Interventional Pain Management Procedures

Racz, Gabor B.; Racz, Gabor J.; Racz, Tibor A.

doi:10.1007/978-3-030-39982-5_20

Cited by 10 publications

(8 citation statements)

References 44 publications

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“…One concern is the potential for the drug to be injected in the wrong direction, unlike FL-guided procedures that allow needle adjustment. To address this, experts recommend inserting the needle toward the affected side, aiming to enhance targeted drug delivery [13,27]. However, Lee et al [28] found that, despite adhering to this recommendation, 13.6% of patients showed a higher drug concentration on the opposite side.…”

Section: Discussionmentioning

confidence: 99%

“…Ultrasound was utilized following the same sequence as previously described for the combined US-and FL-guided CESI. Without using FL, the interventionalist inserted a 22-gauge, 90 mm spinal needle (SP.QB, Taechang Industrial Co., Ltd., Chungnam, Republic of Korea) toward the side of pain to precisely deliver medication to the lesion site, optimizing effectiveness [13]. An inhalation test was performed in the same way as the combined method.…”

Section: Us-guided Cesimentioning

confidence: 99%

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Combined Ultrasound and Fluoroscopy versus Ultrasound versus Fluoroscopy-Guided Caudal Epidural Steroid Injection for the Treatment of Unilateral Lower Lumbar Radicular Pain: A Retrospective Comparative Study

Lee,

Park,

Song

et al. 2024

Medicina

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Background and Objectives: This study aimed to evaluate the mid-term effectiveness and safety of a combined ultrasound (US) and fluoroscopy (FL)-guided approach in comparison to US-guided and FL-guided caudal epidural steroid injections (CESI) for treating unilateral lower lumbar radicular pain. Materials and Methods: A total of 154 patients who underwent CESI between 2018 and 2022 were included. Patients were categorized into three groups based on the guidance method: combined US and FL (n = 51), US-guided (n = 51), and FL-guided (n = 52). The study design was retrospective case-controlled, utilizing patient charts and standardized forms to assess clinical outcomes, adverse events, complications during the procedures. Results: In all groups, Oswestry Disability Index and Verbal Numeric Scale scores improved at 1, 3, and 6 months after the last injection, with no significant differences between groups (p < 0.05). The treatment success rate at all time points was also similar among the groups. Logistic regression analysis showed that injection method, cause, sex, age, number of injections, and pain duration did not independently predict treatment success. Blood was aspirated before injection in 2% (n = 1), 13.5% (n = 7), and 4% (n = 2) of patients in the combined US and FL groups, FL-guided groups, and US-guided groups, respectively. Intravascular contrast spread was detected in one patient in the combined method groups and seven in the FL-guided groups. Conclusions: When comparing pain reduction and functional improvement, there was no significant difference between the three methods. The combined method took less time compared to using FL alone. The combined approach also showed a lower occurrence of intravascular injection compared to using FL alone. Moreover, blood vessels at the injection site can be identified with an ultrasound using the combined method. Given these advantages, it might be advisable to prioritize the combined US- and FL-guided therapy when administering CESI for patients with unilateral lumbar radicular pain.

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Section: Discussionmentioning

confidence: 99%

Section: Us-guided Cesimentioning

confidence: 99%

Combined Ultrasound and Fluoroscopy versus Ultrasound versus Fluoroscopy-Guided Caudal Epidural Steroid Injection for the Treatment of Unilateral Lower Lumbar Radicular Pain: A Retrospective Comparative Study

Lee,

Park,

Song

et al. 2024

Medicina

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“…To reduce the chance of local anaesthetic injection through a dural sleeve, the anesthetist should prevent medial angulation of the needle. It's also a good idea to stop lateral angulation because the PV area is smaller laterally, putting the anesthetist at risk of pleural puncture (6,7) .…”

Section: Techniques:  Conventional Techniquementioning

confidence: 99%

Paravertebral Block and Thoracotomy: Review Article

Mohamed¹,

Abdel-Rahman²,

Elghaffar³

et al. 2021

The Egyptian Journal of Hospital Medicine

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Background: First described paravertebral block (PVB) to provide abdominal analgesia in 1905. This technique has been modified for rib fracturing, flail chest, hepatic-biliary operations, open cholecystectomy, inguinal hernia repair, breast tumors operations and thoracotomies. PVB was shown to be as successful as thoracic epidural analgesia with less minimal complications in recent systematic reviews and meta-analyses. Objective: To evaluate the effect of paravertebral block and Thoracotomy to the other technique in issues analgesia, complications. Conclusion:Paravertebral block is a very useful regional anaesthetic technique for surgeries, Paravertebral block was shown to be as successful as thoracic epidural analgesia with less minimal complications.

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“…Perubahan-perubahan tersebut meliputi perubahan fisik, psikis, dan sosial yang menyebabkan remaja mengalami pergolakan emosional sehingga masa remaja disebut masa storm dan stress (Hurlock, 2008). Selama masa remaja ini, cenderung muncul kesulitan atau permasalahan -permasalahan terkait perilaku karena mekanisme kontrol perilaku secara neurobiologis belum matang atau adanya peningkatan afiliasi pada kelompok teman sebaya yang juga memiliki masalah perilaku (Racz, Sarah Jensen;Putnick, Diane L;Suwalsky, Joan;Hendricks, Charlene;Bornstein, 2017).…”

Section: Pendahuluanunclassified

Hubungan Masalah Perilaku Internalisasi dan Eksternalisasi Dengan Tingkat Kecerdasan Pada Remaja Di Kota Bandung

Zulnida

2020

JIPT

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Abstrak. Masa remaja merupakan masa transisi.Banyak perubahan-perubahan pada individu baik secara biologis, kognitif, emosi, dan sosial. Perubahan-perubahan yang terjadi membuat remaja rentan mengalami masalah-masalah perilaku seperti perilaku internalisasi dan eksternalisasi. Tujuan penelitian ini adalah menemukan hubungan antara masalah perilaku internalisasi dan perilaku eksternalisasi dengan tingkat kecerdasan pada remaja. Subjek penelitian berjumlah 150 remaja berusia 13 - 18 tahundi Kota Bandung. Data dikumpulkan menggunakanChild Behavior Checklist (CBCL) dan Standard Progressive Matrices (SPM). Hasil penelitian menunjukkan masalah perilaku internalisasi berkorelasi negatif dengan kecerdasan (r=0.169, p=0.01), yang berarti remaja dengan tingkat kecerdasan tinggi, ditemukan sedikit menunjukkan masalah perilaku internalisasi. Sebaliknya, remaja dengan tingkat kecerdasan rendah, ditemukan banyak menunjukkan masalah perilaku internalisasi. Masalah perilaku eksternalisasi remaja tidak memiliki hubungan dengan tingkat kecerdasannya.

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Interventional Pain Management Procedures

Cited by 10 publications

References 44 publications

Combined Ultrasound and Fluoroscopy versus Ultrasound versus Fluoroscopy-Guided Caudal Epidural Steroid Injection for the Treatment of Unilateral Lower Lumbar Radicular Pain: A Retrospective Comparative Study

Combined Ultrasound and Fluoroscopy versus Ultrasound versus Fluoroscopy-Guided Caudal Epidural Steroid Injection for the Treatment of Unilateral Lower Lumbar Radicular Pain: A Retrospective Comparative Study

Paravertebral Block and Thoracotomy: Review Article

Hubungan Masalah Perilaku Internalisasi dan Eksternalisasi Dengan Tingkat Kecerdasan Pada Remaja Di Kota Bandung

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