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Related Concept Videos

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

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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.
One of the advantages of...
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Image-guided peripheral nerve interventions- applications and techniques.

Junman Kim1, Ricardo Martinez Garcia1, John David Prologo1

  • 1Department of Radiology, Emory University, Atlanta, GA.

Techniques in Vascular and Interventional Radiology
|November 3, 2024
PubMed
Summary
This summary is machine-generated.

Interventional radiology offers advanced image-guided treatments for chronic pain, providing durable alternatives to opioids. This review covers techniques for peripheral pain generators in extremities, spine, pelvis, and chest wall.

Keywords:
ablationcryoneurolysisinterventional painnerve blocksopioid crisisperipheral nerves

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Area of Science:

  • Interventional radiology
  • Pain management
  • Medical technology

Background:

  • Interventional radiology is crucial for managing acute and chronic pain.
  • Developing new treatments for pain generators is ongoing.
  • Thermal ablation offers durable pain management options.

Purpose of the Study:

  • Review image-guided techniques for peripheral pain generators.
  • Focus on extremities, lumbosacral, pelvic region, and chest wall pain.
  • Address the need for non-opioid pain management strategies.

Main Methods:

  • Discuss etiology, anatomy, and procedural approaches for image-guided pain treatments.
  • Evaluate supporting literature for each clinical situation.
  • Highlight the role of thermal ablation technologies.

Main Results:

  • Image-guided interventions provide targeted pain relief.
  • Thermal ablation offers predictable and long-lasting pain management.
  • These methods are vital during the opioid epidemic.

Conclusions:

  • Interventional radiology provides effective, image-guided solutions for peripheral pain.
  • Technological advancements like thermal ablation enhance treatment durability.
  • These techniques support reduced reliance on long-term opioid dependence.