scholarly journals Role of transforaminal epidural injections or selective nerve root blocks in the management of lumbar radicular syndrome - A narrative, evidence-based review

2020 ◽  
Vol 11 (5) ◽  
pp. 802-809
Author(s):  
Vibhu Krishnan Viswanathan ◽  
Rishi Mugesh Kanna ◽  
H. Francis Farhadi
Keyword(s):  
Nerve Root ◽  
Evidence Based ◽  
Epidural Injections ◽  
Lumbar Radicular Syndrome ◽  
Radicular Syndrome ◽  
Nerve Root Blocks

Ultrasound-guided cervical selective nerve root injections: a narrative review of literature

2021 ◽  
pp. rapm-2020-102325
Author(s):  
Reza Ehsanian ◽  
Byron J Schneider ◽  
David J Kennedy ◽  
Eugene Koshkin
Keyword(s):  
Nerve Root ◽  
Radicular Pain ◽  
Review Of Literature ◽  
Epidural Injections ◽  
Advantages And Disadvantages ◽  
Us Guidance ◽  
Vascular Flow ◽  
Evidence Review ◽  
Nerve Root Blocks ◽  
Safety Considerations

Background/ImportanceUltrasound (US)-guided cervical selective nerve root injections (CSNRI) have been proposed as an alternative to fluoroscopic (FL) -guided injections. When choosing US guidance, the proceduralist should be aware of potential issues confirming vertebral level, be clear regarding terminology, and up to date regarding the advantages and disadvantages of US-guided CSNRI.ObjectiveReview the accuracy and effectiveness of US guidance in avoiding vascular puncture (VP) and/or intravascular injection (IVI) during CSNRI.Evidence ReviewQueries included PubMed, CINAHL and Embase databases from 2005 to 2019. Three authors reviewed references for eligibility, abstracted data, and appraised quality.FindingsThe literature demonstrates distinct safety considerations and limited evidence of the effectiveness of US guidance in detecting VP and/or IVI. As vascular flow and desired injectate spread cannot be visualized with US, the use of real-time fluoroscopy, and if needed digitial subraction imaging, is indicated in cervical transforaminal epidural injections (CTFEIs). Given the risk of VP and/or IVI, the ability to perform and to retain FL images to document that the procedure was safely conducted is valuable in CTFEIs.ConclusionUS guidance remains to be proven as a non-inferior alternative to FL guidance or other imaging modalities in the prevention of VP and/or IVI with CTFEIs or cervical selective nerve root blocks. There is a paucity of adequately powered clinical studies evaluating the accuracy and effectiveness of US guidance in avoiding VP and/or IVI. US-guided procedures to treat cervical radicular pain has limitations in visualization of anatomy, and currently with the evidence available is best used in a combined approach with FL guidance.

Cervical Nerve Root Blocks: Indications and Role of MR Imaging

Radiology ◽  
2004 ◽  
Vol 233 (1) ◽  
pp. 87-92 ◽  
Author(s):  
Klaus Strobel ◽  
Christian W. A. Pfirrmann ◽  
Marius Schmid ◽  
Juerg Hodler ◽  
Norbert Boos ◽  
...  
Keyword(s):  
Mr Imaging ◽  
Nerve Root ◽  
Cervical Nerve Root ◽  
Cervical Nerve ◽  
Nerve Root Blocks

scholarly journals The role of needle tip position on the accuracy of diagnostic selective nerve root blocks in spinal deformity

2014 ◽  
Vol 23 (S1) ◽  
pp. 33-39 ◽  
Author(s):  
A. Irwin ◽  
A. L. Khan ◽  
D. Fender ◽  
P. L. Sanderson ◽  
M. J. Gibson
Keyword(s):  
Spinal Deformity ◽  
Nerve Root ◽  
Nerve Root Blocks ◽  
Tip Position

Self-Regulatory Aspects of Bullshitting and Bullshit Detection

2020 ◽  
Vol 51 (4) ◽  
pp. 239-253
Author(s):  
John V. Petrocelli ◽  
Haley F. Watson ◽  
Edward R. Hirt
Keyword(s):  
Evidence Based ◽  
Regulatory Aspects

Abstract. Two experiments investigate the role of self-regulatory resources in bullshitting behavior (i.e., communicating with little to no regard for evidence, established knowledge, or truth; Frankfurt, 1986 ; Petrocelli, 2018a ), and receptivity and sensitivity to bullshit. It is hypothesized that evidence-based communication and bullshit detection require motivation and considerably greater self-regulatory resources relative to bullshitting and insensitivity to bullshit. In Experiment 1 ( N = 210) and Experiment 2 ( N = 214), participants refrained from bullshitting only when they possessed adequate self-regulatory resources and expected to be held accountable for their communicative contributions. Results of both experiments also suggest that people are more receptive to bullshit, and less sensitive to detecting bullshit, under conditions in which they possess relatively few self-regulatory resources.

Diagnostic Selective Nerve Root Blocks

1998 ◽  
Vol 10 (2) ◽  
pp. 123-146 ◽  
Author(s):  
Curtis W. Slipman ◽  
Randal A. Palmitier
Keyword(s):  
Nerve Root ◽  
Nerve Root Blocks
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