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…

  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…

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…

© 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,…

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…

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…

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…

© 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…