硬膜外造影在围手术期和急性疼痛环境中的应用

J. R. Coleman, P. Hartmann, Matthew Kona, Robert Thiele, Reza Salajegheh, N. Hanson
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引用次数: 4

摘要

确保硬膜外导管的正确放置对于提高其疼痛控制的可靠性和保持其继续使用的信心至关重要。本文将通过单视图或连续硬膜外对比研究,分别生成硬膜外造影图,探讨硬膜外放置成功的客观确认作用。此外,在慢性疼痛医学中经常使用的连续透视的相关解剖学推论,这些技术的出现,将被解决。还包括了更好地理解和解决这些研究问题所需的技术放射学信息。图像的例子,突出模式的关键,成功的解释硬膜外图将提供。本文的目的是为不熟悉硬膜外导管透视评估的麻醉师提供必要的工具,以成功地进行和解释这种检查。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Use of epidurography in the perioperative and acute pain setting
Ensuring proper placement of epidural catheters is critical to improving their reliability for pain control and maintaining confidence in their continued use. This article will seek to address the role of objective confirmation of successful epidural placement via either single view or continuous epidural contrast studies, each creating an ‘epidurogram.’ Furthermore, the pertinent anatomical corollaries of continuous fluoroscopy used frequently in chronic pain medicine, from which these techniques emerged, will be addressed. Technical radiographic information needed to better understand and troubleshoot these studies is also included. Image examples which highlight the patterns key for successful interpretation of epidurograms will be provided. The aim of this paper was to provide an anesthesiologist unfamiliar with fluoroscopic evaluation of epidural catheters with the tools necessary to successfully conduct and interpret such an examination.
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