Local Anesthetics and Steroids: Contraindications and Complications - Clinical Update

Šimurina, Tatjana; Mraović, Boris; Župčić, Miroslav; Župčić, Sandra Graf; Vulin, Marina

doi:10.20471/acc.2019.58.s1.08

Cited by 20 publications

(18 citation statements)

References 36 publications

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“…), joint infection (septic arthritis, cellulitis, osteomyelitis, etc. ), fracture, osteoporosis, coagulopathy, skin defect, hypersensitivity to the steroid, uncontrolled hyperglycemia; also, some complications such as bleeding, bruising, swelling, infection, post-injection pain (steroid flare), face flushing, skin depigmentation, cutaneous atrophy can occur [23].…”

Section: Discussionmentioning

confidence: 99%

Accuracy and Efficacy of Ultrasound-Guided Pes Anserinus Bursa Injection

Lee¹,

Lee²,

Yoo³

2022

Ultrasound Imaging - Current Topics

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The term “pes anserinus tendinobursitis (PATB)” is generally used to describe the inflammatory condition of pes anserinus bursa (PAB). Ultrasound (US) is widely used as a diagnostic and therapeutic tool to improve the assessment and management of joints and soft tissues. We performed the study to prove the accuracy and efficacy of US-guided injections in patients with PATB by comparing blind interventions. Forty-seven patients were randomly assigned to an US-guided and a blind injection group. The patients in the US-guided group were given injections under sonographic visualization. Otherwise, in the blind group, injections were provided in the conventional technique without any sonographic guidance. After the management, the accuracy of the injections was assessed by identifying the injectate location using the US. Treatment efficacy was evaluated using the visual analog scale (VAS) of knee tenderness. The US-guided group showed that the injectates were located at the PAB accurately in all participants, whereas the blind group revealed that the materials were found to be at the bursa side only in 4 out of 22 patients. VAS scores of the US-guided group significantly improved compared to the blind group. In conclusion, US-guided PAB injections are more accurate and efficacious than blind approaches.

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Section: Discussionmentioning

confidence: 99%

Accuracy and Efficacy of Ultrasound-Guided Pes Anserinus Bursa Injection

Lee¹,

Lee²,

Yoo³

2022

Ultrasound Imaging - Current Topics

View full text Add to dashboard Cite

show abstract

“…This combination was preferred, as it was previously reported to provide an effective and long-lasting pain relief. [ 23 ] Due to the anti-inflammatory effects of corticosteroids, the VAS scores at two and three months after the SCN block were lower than the VAS scores before the SCN block.…”

Section: Discussionmentioning

confidence: 99%

Easy to treat when the diagnosis is made: Three cases of clunealgia and the advantage of ultrasonography

Yürük¹,

Akkaya²,

Polat³

et al. 2022

Turk J Phys Med Rehab

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In this article, we present three cases of clunealgia admitted with low back pain. Their pain relieved with superior cluneal nerve block. The posterior side of the iliac crest, which is the location where the superior cluneal nerve passes, was identified using a high-frequency linear transducer. The drug injected separates the erector spinae muscle and thoracolumbar fascia and accumulates between these two structures. All patients were discharged with a complete pain relief. This report highlights the fact that superior cluneal nerve entrapment should be kept in mind in patients with low back pain and that ultrasound guidance can correctly identify the infiltration and eliminate anesthetization of other surrounding structures.

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“…A combination of dexamethasone and levobupivacaine improves postoperative analgesia and extends duration of the block. A meta-analysis of 14 studies showed that the combination of dexamethasone and levobupivacaine for brachial plexus block improved postoperative analgesia without increasing the incidence of complications ( 6 ). To the best of our knowledge, ESP block was, to this instance, mostly used in postoperative analgesia concomitantly with paracetamol following laparoscopic interventions and thoracic, abdominal, urologic and orthopedic surgical procedures.…”

Section: Discussionmentioning

confidence: 99%