Techniques in regional anesthesia & pain management最新文献_第5页

Preoperative risks factors in postoperative pain (or persistent postoperative pain) 术后疼痛(或术后持续疼痛)的术前危险因素

Techniques in regional anesthesia & pain management Pub Date : 2014-07-01 DOI: 10.1053/j.trap.2015.10.002

Jean-Pierre Estebe MD, PhD

引用次数: 0

Regional anesthesia and chronification of acute postoperative pain 区域麻醉与术后急性疼痛的慢性化

Techniques in regional anesthesia & pain management Pub Date : 2014-07-01 DOI: 10.1053/j.trap.2015.10.005

Carlos Tornero Tornero MD

引用次数: 0

Vertebroplasty and kyphoplasty: Techniques, complications, and troubleshooting 椎体成形术和后凸成形术:技术、并发症和故障排除

Techniques in regional anesthesia & pain management Pub Date : 2014-01-01 DOI: 10.1053/j.trap.2015.01.007

Consuelo Nieto-Iglesias MD, PhD , Irene Andrés-Nieto MD , Enrique Peces-García MD , Gisela Roca-Amatria MD, PhD , Javier De Andrés Ares MD, FIPP , Maria Luisa Franco-Gay MD , Maite Bovaira-Forner MD, PhD

{"title":"Vertebroplasty and kyphoplasty: Techniques, complications, and troubleshooting","authors":"Consuelo Nieto-Iglesias MD, PhD , Irene Andrés-Nieto MD , Enrique Peces-García MD , Gisela Roca-Amatria MD, PhD , Javier De Andrés Ares MD, FIPP , Maria Luisa Franco-Gay MD , Maite Bovaira-Forner MD, PhD","doi":"10.1053/j.trap.2015.01.007","DOIUrl":"10.1053/j.trap.2015.01.007","url":null,"abstract":"<div>Vertebral fractures are very common. The estimated annual incidence is 1.4 million cases worldwide—the most frequent underlying cause being osteoporosis. The first-line treatment for symptomatic Vertebral fractures is generally conservative and is based on analgesics, rest, orthesis, and rehabilitation. However, up to one-third of all patients fail to respond to such treatment and require surgery. In the last 20 years, 2 safe and effective minimally invasive procedures have been developed as an alternative to conservative management and open surgery: vertebroplasty and kyphoplasty. The complications of both these techniques, although infrequent, are not negligible and include infection, bleeding, worsening of the pain, radiculopathy, canal stenosis, local trauma, and embolisms. Most complications are directly or indirectly related to cement injection—the most common problem being cement leakage from the vertebral body not only into the intervertebral space but also into the spinal canal. Pulmonary embolization may even occur. The present study describes the most common complications during treatment and the ways to improve the technique and procedures, with a view to avoiding such problems.</div>","PeriodicalId":93817,"journal":{"name":"Techniques in regional anesthesia & pain management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.trap.2015.01.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"58059459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Neuromodulation techniques, complications, and troubleshooting 神经调节技术，并发症和故障排除

Techniques in regional anesthesia & pain management Pub Date : 2014-01-01 DOI: 10.1053/j.trap.2015.01.008

David Abejón MD, PhD, FIPP , S. Arango , I. Riquelme , J. Del Saz

引用次数: 2

Anticoagulation and interventional pain management 抗凝和介入性疼痛管理

Techniques in regional anesthesia & pain management Pub Date : 2014-01-01 DOI: 10.1053/j.trap.2015.01.009

Blanca Martínez Serrano MD, PhD, Enrique Canser Cuenca MD, Elena García Higuera MD, Alfredo Fernández Esplá MD, Elena Gredilla Díaz MD, PhD, Javier de Andrés Ares MD, FIPP, Fernando Gilsanz Rodríguez MD, PhD

引用次数: 5

Epiduroscopy: Complications and troubleshooting 硬膜外镜检查:并发症和诊断

Techniques in regional anesthesia & pain management Pub Date : 2014-01-01 DOI: 10.1053/j.trap.2015.01.006

Martín Avellanal , Gonzalo Diaz-Reganon , Alejandro Orts , Lucio Gonzalez-Montero , Javier De Andrés Ares

引用次数: 6

Complications in interventional pain treatment 介入治疗疼痛的并发症

Techniques in regional anesthesia & pain management Pub Date : 2014-01-01 DOI: 10.1053/j.trap.2015.01.001

Javier De Andrés Ares MD, FIPP

引用次数: 0

Malpractice and claims in interventional pain treatment 介入性疼痛治疗中的医疗事故和索赔

Techniques in regional anesthesia & pain management Pub Date : 2014-01-01 DOI: 10.1053/j.trap.2015.01.002

Luz Cánovas Martínez MD, PhD , Mar Domínguez García MD

{"title":"Malpractice and claims in interventional pain treatment","authors":"Luz Cánovas Martínez MD, PhD , Mar Domínguez García MD","doi":"10.1053/j.trap.2015.01.002","DOIUrl":"10.1053/j.trap.2015.01.002","url":null,"abstract":"<div>Complications of pain medicine practice are common. Interventional techniques carry significant complications and risks. There is evidence that avoiding distressed or angry patients is associated with better outcomes, fewer complaints, and lower rates of litigation. Being respectful and pleasant with patients and communicating with them lead to lower rates of complaints and litigation. The empathy in the medical-patient relationship can avoid, in many cases, the demands for negligence. Informed consent must be obtained for each of the pain unit interventional techniques to adequately cover 2 crucial requirements: correct patient information and patient participation in the decision-making process. Documentation of written informed consent must be witnessed and documented in the patient’s record. Recognition and information of malpractice is something necessary. There is evidence that a sincere excuse can reduce the incident of litigations. A reporting system for adverse events and patient safety failures in relation to interventional techniques used in the treatment of pain (American Society of Anesthesiologists Closed Claims Analysis, American Society of Interventional Pain Physicians (ASSIP), and Spanish Notification System Security of Anesthesia and Resuscitation (SENSAR)) is important. Maintaining a dialogue with the patient or patient’s family or both after malpractice is important as is keeping the patient coming for follow-up, which allows the physician to maintain continuity of care.</div>","PeriodicalId":93817,"journal":{"name":"Techniques in regional anesthesia & pain management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.trap.2015.01.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"58059383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Epidural Complications and troubleshooting 硬膜外并发症及排除

Techniques in regional anesthesia & pain management Pub Date : 2014-01-01 DOI: 10.1053/j.trap.2015.01.004

Maria Teresa Bovaira-Forner MD , Javier de Andrés Ares MD , Gisela Roca MD , Maria Luisa Franco Gay MD , Consuelo Nieto MD , Paula Bovaira MD

{"title":"Epidural Complications and troubleshooting","authors":"Maria Teresa Bovaira-Forner MD , Javier de Andrés Ares MD , Gisela Roca MD , Maria Luisa Franco Gay MD , Consuelo Nieto MD , Paula Bovaira MD","doi":"10.1053/j.trap.2015.01.004","DOIUrl":"10.1053/j.trap.2015.01.004","url":null,"abstract":"<div>Epidural corticosteroid infiltrations are an important option for the treatment of pain, though they are not without complications. The present review was based on a PubMed database search of articles covering the period between 1983 and 2014. The described complications can be grouped into the following categories: (1) Infections: The global risk of infections following epidural corticosteroid infiltration is 1%–2%, of which 0.1% prove serious. (2) Neurologic alterations: These complications are due to neurotoxicity (arachnoiditis or aseptic meningitis) or intra-arterial puncture and embolization of particulate corticosteroids in vertebral arteries, resulting in spinal or cerebral infarction. (3) Bleeding: The principal risk factor for epidural hematoma is primary or pharmacologic coagulopathy. Therefore, the decision to suspend treatment must be made according to the consensus-based clinical guides. (4) Post–dural puncture headache: The development of headache in these cases is less frequent than following epidural anesthesia. (5) Pharmacologic effects of corticosteroids: Adrenal axis suppression during 3 weeks may be observed. This has been associated with Cushing-like symptoms, mineralocorticoid effects (arterial hypertension), and blood glucose level elevation in diabetic patients. (6) Others: There have been reports of diminished bone mass in postmenopausal women and isolated cases of chorioretinopathy and Tachon syndrome. Epidural corticosteroid infiltration performed under radioscopic control and with contrast administration can minimize the risk of complications.</div>","PeriodicalId":93817,"journal":{"name":"Techniques in regional anesthesia & pain management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.trap.2015.01.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"58059772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Diagnostic nerve block and trigger point complications 诊断神经阻滞和触发点并发症

Techniques in regional anesthesia & pain management Pub Date : 2014-01-01 DOI: 10.1053/j.trap.2015.01.003

Maria Luisa Franco Gay MD , Garbiñe Urtusagasti MD , Gisela Roca Amatria MD, PhD , Javier De Andrés Ares MD, FIPP , Consuelo Nieto MD, PhD , Maite Bovaira MD, PhD, FIPP

引用次数: 1