Radiographic Imaging for Regional Anesthesia and Pain Management

Overview

This comprehensive reference presents meticulous, "how-to-do-it" guidance on performing today's top radiographically guided regional anesthesia and pain management techniques. Step-by-step instructions for all major interventional regional procedures, combined with a wealth of images and crisp line drawings, make the coverage easy to apply.

• Features fluoroscopic, MRI, or CT images for each procedure to ensure proper positioning, and detailed ...

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Overview

This comprehensive reference presents meticulous, "how-to-do-it" guidance on performing today's top radiographically guided regional anesthesia and pain management techniques. Step-by-step instructions for all major interventional regional procedures, combined with a wealth of images and crisp line drawings, make the coverage easy to apply.

• Features fluoroscopic, MRI, or CT images for each procedure to ensure proper positioning, and detailed line drawings to show proper technique.

• Offers complete information on complications and their avoidance.

• Provides radiographic solutions for tissue specific enhancement.

• Covers the most relevant topics affecting today's practice: contrast agents · trigeminal nerve block · cervical facets block · thoracic epidural · lumbar facets · lumbar discography · sciatic nerve catheter.

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Editorial Reviews

Doody's Review Service
Reviewer: Carol L. Andrews, MD (Tower Imgaging Medical Group)
Description: This atlas-like book addresses common procedures employed in the interventional pain management. Its sections are organized to address general issues such as medications and radiation safety as well as specific techniques ranging from maxillary nerve block to vertebroplasty.
Purpose: The authors' stated purpose is to provide step-by-step instructions with special emphasis on radiographic imaging. There is definitely a need for this type of manual and they do offer an organized approach to this technical information. However, this is not a book a novice could use as a safe and complete guide to performing these procedures. It lacks step-by-step description of these complex procedures and the scarce radiographic images are of poor quality, leaving the reader no idea what is being illustrated.
Audience: The inconsistent writing style limits this manual's usefulness to the beginning and experienced practitioner. Some topics are covered at a very basic level, such as radiation physics (not a particularly applicable subject for this target audience), while other topics such as lumbar facet injections are treated with exquisite detail creating a sharp contrast to the superficial discussion of more complex procedures relating to radiofrequency ablation and epiduroscopy. These authors are credible, well-published experts in anesthesiology.
Features: The first three chapters cover radiation physics, the basic circuitry of an x-ray machine, and radiation safety. A limited chapter on the pharmacology of pain management addresses local anesthetics, neurolytics and (very obliquely) the use of contrast agents with no mention of several drugs repeatedly referenced throughout the remainder of the book including the use of steroid agents and hyalgan. The remainder of the book addresses the individual techniques used in the head, neck, chest, abdomen, and spine. Each chapter is organized with a brief history of the procedure followed by relevant anatomy, clinical indications, equipment, commonly used drugs, the procedure techniques, potential complications and efficacy. "Helpful hints" are included and the experts offer useful tidbits clearly gleaned from their years of combined experience. There are CPT codes listed for some of the procedures, although they are not complete and reference to a current coding book is recommended.
Assessment: This book has a worthy agenda but fails to accomplish the goal of becoming the "go-to" reference in the area of pain management with radiographic guidance.

2 Stars from Doody
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Product Details

  • ISBN-13: 9780443065965
  • Publisher: Elsevier Health Sciences
  • Publication date: 10/16/2002
  • Edition number: 1
  • Pages: 352
  • Product dimensions: 8.78 (w) x 11.16 (h) x 0.80 (d)

Table of Contents

1. Basic Physics of Radiography
2. Equipment Used for Radio-Imaging: Fluoroscopy • Computed Tomography
3. Radiation Safety
4. Pharmacology of Drugs Used with Radiographic Imaging
5. Principles of Radiofrequency and Cryoanalgesia
6. Trigeminal Ganglion Block and Neurolysis
7. Maxillary Nerve Block
8. Mandibular Nerve Block
9. Glossopharyngeal Nerve Block
10. Cervical (C3-7) Nerve Root Block and Radiofrequency Thermocoagulation
11. Sphenopalatine Ganglion Block and Neurolysis
12. Stellate Ganglion Block
13. Atlanto-occipital Joint Block
14. Atlanto-axial Joint Block
15. Cervical Facets Median Branch Block and Radiofrequency Thermocoagulation
16. Cervical Epidural
17. Cervical Discogram
18. Brachial Plexus
19. Intercostal Nerve Block
20. Thoracic Nerve Root/Dorsal Root Ganglion Block and Neurolysis
21. Suprascapular Nerve Block
22. T2, 3 Sympathetic Block and Radiofrequency Thermocoagulation
23. Thoracic Facet Radiofrequency Thermocoagulation
24. Thoracic Epidural
25. Thoracic Discogram
26. Lumbar Nerve Root/Dorsal Root Ganglion Block and Radiofrequency Thermocoagulation
27. Splanchnic Nerve Block and Radiofrequency Thermocoagulation
28. Celiac Ganglion Block and Neurolysis
29. Lumbar Sympathetic Block and Neurolysis
30. Lumbar Facet Block and Median Branch Block
31. Lumbar Discography
32. Intradiscal Electro Thermocoagulation
33. Vertebroplasty
34. Psoas and Quadratus Lumborum Muscle Injection
35. Sacral Nerve Root Injection and Radiofrequency Thermocoagulation
36. Hypogastric Plexus Block and Neurolysis
37. Ganglion of Impar Block
38. Sacroiliac Joint Injection
39. Sciatic Nerve Catheter Placement and Block
40. Piriformis Muscle Injection
Special Procedures
41. Decompressive Neuroplasty: Cervical • Transforminal • Caudal
42. Epiduroscopy
43. Augmentation Techniques: Occipital Stimulation • Cervical Stimulation • Thoracic Abdominal Stimulation • Sacral Stimulation
44. Intrathecal Implantation of Pump and Catheter

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