By Steven D. Waldman MD JD
This atlas, a spouse to the preferred INTERVENTIONAL ache administration, offers step by step full-color illustrations demonstrating interventional ache administration recommendations. Over 2 hundred computer-generated figures offer a shiny and colourful option to view discomfort administration equipment in a nearly 3D method. The textual content bargains concise details on anatomy, symptoms, process, and issues in an easy, bulleted layout.
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Extra resources for Atlas of interventional pain management
The addition of tepid aluminum acetate soaks helps dry weeping lesions and makes the patient more comfortable. Care should be taken to avoid spillage of the aluminum acetate solution into the eye. :hapter 1 0: Supratrochlear 41 Nerve Block Sensory distribution of supratrochlear nerve Figure 10-1 Supratrochlear Figure 10-2 n. 11 chapter Infraorbital Nerve Block: Extraoral Approach - TECHNIQUE CPT-4 CODE 64400 64400-50 64600 Unilateral Bilateral Neurolytic RELATIVE VALUE UNITS 5 10 20 Unilateral Bilateral Neurolytic - INDICATIONS Infraorbital nerve block is useful in the diagnosis and treatment of painful conditions in areas subserved by the infraorbital nerve, including infraorbital neuralgia and pain secondary to herpes zoster.
SIDE EFFECTSAND COMPLICATIONS The face is highly vascular, and the pain specialist should carefully calculate the total milligram dosage of local anesthetic that may be safely given, especially if bilateral nerve blocks are being performed. This vascularity gives rise to an increased incidence of post-block ecchymosis and hematoma formation. In spite of the vascularity of this anatomic region, this technique can safely be performed in the presence of anticoagulation by using a 25- or 27-gauge needle, albeit at increased risk of hematoma, if the clinical situation dictates a favorable risk-to-benefit ratio.
When treating supraorbital neuralgia, acute herpes zoster, postherpetic neuralgia, or other painful conditions involving the supraorbital nerve, a total of 80 mg of depot-steroid is added to the local anesthetic with the first block and 40 mg of depot-steroid is added with subsequent blocks. The supraorbital notch on the affected side is then identified by palpation. The skin overlying the notch is prepared with antiseptic solution, with care being taken to avoid spillage into the eye. A 25-gauge, 1v,inch needle is inserted at the level of the supraorbital notch and is advanced medially approximately 15 degrees off the perpendicular to avoid entering the foramen.
Atlas of interventional pain management by Steven D. Waldman MD JD