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Atlas of Pain Injection Techniques
Therese O'Connor MB FFARCSI, Consultant Anaesthetist, Pain Specialist, The Sligo General Hospital, The Mall, Sligo, Ireland
ISBN 044306380X · Hardback · 156 Pages · 260 Illustrations
Churchill Livingstone · Published 2003
A highly illustrated, practical guide with easy-to-follow descriptions of pain injection techniques. It will give special advice on how to achieve a successful block and how to avoid and manage potential problems. The techniques will be described in a systematic way using the following template:
Anatomy of Structures
Equipment
Drugs
Position of Patient
Needle Puncture and Technique
Confirmation of a Successful Block
Special Tips on How to Achieve a Successful Block
Potential Problems and How to Avoid and Treat
Aftercare
Comments.
.
Each description of the injection will be accompanied by figures (photograph/line drawing as appropriate) demonstrating the surface anatomy, patient position, needle puncture site and movement of the needle in relation to anatomy. Where necessary, further figures will be used to show dye injections and successful blocks.
Contents
1. Mechanisms of pain transmission-an overview of anatomy and physiology
2. Joint injections
2.1 Lumbar facet joint injection
2.1 Cervical facet joint injection
2.3 Sacro-iliac joint injection
3. Epidural blockade
3.1 Lumbar epidural block
3.2 Thoracic epidural block
3.3 Cervical epidural block
3.4 Caudal epidural block
3.5 Long-term epidural catheter insertion
4. Somatic nerve blockade
4.1 Intercostal nerve block
4.2 Interpleural block
4.3 Lumbar nerve root block
4.4 Thoracic nerve root block
4.5 Sacral nerve root block
4.6 Occipital nerve block
4.7 Trigeminal ganglion (Gasserian) block
5. Autonomic blockade
5.1 Stellate ganglion block-C6 (classic) approach
5.2 Stellate ganglion block-C7 approach
5.3 Lumbar sympathetic block
5.4 Celiac plexus block-retrocrural approach
5.5 Celiac plexus block-anterocrural approach
5.6 Splanchnic nerve block
5.7 Hypogastric plexus block
5.8 Ganglion impar block
5.9 Intravenous regional sympathetic block-upper limb
5.10 Intravenous regional sympathetic block-lower limb
6. Muscle injection
6.1 Trigger-point injection-neck
6.2 Trigger-point injection-back
6.3 Gluteus medius injection
6.4 Piriformis injection
7. Transcutaneous electrical nerve stimulation (TENS)
Appendix 1 Suggested local anesthetics
Appendix 2 Suggested corticosteroids
Appendix 3 Suggested neurolytic agents
Appendix 4 Recommended resuscitation drugs and equipment
Appendix 5 Dermatomes
Suggested reading
Index
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