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Sedation for Interventional Techniques

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Essentials of Interventional Techniques in Managing Chronic Pain

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Abstract

Medical advances in noninvasive monitoring have made sedation safer and provided by diverse groups of clinicians in many locations. Sedation has enabled the delivery of safe care, decreased pain and suffering, and facilitated access to many complicated procedures in an outpatient setting. The majority of chronic pain patients may desire and/or require sedation. The present evidence illustrates a lack of confounding in the diagnostic ability of diagnostic facet joint nerve blocks. However, there is a paucity of literature in reference to therapeutic interventional techniques and the requirements of sedation.

Overall, complications or side effects are extremely rare or nonexistent from sedation supervised or provided by well-trained physicians. This chapter discusses sedation for interventional pain procedures with an emphasis on guidelines for safe delivery, selection of appropriate patients, patient evaluation, medications, patient monitoring, and safe discharge.

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Author information

Authors and Affiliations

  1. Henry Ford Hospital, Detroit, MI, USA

    Murali Patri

  2. Department of Neurology, University of Washington, Seattle, WA, USA

    Natalia Murinova

  3. Departments of Psychiatry, Anesthesia, and Pain Medicine, Harborview Medical Center, Seattle, WA, USA

    Daniel Krashin

  4. Department of Anesthesia, LSU Health Science Center, New Orleans, LA, USA

    Alan D. Kaye

  5. ASIPP and SIPMS, Paducah, KY, USA

    Laxmaiah Manchikanti

  6. Pain Management Center of Paducah, Paducah, KY, USA

    Laxmaiah Manchikanti

  7. Anesthesiology and Perioperative Medicine, University of Louisville, Louisville, KY, USA

    Laxmaiah Manchikanti

Authors
  1. Murali Patri
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  2. Natalia Murinova
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  3. Daniel Krashin
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  4. Alan D. Kaye
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  5. Laxmaiah Manchikanti
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Corresponding author

Correspondence to Murali Patri .

Editor information

Editors and Affiliations

  1. Pain Management Center of Paducah, Paducah, Kentucky

    Laxmaiah Manchikanti

  2. Department of Anesthesia, LSU Health Science Center, New Orleans, Louisiana, USA

    Alan D. Kaye

  3. Mid Atlantic Spine and Pain Physicians, Newark, Delaware

    Frank J.E. Falco

  4. Service Line Chief of Interventional Radiology, Director of Interventional Neuroradiology, Chief of NeuroInterventional Spine Service, Massachusetts General Hospital, Boston, Massachusetts, USA

    Joshua A. Hirsch

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Patri, M., Murinova, N., Krashin, D., Kaye, A.D., Manchikanti, L. (2018). Sedation for Interventional Techniques. In: Manchikanti, L., Kaye, A., Falco, F., Hirsch, J. (eds) Essentials of Interventional Techniques in Managing Chronic Pain. Springer, Cham. https://doi.org/10.1007/978-3-319-60361-2_5

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  • DOI: https://doi.org/10.1007/978-3-319-60361-2_5

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-60359-9

  • Online ISBN: 978-3-319-60361-2

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