Intrathecal Medication Withdrawal

Feb 26, 2018 by in Uncategorized Comments Off on Intrathecal Medication Withdrawal

Fig. 32.1 Clinical decision tree to assess etiology of symptoms of intrathecal medication withdrawal 32.3 Intrathecal Withdrawal There are only three drugs that are FDA approved for intrathecal delivery: morphine,…

read more

Epidural Abscess After Epidural Steroid Injection in a Patient on TNF-Alpha Inhibitors

Feb 26, 2018 by in Uncategorized Comments Off on Epidural Abscess After Epidural Steroid Injection in a Patient on TNF-Alpha Inhibitors

Name of anti-TNF drug Structure/mechanism of action Infliximab Chimeric (mouse/human) anti-TNF-alpha antibody Etanercept TNF-alpha receptor fusion protein Adalimumab Human TNF-alpha monoclonal anti-TNF-alpha antibody Certolizumab pegol Antigen-binding fragment (Fab) of human…

read more

Increased Pain After Kyphoplasty

Feb 26, 2018 by in Uncategorized Comments Off on Increased Pain After Kyphoplasty

Fig. 43.1 Facet strain causing back pain after compression fracture Persistent post-procedure pain prompts an x-ray or CT evaluation of the injected site, especially if the pain has changed or…

read more

Bupivacaine-Induced Myonecrosis

Feb 26, 2018 by in Uncategorized Comments Off on Bupivacaine-Induced Myonecrosis

Fig. 47.1 Concentration-dependent bupivacaine myotoxicity. Rabbit extraocular muscles at 5 days after injection of bupivacaine or saline. (a) Saline injection: normal-appearing muscle fiber cells displayed regular arrangement with the nuclei…

read more

Complications of Occipital Nerve Block

Feb 26, 2018 by in Uncategorized Comments Off on Complications of Occipital Nerve Block

Complication Presentation Cutaneous adverse reactions Atrophy, alopecia, hyperpigmentation, folliculitis Myonecrosis/myotoxicity Attributed to local anesthetic or corticosteroid Intra-arterial injection Central nervous system manifestations Cardiovascular manifestations Subarachnoid injection Brain stem anesthesia 45.2.5…

read more

Seroma or Hygroma Formation After Implantation of an Intrathecal Drug Delivery System or a Spinal Cord Stimulator

Feb 26, 2018 by in Uncategorized Comments Off on Seroma or Hygroma Formation After Implantation of an Intrathecal Drug Delivery System or a Spinal Cord Stimulator

Mechanical Biological Electrode fracture or migration for SCS Infection Catheter fracture or migration for ITDDS Bleeding Battery failure for SCS or ITDDS Nerve injury Programming or pump-fill errors for ITDDS…

read more
Premium Wordpress Themes by UFO Themes