지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 486 - 491 (6page)
이용수
초록· 키워드
오류제보하기
Background: Sympathetic blocks (SBs) have been used widely to relieve the symptoms of sympathetically maintained pain (SMP). The thoracic sympathetic ganglion is not separated from somatic nerves by muscles and connective tissue. The upper thoracic ganglion runs along the posterior surface of the vertebral column in close proximity to the adjacent epidural region. This anatomical difference leads to frequent epidural and intercostal spread in cases of thoracic SBs. The purpose of this study was to investigate the incidence of inadvertent intercostal and epidural injections during thoracic SBs.Methods: Twenty-two patients who were suffering from complex regional pain syndrome or lymphedema after breast cancer surgery were managed with two or three times of thoracic SBs. Therefore, injections of 63 thoracic SBs from 22 patients were enrolled in this study. An investigator who did not attend the procedure evaluated the occurrence of intercostal or epidural spread using anteroposterior fluoroscopic images.Results: The overall incidence of inadvertent intercostal or epidural spread of contrast was 47.5%. Among the inadvertent injections, intercostal spread (34.9%) was more frequent than epidural spread (12.6%). Only 52.5% of the thoracic SBs demonstrated successful contrast spread without any inadvertent spread. The mean difference in skin temperature between the blocked and unblocked sides was 2.5 ± 1.8ºC. Fifty-nine (93.6%) injections demonstrated more than 1.5ºC difference.Conclusions: Thoracic SBs showed a high incidence (47.5%) of inadvertent epidural or intercostal injection. Thus, special attention is required for the diagnosis of SMP or the injection of any neurolytic agent around sympathetic ganglion.
목차
등록된 정보가 없습니다.
참고문헌 (19)
참고문헌 신청
Chaudhry A / 2018 / Detection of the stellate and thoracic sympathetic chain ganglia with high-resolution 3D-CISS MR imaging / AJNR Am J Neuroradiol 39:1550~1554
Elias M / 2000 / Cervical sympathetic and stellate ganglion blocks / Pain Physician 3:294~304
Wehrwein EA / 2016 / Overview of the anatomy, physiology, and pharmacology of the autonomic nervous system / Compr Physiol 6:1239~1278
Krumova EK / 2011 / Are sympathetic blocks useful for diagnostic purposes? / Reg Anesth Pain Med 36:560~567
Gibbs GF / 2008 / Unravelling the pathophysiology of complex regional pain syndrome : focus on sympathetically maintained pain / Clin Exp Pharmacol Physiol 35:717~724
Elias M / 2000 / Cervical sympathetic and stellate ganglion blocks / Pain Physician 3:294~304
Wehrwein EA / 2016 / Overview of the anatomy, physiology, and pharmacology of the autonomic nervous system / Compr Physiol 6:1239~1278
Krumova EK / 2011 / Are sympathetic blocks useful for diagnostic purposes? / Reg Anesth Pain Med 36:560~567
Gibbs GF / 2008 / Unravelling the pathophysiology of complex regional pain syndrome : focus on sympathetically maintained pain / Clin Exp Pharmacol Physiol 35:717~724
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Paraplegia Following Intercostal Nerve Neurolysis with Alcohol and Thoracic Epidural Injection in Lung Cancer Patient
The Korean Journal of Pain
2015 .01
-
늑간신경의 신경집종에 의한 늑간신경통 - 증례 보고 -
Anesthesia and Pain Medicine
2019 .01
-
Comparison of Clinical Outcomes of Different Rates of Infusion in Caudal Epidural Steroid Injection: A Randomized Controlled Trial
Asian Spine Journal
2021 .01
-
A Comparison of Two Techniques for Ultrasound-guided Caudal Injection: The Influence of the Depth of the Inserted Needle on Caudal Block
The Korean Journal of Pain
2015 .01
-
Epidural hematoma treated by aspiration after transforaminal epidural steroid injection - A case report -
Anesthesia and Pain Medicine
2021 .01
-
Therapeutic potential of stellate ganglion block in orofacial pain: a mini review
Journal of dental anesthesia and pain medicine
2016 .01
-
Drainage of an acute spinal epidural hematoma that developed without risk factors in the thoracic spine using epidural needle -A case report-
Anesthesia and Pain Medicine
2017 .01
-
Anaphylactic Shock Following Nonionic Contrast Medium during Caudal Epidural Injection
The Korean Journal of Pain
2015 .01
-
Ultrasound Guided Technique for the Caudal Epidural Injection
The Korean Journal of Pain
2015 .01
-
Cervical Meningomyelitis After Lumbar Epidural Steroid Injection
Annals of Rehabilitation Medicine
2015 .01
-
Clinical Identification of the Vertebral Level at Which the Lumbar Sympathetic Ganglia Aggregate
The Korean Journal of Pain
2016 .01
-
Non-intubated thoracic surgery under thoracic epidural anesthesia
Korean Journal of Anesthesiology
2017 .01
-
Delayed Pneumocephalus Following Fluoroscopy Guided Cervical Interlaminar Epidural Steroid Injection : A Rare Complication and Anatomical Considerations
대한신경외과학회지
2015 .01
-
A brief report on a technical description of ultrasound-guided lumbar sympathetic block
The Korean Journal of Pain
2017 .01
-
A clinical retrospective study comparing thoracic epidural catheterization between awake and anesthetized patients
Anesthesia and Pain Medicine
2019 .01
-
Cerebellar Infarction Following Epidural Abscess after Epidural Neuroplasty
Neurospine
2015 .01
-
경피적 경막외 신경성형술 중 발생한 의도하지 않은 척수강 내 조영제 주입: 부검 2증례
대한법의학회지
2023 .05
-
Cervical epidural hematoma with Brown-Sequard syndrome caused by an epidural injection: a case report
Clinical and Experimental Emergency Medicine
2021 .12
-
Effect of epidural corticosteroid injection on magnetic resonance imaging findings
The Korean Journal of Pain
2017 .01
-
경막외 신경성형술
Anesthesia and Pain Medicine
2016 .01
이 논문의 저자 정보
최근 본 자료
댓글(0)
0