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Related Concept Videos

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

367
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...
367
Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

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Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
585

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Basivertebral nerve ablation technique.

John B Smirniotopoulos1, Uchenna Osuala2, Clark R Restrepo3

  • 1Division of Vascular and Interventional Radiology, MedStar Washington Hospital Center, Washington, DC; Division of Vascular and Interventional Radiology, MedStar Georgetown University Hospital, Washington, DC.

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

Minimally invasive radiofrequency ablation of the basivertebral nerve effectively treats vertebrogenic low back pain. This procedure targets nerve irritation in the vertebral body endplates, offering relief for chronic axial discomfort.

Keywords:
Basivertebral nerve ablationaxial low back painradiofrequency ablation

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Area of Science:

  • Pain Medicine
  • Interventional Radiology
  • Spinal Surgery

Background:

  • Chronic low back pain is a major global disability.
  • Anterior column pain involves vertebral bodies and discs, with endplates as key generators.
  • Vertebrogenic pain, caused by basivertebral nerve irritation, presents with axial discomfort and Modic changes.

Purpose of the Study:

  • To present a comprehensive approach for identifying and treating vertebrogenic low back pain.
  • To detail the use of image-guided basivertebral nerve ablation.
  • To provide a procedural guide for this minimally invasive intervention.

Main Methods:

  • Patient selection based on clinical presentation and diagnostic imaging (MRI with Modic changes).
  • Image-guided radiofrequency ablation targeting the basivertebral nerve.
  • Detailed procedural steps, including equipment and technique execution.

Main Results:

  • Basivertebral nerve ablation is an effective treatment for anterior column low back pain.
  • Minimally invasive approach offers a solution for vertebrogenic pain.
  • The study outlines successful identification and treatment strategies.

Conclusions:

  • Image-guided basivertebral nerve ablation is a viable and effective treatment for vertebrogenic low back pain.
  • Understanding patient presentation and diagnostic workup is crucial for successful outcomes.
  • The procedure addresses a significant pain generator in the anterior spinal column.