Related Experiment Video
Updated: Mar 9, 2026
10:28
Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
Published on: March 15, 2022
6.1K
Immediate Adverse Events in Interventional Pain Procedures: A Multi-Institutional Study.
Carrie M Carr1, Christopher T Plastaras2, Matthew J Pingree3
1*Department of Radiology, Mayo Clinic, Rochester, Minnesota carr.carrie@mayo.edu.
Pain Medicine (Malden, Mass.)
|December 28, 2016
Summary
Interventional pain procedures are safe when following guidelines, with a low complication rate of 1.9%. Serious adverse events were rare, showing the safety of these common musculoskeletal treatments.
Area of Science:
- Pain Management
- Interventional Procedures
- Musculoskeletal System
Background:
- Interventional pain procedures for musculoskeletal issues are increasingly common.
- Practice variations exist despite evidence-based guidelines.
- Misleading risk perceptions arise from case reports of rare complications.
Purpose of the Study:
- To evaluate the adverse event rate of interventional spine procedures.
- Assess safety across three academic interventional pain practices.
Main Methods:
- Quality assurance databases from three academic practices were analyzed.
- Procedures followed evidence-based guidelines.
- Electronic medical records verified complications; emergency department visits were tracked.
Main Results:
- Data from 26,061 procedures were analyzed.
- Overall complication rate was 1.9%, with vasovagal reactions being most common (1.1%).
- No major complications (neurologic deficit, significant bleeding) occurred; <0.1% required emergency transfer.
Conclusions:
- Interventional pain procedures demonstrate a very low immediate adverse event rate.
- Adherence to evidence-based guidelines is key to safe practice.
- These procedures are safely performed when guidelines are observed.
Related Concept Videos
01:28Cardiac Catheterization I: Pre-Procedure Overview
2.0K
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
2.0K
01:16Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
1.7K
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.
One of the advantages of...
One of the advantages of...
1.7K
01:29Local Anesthetics: Clinical Application as Epidural Anesthesia
898
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
898
01:12Local Anesthetics: Adverse Effects
920
While local anesthetics are generally safe and well-tolerated, they can occasionally cause adverse effects that vary in severity. Local anesthetics can induce toxicity at two distinct levels. They can either produce local effects through direct contact with the neural elements or be absorbed into the bloodstream from the injection site, leading to systemic effects.
Once absorbed into the systemic circulation, local anesthetics can affect the organs that depend on the functioning of sodium...
Once absorbed into the systemic circulation, local anesthetics can affect the organs that depend on the functioning of sodium...
920
01:24Parenteral Anesthetics: Overview
844
Intravenous anesthetics are drugs administered parenterally to induce anesthesia or sedation. Propofol is a widely used agent formulated as a 1% emulsion in soybean oil, glycerol, and egg phosphatide. It induces rapid anesthesia primarily due to its rapid distribution from the bloodstream to target tissues and is metabolized in the liver. However, it can cause significant pain on injection and hypertriglyceridemia. Fospropofol, a water-based prodrug of propofol, lacks these adverse effects.
844
01:26Cardiac Catheterization IV: Nursing Management
937
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
937