图像导向外周治疗接入的解剖学,技术,安全性和有效性
1Mayo Clinic, Rochester, MN, USA.
Radiologic clinics of North America
|January 25, 2024
概括
外周注射类固醇注射有效治疗根性疼痛. 经外注射类固醇注射,经过仔细规划和使用德甲等特定技术,为根性疼痛治疗提供安全性和有效性优势.
科学领域:
- 疼痛管理 疼痛管理
- 干预性放射学 干预性放射学
- 神经外科 神经外科
背景情况:
- 根性疼痛综合征通常是用外围注射类固醇注射来治疗的.
- 与根性疼痛的内膜间疗法相比,通过外膜外膜外接显示出更高的疗效.
研究的目的:
- 审查外围注射类固醇注射用于根性疼痛的疗效和安全性.
- 突出解剖学理解和程序前规划对于有效的分娩的重要性.
- 讨论特定技术的安全优势,用于跨内外皮层类固醇注射.
主要方法:
- 对治疗根性疼痛的外围注射类固醇注射现有文献的综述.
- 重点是了解外外腔和前腔解剖学和成像.
- 讨论风险减轻策略和最佳注射剂选择.
主要成果:
- 除外注射类固醇注射在治疗根性疼痛综合征方面表现出明显的疗效和安全性.
- 跨层面的获取得到了比跨层面的方法更大的有效性证据的支持.
- 适当的降低风险可以通过任何一种接入方法确保外周注射的安全性.
结论:
- 超额外注射的外周类固醇注射,特别是用德克萨米他和内核方法,提供了安全性和疗效的好处.
- 对解剖学和手术前规划的彻底了解对于成功治疗根性疼痛至关重要.
- 外周注射类固醇注射,当正确执行时,是一种安全有效的治疗选择.
相关概念视频
Local Anesthetics: Clinical Application as Epidural Anesthesia
432
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...
432
Local Anesthetics: Clinical Application as Spinal Anesthesia
632
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...
632
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
417
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...
417
Ultrasonography
4.5K
Ultrasonography is an imaging technique that uses high-frequency sound waves to visualize the body's internal structures. It is a non-invasive and safe procedure that does not involve the use of ionizing radiation, making it widely used in various medical fields. Ultrasonography is used to study heart function, blood flow in the neck or extremities, certain conditions such as gallbladder disease, and fetal growth and development.
During an ultrasonography procedure, a handheld device called...
During an ultrasonography procedure, a handheld device called...
4.5K
Imaging Studies I: CT and MRI
243
Introduction: MRI and CT scans are crucial advancements in medical imaging techniques, playing a vital role in diagnosing conditions related to the gastrointestinal (GI) system. Each scan serves distinct purposes, targets specific areas, and requires unique nursing duties.
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
243


