十一条子和枕头之间的比较,用于在尾部块中传播的对比介质
Jaeho Cho1, Sang Jun Park2, Jae Chul Koh3
1Department of Anesthesiology and Pain Medicine, Ajou University School of Medicine, Suwon 16499, Republic of Korea.
Journal of clinical medicine
|December 11, 2025
概括
与标准枕头相比,十一条枕头在尾部外周类固醇注射 (CESI) 期间改善了对比度. 这种定位技术可以提高药物输送到更高的腰部水平,以治疗背部疼痛.
科学领域:
- 疼痛管理 疼痛管理
- 干预性放射学 干预性放射学
- 解剖学和生理学 在线
背景情况:
- 尾部外周类固醇注射 (CESI) 是治疗腰部和腿部疼痛的常见方法.
- 由于患者的位置,注射剂的脑部传播可能受到限制.
- 传统的腹枕可能会增加腹内压力,阻碍传播.
研究的目的:
- 为了评估一个十一条是否会在CESI期间增强头部对比度.
- 为了比较对比度,使用十一条与传统枕头的对比度.
主要方法:
- 对接受CESI的76名患者进行了回顾性分析.
- 一个十一条子组 (n=38) 和一个传统的枕头组 (n=38) 的比较.
- 通过光镜和视觉模拟尺度 (VAS) 疼痛评分来评估对比度的扩散.
主要成果:
- 与枕头组 (中位数L4/5) 相比,11条杆组 (中位数L3/4) 的对比介质的头部扩散明显更大.
- 两组之间可视神经根或VAS得分的改善没有显著差异.
- p = 0.0002用于头部扩散的比较.
结论:
- 一个十一条杆的子在CESI期间促进了对比度的增强头部扩散.
- 这种定位策略可以改善药物输送到更高的腰部水平.
- 没有观察到对神经根可视化或疼痛减轻结果的影响.
更多相关视频
相关概念视频
Local Anesthetics: Clinical Application as Spinal Anesthesia
1.3K
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...
1.3K
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
1.1K
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...
1.1K
Imaging Studies VII: Vascular Imaging
289
DefinitionRenal angiography, also known as renal arteriography, is an imaging technique used to obtain a comprehensive view of blood flow and the vascular structure of blood vessels in the kidneys and surrounding areas.PurposeRenal angiography detects blood vessel abnormalities in the kidneys, such as aneurysms, stenosis, thrombosis, vascular tumors, and renal artery stenosis. It evaluates kidney function and guides interventional treatments like angioplasty or stent placement.Pre-Procedure...
289
Depolarizing Blockers: Pharmocokinetics
553
Depolarizing blockers are administered through intravenous injection. Succinylcholine is the most common choice of depolarizing blockers in emergency clinical practices. Although they have a rapid onset, they readily diffuse away from the motor end plate into the extracellular fluid. They are metabolized by enzymes such as liver butyrylcholinesterase and plasma pseudocholinesterases. This produces a short duration of action, typically 5-10 minutes long, unlike nondepolarizing blockers, which...
553
Local Anesthetics: Clinical Application as Epidural Anesthesia
669
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...
669
Local Anesthetics: Clinical Application as Surface, Infiltration, and Conduction Block Anesthesia
1.8K
Depending on the target organ, local anesthetics (LAs) can be administered via various routes. In surface anesthesia, LAs are applied directly to the surface of the skin or mucous membranes. It is widely used for topical skin numbing before venipuncture or minor surgical procedures. Commonly used surface local anesthetics are lidocaine or benzocaine sprays or creams. Surface anesthesia occurs within 5 minutes and lasts for about 60 minutes. One of the main disadvantages of topical anesthesia is...
1.8K


