神经阻滞和神经松解术用于疼痛控制的适应证和技术考虑。

IF 2.8 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Sinan Orkut, Roberto Luigi Cazzato, Julien Garnon, Guillaume Koch, Pierre Alexis Autrusseau, Pierre de Marini, Gregory Bertucci, Behnam Shaygi, Julia Weiss, Afshin Gangi
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引用次数: 0

摘要

介入放射学(IR)中的疼痛管理包括各种先进的图像引导技术,为各种疼痛状况提供微创治疗。关键的手术包括神经阻滞和神经松解术,针对特定的神经提供实质性的疼痛缓解。IR中有效的疼痛管理依赖于对区域解剖的透彻理解、精确的技术以及局部麻醉剂、神经溶解剂和皮质类固醇的谨慎使用。通过严格遵守剂量指南和细致的程序协议,并发症最小化。这些干预措施显著改善了患者的预后,缩短了恢复时间,并将慢性疼痛的风险降至最低,强调了IR在当代疼痛管理中的关键作用。在目前的回顾中,我们将报告在红外领域进行的最常见的神经阻滞和神经溶解干预,重点是解剖、成像指导、主要手术要点和预期并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Indication and Technical Consideration for Nerve Blocks and Neurolysis for Pain Control.

Pain management in interventional radiology (IR) encompasses a variety of advanced image-guided techniques to deliver minimally invasive treatments for various pain conditions. Key procedures include nerve blocks and neurolysis, which target specific nerves to provide substantial pain relief. Effective pain management in IR relies on a thorough understanding of regional anatomy, precise technique, and careful administration of local anesthetics, neurolytic agents, and corticosteroids. Complications are minimized through strict adherence to dosage guidelines and meticulous procedural protocols. These interventions significantly improve patient outcomes, reduce recovery times, and minimize the risk of chronic pain, underscoring the pivotal role of IR in contemporary pain management. In the present review, we will report the most common nerve blocks and neurolytic interventions performed in the IR field, by focusing on anatomy, imaging guidance, major procedural points, and expected complications.

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来源期刊
CiteScore
5.50
自引率
13.80%
发文量
306
审稿时长
3-8 weeks
期刊介绍: CardioVascular and Interventional Radiology (CVIR) is the official journal of the Cardiovascular and Interventional Radiological Society of Europe, and is also the official organ of a number of additional distinguished national and international interventional radiological societies. CVIR publishes double blinded peer-reviewed original research work including clinical and laboratory investigations, technical notes, case reports, works in progress, and letters to the editor, as well as review articles, pictorial essays, editorials, and special invited submissions in the field of vascular and interventional radiology. Beside the communication of the latest research results in this field, it is also the aim of CVIR to support continuous medical education. Articles that are accepted for publication are done so with the understanding that they, or their substantive contents, have not been and will not be submitted to any other publication.
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