Are Blind Injections Ethical or Historical?

Özçakar, Levent; Onat, Şule Şahin; Gürçay, Eda; Kara, Murat

doi:10.1097/phm.0000000000000377

Cited by 23 publications

(15 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Thirdly, the other useful philosophy pertaining to the utility of US in PRM is that once one is able to visualize a structure/pathology one can readily target it. Thus, the use of US-guidance for interventional physiatry has been increasing rapidly, and this issue also necessitates further terminologies (9). For instance, we are no longer discussing ordinary interventions, such as "shoulder injection" or "carpal tunnel injection".…”

Section: Life After Ultrasound: Are We Speaking the Same (Or A New) Lmentioning

confidence: 99%

Life after ultrasound: Are we speaking the same (or a new) language in Physical and Rehabilitation Medicine?

Ricci¹,

Özçakar²

2019

J Rehabil Med

View full text Add to dashboard Cite

Section: Life After Ultrasound: Are We Speaking the Same (Or A New) Lmentioning

confidence: 99%

Life after ultrasound: Are we speaking the same (or a new) language in Physical and Rehabilitation Medicine?

Ricci¹,

Özçakar²

2019

J Rehabil Med

View full text Add to dashboard Cite

“…Different methods are currently available for injections at the lumbosacral region. Although blind access, meaning without any imaging support, has been successfully performed in the last decade, and based on the fact that even in experienced hands an inaccurate needle placement occurs in up to 30% of cases [7], spinal injections should be obsolete when imaging is available [8]. Nowadays, spinal injections are preferentially performed under fluoroscopic or computer tomographic (CT) guidance: especially CT can be described as the actual "gold standard" imaging tool, based on the anatomic precision and visualization of the needle placement with high accuracy [9].…”

Section: Introductionmentioning

confidence: 99%

A simple approach for ultrasound-guided pararadicular injections in the sacral spine: a pilot computer tomography controlled cadaver study

et al. 2019

View full text Add to dashboard Cite

Aims: Injection therapies play an increasingly decisive role in the treatment of lower back pain. Cumulative studies could show the benefits of ultrasound-guided instillation procedures in the cervical and lumbar spine. We conducted this study to provide a new simple sonographic approach for pararadicular injections of the sacral spinal nerves and to prove the feasibility and accuracy by means of CT and anatomic dissection. Material and methods: Eight ultrasound-guided injections at four different levels of the sacral spine on a human ethanol-glycerol-embalmed cadaver (S1-S4) were performed. By means of sonography the sacral foramina were identified and the spinal needles were advanced in "in-plane technique" to the medial margin of the respective sacral foramen. Subsequently a solution of blue dye and contrast agent were injected. Then CT scans and anatomic dissection of the cadaver were performed to verify the correct placement of the needle tips and to visualize the dispersion of the injected solution in the respective compartment. Results: Altogether a 100% success rate for a correct injection could be achieved. CT examination confirmed the correct placement of every needle tip within the intended compartment. Also, the anatomic dissections affirmed the appropriate needle positioning. Moreover, the blue dye dispersion was seen in the correct compartments and around the targeted spinal nerves. Conclusions: Although this study was only performed on cadaveric models, this new sonographic approach for pararadicular injections in the sacral spine allows an easy, precise and unerring needle placement within the dorsal sacral foramen.

show abstract

“…Penetration should be avoided because of the risk of including neuropraxia. Moreover, apart from the discussion regarding the comparison of blind and US-guided techniques, during our interventional physiatrist practice, we have noticed that US imaging also makes a significant contribution at the decisionmaking step of LFCN injection (19).…”

Section: Introductionmentioning

confidence: 99%

Blind Versus Ultrasound Guidance Injections: Lateral Femoral Cutaneous Nerve Blockage Revisited

Aras¹,

Adıgüzel²,

Tok³

2019

tnd

View full text Add to dashboard Cite

Meralgia paresthetica is a nerve entrapment that may cause pain, numbness, hypersensivity, and paresthesias within the anterolateral region of the thigh, which is the area of distribution of the lateral femoral cutaneous nerve (LCFN). According to the literature, there is a large variability in the nerve course as the nerve pierces the inguinal ligament. Blockade of the LFCN has been classically described using anatomic landmarks, but the anatomic variability of the nerve may be responsible for failure rates being as high as 60%. Ultrasound (US) guidance for peripheral nerve blocks has become popular among physicians because of its several advantages when compared with traditional nerve localization techniques. US-guided LCFN blocks can be performed with better success. Keywords: Meralgia paresthetica, ultrasound-guided injection, lateral femoral cutaneus nerve Meraljia parestetika, lateral femoral kutanöz sinirin (LFKN) dağılım alanı olan uyluk ön-dış bölümünde ağrı, hissizlik, hipersensivite ve parestezilere yol açan bir tuzak nöropatisidir. Literatüre göre, sinirin inguinal ligament geçtiği sinir trasesinde fazla miktarda varyasyon görülmektedir. LFKN blokajı klasik olarak anatomik noktalar kullanılarak uygulanır fakat anatomik variabilitenin olması enjeksiyonunun başarı yüzdesini %60 gibi yüksek bir oranda etkilemektedir. Ultrason (US) eşliğinde periferik sinir blokajı, geleneksel sinir lokalizasyon teknikleri ile mukayese edildiğinde birçok avantajı olması sebebiyle birçok klinisyen arasında popüler olmuştur. US eşliğinde yapılan LFKN blokları daha başarılı sonuçlar vermektedir. Anahtar Kelimeler: Meraljia parestetika, ultrason eşliğinde enjeksiyon, lateral femoral kutanöz sinir Abstract Öz

show abstract

Are Blind Injections Ethical or Historical?

Abstract: Ö zçakar L, Onat S $ S $ , Gü rçay E, Kara M: Are blind injections ethical or historical? Think twice with ultrasound. Am J Phys Med Rehabil 2016;95:158Y160.Indai ly musculoskeletal practice, a wide range of injections is commonplace and 0894-9115/16/9502-0158

Cited by 23 publications

References 2 publications

Life after ultrasound: Are we speaking the same (or a new) language in Physical and Rehabilitation Medicine?

Life after ultrasound: Are we speaking the same (or a new) language in Physical and Rehabilitation Medicine?

A simple approach for ultrasound-guided pararadicular injections in the sacral spine: a pilot computer tomography controlled cadaver study

Blind Versus Ultrasound Guidance Injections: Lateral Femoral Cutaneous Nerve Blockage Revisited

Contact Info

Product

Resources

About