Please use this identifier to cite or link to this item: http://hdl.handle.net/1959.13/807118

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Title
Is immediate pain relief after a spinal injection procedure enhanced by intravenous sedation?
Author/Creator
Dreyfuss, Paul;  Cohen, Steven;  Chen, Allen Sinclair;  Bohart, Zach;  Bogduk, Nikolai
Institution
The University of Newcastle. Faculty of Health, School of Biomedical Sciences and Pharmacy
Description
Objective: To determine the effect of intravenous sedation on postprocedural pain relief for patients undergoing a spinal injection procedure in which there is no expectation of immediate relief. Design: A prospective audit to compare Visual Analog Scale (VAS) responses before and after interlaminar epidural corticosteroid injections without epidural anesthetic in those who did and did not receive intravenous sedation. Setting: This audit was undertaken in 2 interventional spine practices. Patients: A total of 102 patients were allotted to receive or not receive intravenous sedation depending on preference. Interventions: Interlaminar epidural injections of corticosteroid without epidural anesthetic. Main Outcome Measurements: Outcomes were measured by mean (VAS) scores after the procedure and mean VAS differences before and after the procedure. Results: There were no significant differences between mean VAS scores or mean differences in VAS scores between those who did or did not receive intravenous sedation. A relatively high percentage of patients in both groups obtained greater than 50% immediate pain relief. Conclusion: Intravenous mild or moderate conscious sedation did not have an effect on postprocedural VAS pain scores in those receiving a therapeutic spinal injection procedure. Immediate pain relief was most likely the result of nonspecific effects.
Relation
PM&R Vol. 1, Issue 1, p. 60-63
Publisher Link
http://dx.doi.org/10.1016/j.pmrj.2008.10.006
Date
2009
Publisher
Elsevier
Keyword(s)
intravenous sedation;  pain relief;  Visual Analog Scale;  epidural injections
Resource Type
journal article
Identifier
http://hdl.handle.net/1959.13/807118
Identifier
ISSN:1934-1482
Reviewed
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Subject
"PM&R"
 
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