Ultrasonography versus fluoroscopy in modern pain management

Kothari, Kailash; Sahu, Dinesh Kumar

doi:10.4103/0970-5333.186459

Cited by 4 publications

(2 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Ultrasound-guided pump access, while not as well established as fluoroscopic guidance in IT pump management, has shown improvement in image quality in recent years and has the advantage of being cost-effective and radiation-sparing. 41 , 42 At each refill, comparison of drug volume aspirated from the reservoir with expected volume (based on the programmed flow rate) provides a general assessment of proper pump function; 33 , 36 ultrasound may be used after refill to examine for changes in the appearance of the pump pocket that might indicate a possible pocket fill. 37…”

Section: Methodsmentioning

confidence: 99%

Intrathecal pain management: a team-based approach

Adler

2017

JPR

View full text Add to dashboard Cite

ObjectivePhysician assistants (PAs), nurse practitioners (NPs), and registered nurses (RNs) provide professional services on pain management teams. This review provides an overview of the practical management of chronic pain with intrathecal (IT) therapy using an interprofessional approach (eg, physicians and other health care professionals), with a focus on the contributions of PAs, NPs, and RNs.MethodsNarrative review based on literature searches of the Medline database and treatment guidelines on the use of IT therapy in the management of patients with chronic pain.ResultsThe specific roles and responsibilities of PAs, NPs, and RNs in the management of patients receiving IT therapy vary by practice. In many pain treatment centers, PAs, NPs, and RNs are responsible for patient education, postimplant maintenance, and ongoing supportive care of patients receiving IT therapy. Topics that we address include patient selection, patient expectations and goal setting, medication selection, outcome assessment, and treatment adjustment. Currently, morphine and ziconotide (a nonopioid, selective N-type calcium channel blocker) are the only agents approved by the US Food and Drug Administration for IT analgesia. We provide relevant information on the dosing, titration, and adverse effect management of these medications for PAs, NPs, and RNs responsible for administering IT therapy.ConclusionPAs, NPs, and RNs are valuable members of IT pain management teams. Treatment success requires ongoing monitoring of efficacy and adverse effects, with corresponding adjustments to medication selection and dosing, in addition to good communication among the health care professionals involved in patient care.

show abstract

Section: Methodsmentioning

confidence: 99%

Intrathecal pain management: a team-based approach

Adler

2017

JPR

View full text Add to dashboard Cite

show abstract

“…Fluoroscopy is a well-established imaging tool in pain clinics and has the advantage of showing real time images. [123] Literature suggests that in severe scoliosis (Cobb angle >50°), imaging modalities should be used for neuraxial access. [4]…”

mentioning

confidence: 99%