Buprenorphine Challenges in the Perioperative Period
Formulation Administration Dose Half-life Indication Buprenex IM, IV 0.3 mg/mL 1.2–7.2 h Moderate to severe pain Butrans Transdermal patch 5, 7.5, 10, 15, 20 μg/h 24–46 h Chronic pain Subutex…
Septic Knee
Volume, mL (knee) Clarity Color Viscosity WBC/mm2 PML (%) Culture Normal <3.5 Transparent Clear High <200 <25 Negative Noninflammatory Often >3.5 Translucent-opaque Yellow High 0–2000 <25 Negative Inflammatory Often…
Pneumothorax After Serratus Anterior Trigger Point Injection
Fig. 44.1 Serratus anterior muscle with common trigger point. Image based on web open-source material: https://www.quora.com/What-causes-side-stitch-while-running-and-what-are-good-ways-to-deal-with-this-pain General and musculoskeletal physical exam findings in a patient with a serratus anterior trigger…
Vascular Uptake of PMMA After Spinal Procedures
© Springer International Publishing AG 2018Magdalena Anitescu, Honorio T. Benzon and Mark S. Wallace (eds.)Challenging Cases and Complication Management in Pain Medicinehttps://doi.org/10.1007/978-3-319-60072-7_42 42. Vascular Uptake of PMMA After Spinal Procedures Khalid Malik1 (1) Department of Anesthesiology,…
Wound Dehiscence After Intrathecal Pump Implantation for Cancer Pain
Fig. 36.1 Picture of a small area of opening 2 weeks after placement of the intrathecal drug delivery system in a patient with chronic nonmalignant pain. System was explanted as…
Complications Related to Catheter Migration
Central nervous system toxicity Cardiovascular toxicity Subjective symptoms • Agitation/difficulty focusing • Auditory changes/tinnitus • Dizziness/light-headedness • Metallic taste/tinnitus • Abrupt onset of psychiatric symptoms Direct cardiac effects • Depression of sinus node pacemaker activity • Depression…
Ureteral Injury After Lumbar Sympathetic Block
Fig. 24.1 Placement of the needle at the L3 level for a left lumbar sympathetic block shows uptake of the dye by the left kidney via ureter. Needle was removed…
Aortic Dissection After Celiac Plexus Block
© Springer International Publishing AG 2018Magdalena Anitescu, Honorio T. Benzon and Mark S. Wallace (eds.)Challenging Cases and Complication Management in Pain Medicinehttps://doi.org/10.1007/978-3-319-60072-7_23 23. Aortic Dissection After Celiac Plexus Block R. Lee Wagner1 (1) Scripps Green Hospital, La…
Autonomic Insufficiency After Neurolytic Celiac Plexus Block
Fig. 22.1 The autonomic nervous system . Ed-Westphal Edinger-Westphal nucleus, Sup Saliv superior salivatory nucleus, Inf Saliv inferior salivatory nucleus, Dorsal Motor and Nucl Ambig dorsal motor nucleus of the…
Retroperitoneal Hematoma After Celiac Plexus Block
Fig. 21.1 Retroperitoneal space The celiac plexus is located deep in the retroperitoneum, behind the stomach and omental bursa, and anterior to the crura of the diaphragm on the level…
