Is ultrasound guided spine injection safe?

Helen Gharries
{"title":"Is ultrasound guided spine injection safe?","authors":"Helen Gharries","doi":"10.15406/JACCOA.2018.10.00377","DOIUrl":null,"url":null,"abstract":"Ultrasound has gained recognition within the field of pain intervention owing to its definite advantage of visually localizing the specified target and additionally owing to perceived advantages of safety, accuracy, and potency. Ultrasound permits satisfactory imaging of the posterior parts of the spine and paraspinal soft tissues. Despite the introduction of newer and less consuming time’s methods with the possibility of intravascular injection, there is still insufficient clinical evidence to prove the safety of the ultrasound as a sole image guide intervention, especially for transforaminal injection. It is essential to considering safety tips and be aware of complications that are typically terribly unpleasant and cause unwanted social and legal consequence. The most important injection warnings are damage to the spinal cord and nerve roots, intravascular injection and vascular damage, loss of consciousness, paraplegia and incontinence. The object of this review article is to discuss the untoward dangerous complication which can happen after ultrasound-guided spine injections and explain how to diagnosis and manage them. Further technical and equipment advancements are needed to improve and reduce the existing limitations associated with the ultrasound-guided spine injection technique until that time the multimodality imaging guidance is safer.","PeriodicalId":228896,"journal":{"name":"Journal of Anesthesia and Critical Care: Open access","volume":"191 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2018-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"8","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Anesthesia and Critical Care: Open access","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.15406/JACCOA.2018.10.00377","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 8

Abstract

Ultrasound has gained recognition within the field of pain intervention owing to its definite advantage of visually localizing the specified target and additionally owing to perceived advantages of safety, accuracy, and potency. Ultrasound permits satisfactory imaging of the posterior parts of the spine and paraspinal soft tissues. Despite the introduction of newer and less consuming time’s methods with the possibility of intravascular injection, there is still insufficient clinical evidence to prove the safety of the ultrasound as a sole image guide intervention, especially for transforaminal injection. It is essential to considering safety tips and be aware of complications that are typically terribly unpleasant and cause unwanted social and legal consequence. The most important injection warnings are damage to the spinal cord and nerve roots, intravascular injection and vascular damage, loss of consciousness, paraplegia and incontinence. The object of this review article is to discuss the untoward dangerous complication which can happen after ultrasound-guided spine injections and explain how to diagnosis and manage them. Further technical and equipment advancements are needed to improve and reduce the existing limitations associated with the ultrasound-guided spine injection technique until that time the multimodality imaging guidance is safer.
超声引导下脊柱注射安全吗?
超声在疼痛干预领域获得了认可,因为它在视觉上定位特定目标的明确优势,另外还因为安全、准确和有效的优势。超声对脊柱后部和棘旁软组织的成像令人满意。尽管引入了更新、耗时更少的方法,并有可能进行血管内注射,但临床证据仍不足以证明超声作为唯一的图像引导干预措施的安全性,特别是经椎间孔注射。必须考虑安全提示,并意识到通常非常不愉快的并发症,并导致不必要的社会和法律后果。最重要的注射警告是脊髓和神经根损伤、血管内注射和血管损伤、意识丧失、截瘫和大小便失禁。本文的目的是讨论超声引导下脊柱注射后可能发生的不良危险并发症,并说明如何诊断和处理。需要进一步的技术和设备进步来改进和减少与超声引导脊柱注射技术相关的现有局限性,直到多模态成像引导更安全。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信