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Published on: August 18, 2016
[Acute cardiovascular reactions to cervical nerve root infiltration]
C Hanefeld1, P Ohlgard, T Miebach
1Medizinische Klinik II/Kardiologie, St. Josef-Hospital, Klinikum der Ruhr-Universität Bochum. christoph.hanefeld@rub.de
Zeitschrift Fur Orthopadie Und Ihre Grenzgebiete
|February 25, 2006
Summary
Cervical nerve root infiltration is generally safe, with no severe cardiovascular events observed. Minor reactions like presyncope were transient and resolved with simple measures, suggesting routine monitoring may not always be necessary.
Area of Science:
- Pain Management
- Neurology
- Cardiology
Background:
- Cervical nerve root infiltration is a common procedure for managing neck pain.
- Understanding potential cardiovascular adverse effects is crucial for patient safety.
Purpose of the Study:
- To prospectively investigate the frequency of cardiovascular adverse effects during cervical nerve root infiltration.
- To assess hemodynamic and respiratory changes associated with the procedure.
Main Methods:
- Continuous monitoring of hemodynamic (blood pressure, heart rate) and respiratory (respiratory rate, oxygen saturation) parameters in 56 patients.
- Monitoring occurred from 5 minutes before to 10 minutes after injection, with Holter monitoring initiated 1 day prior.
Main Results:
- No severe complications like syncope were reported.
- Four patients experienced presyncope, which resolved with supine positioning.
- No significant changes were observed in monitored hemodynamic or respiratory parameters, even in patients with pre-existing cardiovascular conditions.
Conclusions:
- Cardiovascular complications from cervical nerve root infiltration are typically not severe.
- Presyncope reactions are likely vasovagal and manageable with simple interventions.
- Routine complete hemodynamic monitoring and intravenous line placement may not be essential for this procedure.
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