The experience of performing lumbar sympathetic block to minimize complications before sympathetic neurolysis

Authors

  • R. P. Chaplynskyy Kharkiv Clinical Regional Hospital – Center for Emergency Medical Care and Disaster Medicine
  • V. M. Panov Kharkiv Clinical Regional Hospital – Center for Emergency Medical Care and Disaster Medicine

Keywords:

lumbar sympathetic block, sympathetic pain, therapeutic-diagnostic block, neurolytic block, pain intensity, infrared thermometry

Abstract

The modern method of sympathetic pain treatment is sympathetic blocks. To minimize complications of neurolysis the experience of lumbar sympathetic block with contrast media and fluoroscopic guidance is reported. To visualize the needle and the area of anesthetic distribution we use Visipaque contrast media, C-arm machine “Exoscope 8000”.

Materials and methods.

22 lumbar sympathetic blocks: in 11 patients with occlusion diseases of lower limb arteries (Fontaine, 2–3 degrees), and in 11 patients with sympathetic pain caused by osteochondrosis of the lumbar spine have been performed.

Results.

Introduction of a contrast media and studying the distribution area under the fluoroscopic guidance in anteroposterior and lateral view enables accurate position of the needle on the anterior-la teral vertebral bodies ensuring minimum effort, and determination of the structure to be blocked. This allows to introduce exactly a local anesthetic during the therapeutic-diagnostic procedure and perform the neurolytic block.

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Published

2016-12-01

How to Cite

1.
Chaplynskyy RP, Panov VM. The experience of performing lumbar sympathetic block to minimize complications before sympathetic neurolysis. PMJUA [Internet]. 2016 Dec. 1 [cited 2022 Jun. 30];1(4):44-8. Available from: https://painmedicine.org.ua/index.php/pnmdcn/article/view/35

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Section

Original article

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