一个更新的技术和安全实践模式,介面膜外周内皮质类固醇注射的最新情况
Berkenesh Gebrekristos1, Razvan Turcu2, Dana Kotler1
1Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital/Harvard Medical School, Boston, MA, USA.
Interventional pain medicine
|September 6, 2024
概括
间膜外皮类固醇注射 (ILESI) 显示了疼痛医生之间的实践模式变化,尽管有指导方针. 需要进一步的研究,以了解这些常见的疼痛管理程序的偏离建议护理.
科学领域:
- 疼痛管理 疼痛管理
- 干预性疼痛医学 干预性疼痛医学
- 外周注射类固醇注射 周周注射类固醇注射
背景情况:
- 介膜外皮类固醇注射 (ILESI) 是管理腰部,部和根部疼痛的基石.
- 这些注射是美国疼痛管理领域中经常进行的手术.
研究的目的:
- 在干预性疼痛医生中调查干预性外周类固醇注射 (ILESI) 的当前实践模式.
- 为了识别ILESI程序的变化和遵守指南.
主要方法:
- 从2021年3月到2022年3月,在全国范围内向干预性疼痛医生分发了一项91项调查.
- 关于ILESI实践的数据通过REDCap收集并合成用于分析.
主要成果:
- 几乎所有接受调查的医生 (96/103) 进行ILESI,主要使用光镜 (98.1%).
- 根据注射部位的偏好有所不同:用于宫的德克萨米他 (52.4%) 和用于腰部的甲基普雷迪尼索隆 (44.2%).
- 大多数医疗服务提供者使用Tuohy/Weiss针 (91.7%),不一致地提供镇静 (47.6%),并经常使用对比剂 (97.9%用于腰部,89.6%用于宫).
结论:
- 在ILESI实践模式中仍然存在显著的变化,即使更新了共识建议.
- 确定指导方针不遵守的领域对于制定未来基于证据的指导方针至关重要.
- 需要进一步的研究,以了解影响程序医师偏离符合指南的护理的因素.
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