Interventional Pain Procedures: A Narrative Review Focusing On Safety and Complications. PART 2 Interventional Procedures For Back Pain

被引:7
作者
Lo Bianco, Giuliano [1 ,2 ]
Tinnirello, Andrea [3 ]
Papa, Alfonso [4 ]
Marchesini, Maurizio [5 ]
Day, Miles [6 ]
Palumbo, Gaetano Joseph [7 ]
Terranova, Gaetano [8 ]
Dato, Maria Teresa Di [4 ]
Thomson, Simon J. [9 ]
Schatman, Michael E. [10 ,11 ]
机构
[1] Univ Catania, Dept Biomed & Biotechnol Sci, Catania, Italy
[2] Fdn Ist G Giglio, Anesthesiol & Pain Dept, Cefalu, Italy
[3] Osped Iseo, Anesthesiol & Pain Med Dept, ASST Franciacorta, I-25049 Iseo, Italy
[4] Monaldi Hosp, Pain Dept, AO Ospedali Colli, Naples, Italy
[5] IRCCS Maugeri Pavia, Mininvas Surg Dept, Unit Pain Med, I-27100 Pavia, Italy
[6] Texas Tech Univ HSC, Pain Ctr Grace Clin, Pain Res, Lubbock, TX USA
[7] Univ Padua, Azienda Osped, Dept Anesthesia & Intens Care, Padua, Italy
[8] Asst Gaetano Pini, Anaesthesia & Intens Care Dept, Milan, Italy
[9] Mid & South Essex Univ Hosp NHSFT, Pain Management, Basildon SS16 5NL, Essex, England
[10] NYU Sch Med, Dept Anesthesiol Perioperat Care & Pain Med, New York, NY USA
[11] NYU Sch Med, Dept Populat Hlth, Div Med Eth, New York, NY USA
来源
JOURNAL OF PAIN RESEARCH | 2023年 / 16卷
关键词
chronic pain; pain management procedures; complications; spinal cord stimulation; intrathecal drug delivery; low back pain; SPINAL-CORD STIMULATION; INTRATHECAL DRUG-DELIVERY; LASER DISC DECOMPRESSION; POSTDURAL PUNCTURE HEADACHE; PERCUTANEOUS VERTEBROPLASTY; ENDOSCOPIC ADHESIOLYSIS; EPIDURAL NEUROPLASTY; COST-EFFECTIVENESS; CANCER PAIN; FOLLOW-UP;
D O I
10.2147/JPR.S396215
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
In patients where conservative approaches have failed to relieve from chronic pain, interventional procedures may be an option in well selected patients. In recent years there has been an increase in the use and development of invasive procedures. Concomitantly, there has also been an increase in the complications associated with these procedures. Taken this into consideration, it is important for healthcare providers to take a cautious and vigilant approach, with a focus on patient safety, in order to minimize the risk of adverse events and ensure the best possible outcome for the patient. This may include careful selection of patients for procedures, use of proper techniques and equipment, and close monitoring and follow-up after the procedure. The aim of this narrative review is to summarize the primary complications associated with commonly performed image-guided (fluoroscopy or ultrasound -guided) interventional procedures and provide strategies to reduce the risk of these complications. We conclude that although complications from interventional pain procedures can be mitigated to a certain degree, they cannot be eliminated altogether. In order to avoid adverse events, patient safety should be given considerable attention and physicians should be constantly aware of the possibility of developing complications.
引用
收藏
页码:761 / 772
页数:12
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