The experience of performing lumbar sympathetic block to minimize complications before sympathetic neurolysis
Keywords:lumbar sympathetic block, sympathetic pain, therapeutic-diagnostic block, neurolytic block, pain intensity, infrared thermometry
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.
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.
Radiographic imaging for regional anesthesia and pain management / P. Prithvi Raj, Leland Lou, Serdar Erdine, Peter S. Staats. – Elsevier Scienca, 2003. – P. 175–184.
Complex regional pain syndrome: More than a peripheral disease. / A. Reinersmann, C. Maier, P. Schwenkreis, M. Lenz // Pain Management. – 2013. – Vol. 3, N 6. – Р. 495–502.
Medication compliance in patients with chronic pain / K. Kipping, C. Maier, H. H. Bussemas, A. Schwarzer. // Pain Physician. – 2014. – Vol. 17 (1). – P. 81–94.
Brown D. L. Atlas of regional anesthesia: Expert Consult, 4e / D. L. Brown // Elsevier Health Sciences. – 2010. – P. 368.
Crofford L. J. Pharmaceutical treatment options for fibromyalgia // Curr Rheumatol Rep. – 2004. – 6 : 274–280.9
Feigl G. C. Topography of the lumbar sympathetic trunk in normal lumbar spines and spines with spondylophytes. [Text] / G. C. Feigl, M. Kastner, H. Ulz et al. // British Journal of Anaesthesiol. – 2011. – Vol. 6 (2). – Р. 260–265.
Pennekamp W. Permanent lesion of the lateral femoral cutaneous nerve after low-volume ethanol 96 % application on the lumbar sympathetic chain. [Text] / W. Pennekamp, E. K. Krumova, G. P. Feigl et al. // Pain Physician. – 2013. – Vol. 16(4). – Р. 391–397.
Woelk C. J. Management of critical limb ischemia. – Canadian Family Physician. – 2012 (september). – Vol. 58. – Р. 960–963.
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