- Title
- Is immediate pain relief after a spinal injection procedure enhanced by intravenous sedation?
- Creator
- Dreyfuss, Paul; Cohen, Steven; Chen, Allen Sinclair; Bohart, Zach; Bogduk, Nikolai
- Relation
- PM&R Vol. 1, Issue 1, p. 60-63
- Publisher Link
- http://dx.doi.org/10.1016/j.pmrj.2008.10.006
- Publisher
- Elsevier
- Resource Type
- journal article
- Date
- 2009
- 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.
- Subject
- intravenous sedation; pain relief; Visual Analog Scale; epidural injections
- Identifier
- http://hdl.handle.net/1959.13/807118
- Identifier
- uon:7310
- Identifier
- ISSN:1934-1482
- Language
- eng
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