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Echo-guided invasive pain therapy: indications and limitations.
Yasmine Hoydonckx1, Philip Peng
1Department of Anesthesia and Pain Medicine, University of Toronto, University Health Network-Toronto Western Hospital, Toronto, Ontario, Canada.
Current Opinion in Anaesthesiology
|August 21, 2018
Summary
Ultrasound-guided pain interventions offer significant advantages for peripheral and musculoskeletal procedures, enhancing precision and reducing risks. While challenges exist for spinal applications, interest is growing for these complex pain management techniques.
Area of Science:
- Pain Management
- Medical Imaging
- Interventional Procedures
Background:
- Ultrasound technology has advanced pain intervention techniques.
- Direct visualization and real-time scanning offer improved procedural accuracy.
- Growing interest in ultrasound for various pain conditions.
Purpose of the Study:
- To review the benefits and drawbacks of ultrasound-guided pain interventions.
- To illustrate ultrasound applications in peripheral, axial, and musculoskeletal pain procedures.
Main Methods:
- Review of current literature on ultrasound-guided pain interventions.
- Analysis of applications in different anatomical regions.
- Discussion of advantages, limitations, and emerging techniques.
Main Results:
- Emergence of plane blocks for thoracoabdominal region using ultrasonography.
- Increased precision, efficacy, and reduced risk in musculoskeletal procedures due to direct visualization.
- Challenges with bony shadowing and deep structures in spine and intra-articular interventions, yet growing interest persists for cervical spine and sacroiliac joint.
Conclusions:
- Ultrasound guidance is highly valuable for peripheral and musculoskeletal pain interventions.
- Increasing application interest in cervical spine and sacroiliac joint procedures.
- Further outcome studies are needed to establish ultrasound-guided pain interventions as standard procedures.
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