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Interlaminar epidural steroid injections for low back pain in rural Ontario

Kassandra Loewen1, Colleen McKillop2, Cai Lei Matsumoto1

  • 1Anishinaabe Bimaadiziwin Research Program, Sioux Lookout, Ont.

Canadian Journal of Rural Medicine : the Official Journal of the Society of Rural Physicians of Canada = Journal Canadien De La Medecine Rurale : Le Journal Officiel De La Societe De Medecine Rurale Du Canada
|September 15, 2016
PubMed
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Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
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