Description
Procedure Notes for Interventional Pain Medicine Fellows – E-Book – Original PDF
INTRODUCTION
The discipline of pain medicine is complex and fascinating. It reaches out
to a variety of medical disciplines in order to provide a comprehensive
treatment for patients. Pain is generally defined as a localized or generalized
unpleasant bodily sensation or complex of sensations that causes mild to
severe physical discomfort and emotional distress. Therefore, in order to
treat pain properly, a provider has to utilize their knowledge from orthopedics,
psychology, anatomy, neurology and more. Since we all come from
different disciplines, it is very important to collaborate with our colleagues
and know our limitations. We often use interventional pain management
techniques to alleviate pain temporarily. This provides a window of
opportunity for the patient to utilize other modalities to help with the pain
including but not limited to physical therapy, which helps strengthen the
muscles surrounding the painful body parts. As basic sciences in pain
medicine progress, we may utilize more specific molecular treatments
focused on the painful areas to alleviate the pain.
The purpose of this book is to provide you with a glimpse of how a typical
intervention can be performed. Please know, this is just a template and the
details on how the procedure is actually performed is in the hand of the
practitioner and remains your responsibility. This book does not cover all
the possible procedures, their variations, nor does it replace a fellowship in
pain medicine. This is a collection of procedures that are commonly
performed by interventional pain providers whose experience and knowledge
dictates the probable outcome of the procedure. Performing a procedure is
a team effort. Depending on the complexity of the procedure, several people
may be involved including but not limited to the interventional pain
physician, radiological technologist and nursing staff. Communication with
radiologic technologist is very crucial and helpful to the flow of the
procedure which can aid in achieving favorable outcomes.
Fluoroscopy (C-arm) is the most common imaging modality used in
interventional pain management. The true benefit of utilizing a C-arm
during interventional pain procedures is the ability to alter the angle to better
define the pathway to the target. The practitioner advances the needle in the
same parallel plane(s) as the angle and obliquity of the C-arm. Frequently
adjustments to the angles are very minute for optimal identification of the
anatomy and the pathway to the target point. Proper protection against
radiation, practicing safe distance, reducing fluoroscopy-time, and proper
shielding should be practiced reducing exposure.
Authors: K. C. Maasumi, Author-Sam Scire, Author
Publication: Cambridge Scholars Publishing
Year: 2023
ISBN: 9781527528604, 9781527528611
Format: Original PDF
Language: English
