Atlas of Pain Injection Techniques

By
  • Therese O'Connor, MB, FFARCSI, Consultant Anaesthetist, Pain Specialist, St. Joseph's Private Hospital, Longhanelton, Calry, Sligo, Ireland
  • Stephen Abram, MD, Professor of Anesthesiology, Medical College of Wisconsin, Milwaukee, WI

Here's 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 and easy to use way. Each description of the injection will be accompanied by figures demonstrating the surface anatomy, patient position, needle puncture site and movement of the needle in relation to anatomyh. Where necessary further figures will be used to show dye injections and successful blocks.

Audience
Anesthesiologists and Anesthesia Residents, Pain Clinics, Pain Medicine Physicians, Nurse Anesthetists, Primary Care Physicians, Oncologists, Health Science Libraries

Hardbound, 144 Pages

Published: September 2013

Imprint: Churchill Livingstone

ISBN: 978-0-7020-4471-7

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 Piri formis 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

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