Thomas Thompson

 
 Crescent View 
 Surgery Center 
 Name : Randall Montgomery
 MR# LPS33272
 Date of Operation: 18-08-13
 DOB: 92-10-16
 Cervical Facet Medial Branch Block. 
 Pre-operative Diagnosis: Other Spondylosis, Cervical Region M47.892 
 Post-operative Diagnosis: Other Spondylosis, Cervical Region M47.892 
 Procedure Title(s): Bilateral Cervical Facet Medial Branch Block. 
 Level: C4, C5, C6 and C7. 
 Surgeon: Suneil Jolly, MD 
 Anesthesia: Monitored Anesthesia Care 
 Indications: The patient is a 70 year-old male with a diagnosis of Other Spondylosis, Cervical Region M47.892. The patients 
 history and physical exam were reviewed.  
 were answered to the patients satisfaction. The patient agreed to proceed and written informed consent was obtained. 
 Procedure in Detail:- An intravenous line was started in the preoperative holding area. Standard monitors where applied. 
 Supplemental oxygen was administered as needed. Light sedation was given. The patient was then brought into the procedure 
 room and placed in the prone position on the fluoroscopy table Standard monitors were placed and vital signs were observed 
 throughout the procedure. 
 During needle insertion and injection there was no paresthesia, no blood or CSF fluid aspiration noted at any time. After the 
 procedure was completed, the patients neck was cleaned and bandages were placed over the needle insertion sites. 
 Disposition: The patient tolerated the procedure well and there were no complications. Vital signs remained stable throughout 
 the procedure.
