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介入性疼痛治疗:聚焦安全性和并发症的叙述性综述。第2部分 背痛的介入治疗

Interventional Pain Procedures: A Narrative Review Focusing On Safety and Complications. PART 2 Interventional Procedures For Back Pain.

作者信息

Lo Bianco Giuliano, Tinnirello Andrea, Papa Alfonso, Marchesini Maurizio, Day Miles, Palumbo Gaetano Joseph, Terranova Gaetano, Di Dato Maria Teresa, Thomson Simon J, Schatman Michael E

机构信息

Department of Biomedical and Biotechnological Sciences, University of Catania, Catania, Italy.

Anesthesiology and Pain Department, Fondazione Istituto G. Giglio, Cefalù, Italy.

出版信息

J Pain Res. 2023 Mar 9;16:761-772. doi: 10.2147/JPR.S396215. eCollection 2023.

Abstract

In patients where conservative approaches have failed to relieve from chronic pain, interventional procedures may be an option in well selected patients. In recent years there has been an increase in the use and development of invasive procedures. Concomitantly, there has also been an increase in the complications associated with these procedures. Taken this into consideration, it is important for healthcare providers to take a cautious and vigilant approach, with a focus on patient safety, in order to minimize the risk of adverse events and ensure the best possible outcome for the patient. This may include careful selection of patients for procedures, use of proper techniques and equipment, and close monitoring and follow-up after the procedure. The aim of this narrative review is to summarize the primary complications associated with commonly performed image-guided (fluoroscopy or ultrasound-guided) interventional procedures and provide strategies to reduce the risk of these complications. We conclude that although complications from interventional pain procedures can be mitigated to a certain degree, they cannot be eliminated altogether. In order to avoid adverse events, patient safety should be given considerable attention and physicians should be constantly aware of the possibility of developing complications.

摘要

对于保守治疗方法未能缓解慢性疼痛的患者,在精心挑选的患者中,介入手术可能是一种选择。近年来,侵入性手术的使用和发展有所增加。与此同时,与这些手术相关的并发症也有所增加。考虑到这一点,医疗保健提供者采取谨慎和警惕的方法,以患者安全为重点,对于将不良事件风险降至最低并确保患者获得最佳可能结果非常重要。这可能包括仔细挑选手术患者、使用适当的技术和设备,以及术后密切监测和随访。本叙述性综述的目的是总结与常用的影像引导(荧光透视或超声引导)介入手术相关的主要并发症,并提供降低这些并发症风险的策略。我们得出的结论是,尽管介入性疼痛手术的并发症可以在一定程度上得到缓解,但不能完全消除。为了避免不良事件,应高度重视患者安全,医生应始终意识到发生并发症的可能性。

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