view, this was noted to be approximately 1.5-2.5 cm anterior to the vertebral body.  At this time, 3 cc of Omnipaque dye was injected to the opposite side where the same sequence was performed.  Following this, a mixture of 18 cc of 0.5% Marcaine was injected on each side Neosporin and band-aids was applied over the puncture sites.  The patient was taken to the outpatient recovery where blood pressure was monitored and fluids given as needed.  The patient was discharged to operating room recovery in stable condition.pain management, omnipaque, vertebral body, puncture sites, celiac plexus block, celiac, plexus, block, vertebral
Cervical Epidural Steroid Injection - 2 

PROCEDURE PERFORMED:,  Cervical epidural steroid injection, C5-6.,ASSISTANT:,  None.,ANESTHESIA:,  Local.,DETAILS OF PROCEDURE: , The patient was brought to the operating theater and placed prone onto the radiolucent table.  Subsequent monitored anesthesia care was administered.  The C-arm was brought into the operative field and an AP view of the lumbar spine was obtained with particular attention to the C5-6 level.  The neck area was then prepped with Betadine solution and draped sterile.  A metallic marker was placed over the C5-6 lamina and a skin wheal was raised in the skin.  A #20-gauge Tuohy needle was then advanced into the spinal canal using 1% Xylocaine anesthetic and the depth of penetration to the C5 lamina was determined.  The needle was redirected into the interlaminar space and advanced to the previously determined level.  A 10 cc syringe was then placed onto the end of the needle and, using an air-negative technique, the needle was advanced into the epidural space.  When a free flow of air was produced, a solution of 80 mg Depo-Medrol, 2 cc of 1% Xylocaine injectable, and 5 cc of normal saline was then injected into the epidural space.  The Tuohy needle was removed.  Betadine was cleansed from the skin.  A bandage was placed over the needle entrance point.  The patient was turned supine onto a regular hospital bed and subsequently allowed to be awakened from anesthesia.  The patient was taken to the recovery room in stable condition.pain management, c-arm, cervical epidural steroid injection, ap view, lumbar spine, tuohy needle, epidural steroid, steroid injection
Cervical Facet Joint Injection 

CERVICAL FACET JOINT INJECTION WITH CONTRAST.,PREPROCEDURE PREPARATION:,  After being explained the risks and benefits of the procedure, the patient signed the standard informed consent form. the patient was placed in the prone position and standard ASA monitors applied.  Intravenous access was established and IV sedation was used.  For further details of IV sedation and infusion, please refer to anesthesia notes.  Fluoroscopy was used to identify the appropriate anatomy and symptomatic facet joints.  The skin was prepped and draped in a sterile fashion and sterile technique was maintained throughout the procedure.,PROCEDURE DETAILS:,  The patient was laid supine.  Appropriate view of facet joints was achieved by placing pillow below the shoulder and turning the head.  The neck was aseptically prepared.  1% lidocaine was used for local infiltration and subsequently a 25-gauge spinal needle was passed down to the C4-5 facet joint under fluoroscopic control.  Positioning was checked and 0.2 mL of dye was injected.  Acceptable dye pattern was seen.  Subsequent 1 mL of a mixture of 0.5 mL of 1% lidocaine and 0.5 mL of Celestone was injected after aspiration and the patient was monitored.  Needle was removed and same procedure carried out on the other side.  Postprocedure, no complications were noted.pain management, injection, 1% lidocaine, asa monitors, cervical, cervical facet joint injection, celestone, facet joint, facet joint injection, fluoroscopy, iv sedation, facet joints, spinal needle, cervical facet joint, joint injection, joint, facetNOTE,: Thesetranscribed medical transcription sample reports and examples are provided by various users andare for reference purpose only. MTHelpLine does not certify accuracy and quality of sample reports.These transcribed medical transcription sample reports may include some uncommon or unusual formats;this would be due to the preference of the dictating physician. All names and dates have beenchanged (or removed) to keep confidentiality. Any resemblance of any type of name or date orplace or anything else to real world is purely incidental.
Cervical Epidural Steroid Injection - 1 

OPERATION PERFORMED: , Cervical epidural steroid injection C7-T1.,ANESTHESIA:,  Local and Versed 2 mg IV.,COMPLICATIONS:  ,None.,DESCRIPTION OF PROCEDURE:  ,The patient was placed in the seated position with the neck flexed the forehead was placed on a cervical rest.  The head and cervical spine were restrained.  The patient was monitored with a blood pressure cuff, EKG and pulse oximetry.  The skin was prepped and draped in sterile classical fashion.  Excess cleansing solution was removed from the skin.  Local anesthesia was injected at C7-T1.  An 18-gauge Tuohy needle was then placed in the epidural space with loss of resistance technique and a saline-filled syringe utilizing a midline intralaminar approach.,Once the epidural space was identified, a negative aspiration for heme or CSF was done.  This was followed by the injection of 6 cc of saline mixed with methyl prednisolone acetate 120 mg in aliquots of 2 cc.  Negative aspirations were done prior to each injection.  The needle was cleared with saline prior to its withdrawal.  The patient tolerated the procedure well without any apparent difficulties or complications.pain management, tuohy needle, cleansing solution, epidural space, loss of resistance, cervical epidural steroid injection, resistance technique, steroid injection, injection, intralaminar, steroid, epidural,
Acromioclavicular Joint Injection 

ACROMIOCLAVICULAR JOINT INJECTION,PROCEDURE:,:  Informed consent was obtained from the patient.  All possible complications were mentioned including joint swelling, infection, and bruising.  The joint was prepared with Betadine and alcohol.  Then 1 mL of Depo-Medrol and 2 mL of 0.25% Marcaine were injected using the anterior approach.  This was injected easily using a 25 gauge needle with the patient sitting and the shoulder propped up on a pillow.  The joint was entered easily without any great difficulty.  Aspiration was performed prior to the injection to make sure there was no intravascular injection.  There were no complications and good relief of symptoms.,POST PROCEDURE INSTRUCTIONS:, The patient has been asked to report to us any redness, swelling, inflammation, or fevers.  The patient has been asked to restrict the use of the * extremity for the next 24 hours.pain management, acromioclavicular joint injection, acromioclavicular, betadine, depo-medrol, alcohol, fevers, inflammation, intravascular injection, joint injection, redness, swelling, acromioclavicular joint, injection, jointNOTE,: Thesetranscribed medical transcription sample reports and examples are provided by various users andare for reference purpose only. MTHelpLine does not certify accuracy and quality of sample reports.These transcribed medical transcription sample reports may include some uncommon or unusual formats;this would be due to the preference of the dictating physician. All names and dates have beenchanged (or removed) to keep confidentiality. Any resemblance of any type of name or date orplace or anything else to real world is purely incidental.
Bilateral Carpal Tunnels Injection 

POST PROCEDURE INSTRUCTIONS:, The patient has been asked to report to us any redness, swelling, inflammation, or fevers.  The patient has been asked to restrict the use of the * extremity for the next 24 hours.pain management, injection. carpal tunnel, bilateral carpal tunnels, inflammation, longus tendon, palmaris longus, palmaris longus tendon, redness, rolled-up towel, swelling, volar aspect, wrist, wrist crease, bilateral carpal, carpal tunnels, paresthesias, carpal, tunnels, towelNOTE,: Thesetranscribed medical transcription sample reports and examples are provided by various users andare for reference purpose only. MTHelpLine does not certify accuracy and quality of sample reports.These transcribed medical transcription sample reports may include some uncommon or unusual formats;this would be due to the preference of the dictating physician. All names and dates have beenchanged (or removed) to keep confidentiality. Any resemblance of any type of name or date orplace or anything else to real world is purely incidental.,
Bilateral sacroiliac joint injections 

BILATERAL SACROILIAC JOINT INJECTIONS,PROCEDURE:,:  Informed consent was obtained from the patient.  The patient was placed in the prone position.  After preparation and local anesthetic administration, and image intensifier control a 25 gauge spinal needle was directed into the inferior aspect of the sacroiliac joint using a posterior approach.  A small amount of contrast material was administered to outline the recesses of the joints.  Verification of the initial needle position with contrast administration, 1 mL of solution was administered at this site after aspiration, consisting of 0.5 mL of 0.25% Marcaine and 0.5 mL of Celestone.  Postprocedure, the needles were withdrawn and dressing was applied.  Postprocedure no complications were noted.,POST PROCEDURE INSTRUCTIONS:, The patient has been asked to report to us any redness, swelling, inflammation, or fevers.  The patient has been asked to restrict the use of the * extremity for the next 24 hours.pain management, bilateral sacroiliac joint injections, 0.25% marcaine, celestone, postprocedure, fevers, image intensifier, inflammation, posterior approach, redness, sacroiliac joint, spinal needle, swelling, bilateral sacroiliac joint, sacroiliac joint injections, sacroiliac, injectionsNOTE,: Thesetranscribed medical transcription sample reports and examples are provided by various users andare for reference purpose only. MTHelpLine does not certify accuracy and quality of sample reports.These transcribed medical transcription sample reports may include some uncommon or unusual formats;this would be due to the preference of the dictating physician. All names and dates have beenchanged (or removed) to keep confidentiality. Any resemblance of any type of name or date orplace or anything else to real world is purely incidental.
Wrist Ganglion Excision 

PREOPERATIVE DIAGNOSIS: , Wrist ganglion.,POSTOPERATIVE DIAGNOSIS: , Wrist ganglion.,TITLE OF PROCEDURE: , Excision of dorsal wrist ganglion.,PROCEDURE: , After administering appropriate antibiotics and general anesthesia, the upper extremity was prepped and draped in the usual standard fashion.  The arm was exsanguinated with an Esmarch and tourniquet inflated to 250 mmHg.  I made a transverse incision directly over the ganglion.  Dissection was carried down through the extensor retinaculum, identifying the 3rd and the 4th compartments and retracting them.  I then excised the ganglion and its stalk.  In addition, approximately a square centimeter of the dorsal capsule was removed at the origin of stalk, leaving enough of a defect to prevent formation of a one-way valve.  We then identified the scapholunate ligament, which was uninjured.  I irrigated and closed in layers and injected Marcaine with epinephrine.  I dressed and splinted the wound.  The patient was sent to the recovery room in good condition, having tolerated the procedure well.orthopedic, origin of stalk, extensor retinaculum, wrist ganglion, incision, excision, dorsal, tourniquet, wrist, ganglion
Vertebroplasty 

PREOPERATIVE DIAGNOSIS:,  T11 compression fracture with intractable pain.,POSTOPERATIVE DIAGNOSIS:,  T11 compression fracture with intractable pain.,OPERATION PERFORMED:,  Unilateral transpedicular T11 vertebroplasty.,ANESTHESIA:,  Local with IV sedation.,COMPLICATIONS:,  None.,SUMMARY: , The patient in the operating room in the prone position with the back prepped and draped in the sterile fashion.  The patient was given sedation and monitored.  Using AP and lateral fluoroscopic projections the T11 compression fracture was identified.  Starting from the left side local anesthetic was used for skin wheal just lateral superior to the 10 o'clock position of the lateral aspect of the T11 pedicle on the left.  The 13-gauge needle and trocar were then taken and placed to 10 o'clock position on the pedicle.  At this point using AP and lateral fluoroscopic views, the needle and trocar were advanced into the vertebral body using the fluoroscopic images and making sure that the needle was lateral to the medial wall of the pedicle of the pedicle at all times.  Once the vertebral body was entered then using lateral fluoroscopic views, the needle was advanced to the junction of the anterior one third and posterior two thirds of the body.  At this point polymethylmethacrylate was mixed for 60 seconds.  Once the consistency had hardened and the __________ was gone, incremental dose of the cement were injected into the vertebral body.  It was immediately seen that the cement was going cephalad into the vertebral body and was exiting through the crack in the vertebra.  A total 1.2 cc of cement was injected.  On lateral view, the cement crushed to the right side as well.  There was some dye infiltration into the disk space.  There was no dye taken whatsoever into the posterior aspect of the epidural space or intrathecal canal.,At this point, as the needle was slowly withdrawn under lateral fluoroscopic images, visualization was maintained to ensure that none of the cement was withdrawn posteriorly into the epidural space.  Once the needle was withdrawn safely pressure was held over the site for three minutes.  There were no complications.  The patient was taken back to the recovery area in stable condition and kept flat for one hour.  Should be followed up the next morning.orthopedic, transpedicular, vertebroplasty, fluoroscopic views, fluoroscopic images, epidural space, compression fracture, vertebral body, compression, pedicle, fluoroscopic, vertebral, needle