Template:Epidural compression syndromes management: Difference between revisions
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*[[Dexamethasone]]: at least 16 mg IV as soon as possible after assessment<ref>Metastatic spinal cord compression: Diagnosis and management of | *[[Dexamethasone]]: at least 16 mg IV as soon as possible after assessment<ref>Metastatic spinal cord compression: Diagnosis and management of | ||
patients at risk of or with metastatic spinal cord compression. Full Guideline. November 2008. Developed for NICE by the National Collaborating Centre for Cancer. ©2008 National Collaborating Centre for Cancer</ref> | patients at risk of or with metastatic spinal cord compression. Full Guideline. November 2008. Developed for NICE by the National Collaborating Centre for Cancer. ©2008 National Collaborating Centre for Cancer</ref> | ||
**Note: dexamethasone can be used to reduce compressive edema from epidural metastases, but | **Note: [[dexamethasone]] can be used to reduce compressive edema from epidural metastases, but is more likely to worsen an infection from spinal epidural abscess. | ||
*Consult spine service | *Consult spine service | ||
*Consider foley for bladder decompression | *Consider foley for bladder decompression | ||
Latest revision as of 21:33, 13 September 2018
General Epidural Compression Syndrome Management
- Dexamethasone: at least 16 mg IV as soon as possible after assessment[1]
- Note: dexamethasone can be used to reduce compressive edema from epidural metastases, but is more likely to worsen an infection from spinal epidural abscess.
- Consult spine service
- Consider foley for bladder decompression
- ↑ Metastatic spinal cord compression: Diagnosis and management of patients at risk of or with metastatic spinal cord compression. Full Guideline. November 2008. Developed for NICE by the National Collaborating Centre for Cancer. ©2008 National Collaborating Centre for Cancer