Interventional Pain Procedures: A Narrative Review Focusing on Safety and Complications. Part 1 Injections for Spinal Pain

Giuliano Lo Bianco,1,2 Andrea Tinnirello,3 Alfonso Papa,4 Vito Torrano,5 Gianluca Russo,6 Agnes Stogicza,7 Sebastiano Mercadante,8 Andrea Cortegiani,9 Silvia Mazzoleni,3 Michael E Schatman10,11 1Department of Biomedical and Biotechnological Sciences, University of Catania, Catania, Italy; 2Departmen...

Full description

Bibliographic Details
Main Authors: Lo Bianco G, Tinnirello A, Papa A, Torrano V, Russo G, Stogicza A, Mercadante S, Cortegiani A, Mazzoleni S, Schatman ME
Format: Article
Language:English
Published: Dove Medical Press 2023-05-01
Series:Journal of Pain Research
Subjects:
Online Access:https://www.dovepress.com/interventional-pain-procedures-a-narrative-review-focusing-on-safety-2-peer-reviewed-fulltext-article-JPR
_version_ 1827944443732295680
author Lo Bianco G
Tinnirello A
Papa A
Torrano V
Russo G
Stogicza A
Mercadante S
Cortegiani A
Mazzoleni S
Schatman ME
author_facet Lo Bianco G
Tinnirello A
Papa A
Torrano V
Russo G
Stogicza A
Mercadante S
Cortegiani A
Mazzoleni S
Schatman ME
author_sort Lo Bianco G
collection DOAJ
description Giuliano Lo Bianco,1,2 Andrea Tinnirello,3 Alfonso Papa,4 Vito Torrano,5 Gianluca Russo,6 Agnes Stogicza,7 Sebastiano Mercadante,8 Andrea Cortegiani,9 Silvia Mazzoleni,3 Michael E Schatman10,11 1Department of Biomedical and Biotechnological Sciences, University of Catania, Catania, Italy; 2Department of Anesthesiology and Pain, Fondazione Istituto G. Giglio, Cefalù, Italy; 3Department of Anesthesiology and Pain Medicine, ASST Franciacorta, Ospedale di Iseo, Iseo, Italy; 4Department of Pain Management– AO “Ospedali dei Colli” – Monaldi Hospital, Naples, Italy; 5Department of Anesthesia, Critical Care and Pain Medicine, Asst Grande Ospedale Metropolitano Niguarda, Milan, Italy; 6Department of Anesthesia, Postoperative Intensive Care and Pain Therapy, Lodi Hospital, Lodi, Italy; 7Department of Anesthesiology Saint Magdolna Hospital, Budapest, Hungary; 8Department of Pain Relief and Supportive Care, Private Hospital La Maddalena, Palermo, Sicilia, Italy; 9Department of Anesthesiology and Intensive Care, Università degli Studi di Palermo, Palermo, Italy; 10Department of Anesthesiology, Perioperative Care, and Pain Medicine, NYU School of Medicine, New York, NY, USA; 11Department of Population Health – Division of Medical Ethics, NYU School of Medicine, New York, NY, USACorrespondence: Andrea Tinnirello, Department of Anesthesiology and Pain Medicine, ASST Franciacorta, Ospedale di Iseo, Via Giardini Garibaldi 4, Iseo, 25049, Italy, Tel +393392599568, Email andreatinny@libero.itAbstract: In recent years, there has been a considerable increase in the number of image-guided interventional procedures performed for the management of acute and chronic pain. Concomitantly, there has also been an increase in the complication rate related to these procedures. The aim of this narrative review is to summarize the primary complications associated with commonly performed image-guided (fluoroscopic- or ultrasound-guided) interventional procedures. We conclude that although complications from interventional pain procedures can be mitigated to a certain degree, they cannot be eliminated altogether. In order to avoid adverse events, patient safety should be given considerable attention and physicians should be constantly aware of the possibility of developing complications.Keywords: chronic pain, pain management, analgesics, opioid, epidural injection, facet joints
first_indexed 2024-03-13T10:30:24Z
format Article
id doaj.art-d49eef04f1694bccbc34474648188b11
institution Directory Open Access Journal
issn 1178-7090
language English
last_indexed 2024-03-13T10:30:24Z
publishDate 2023-05-01
publisher Dove Medical Press
record_format Article
series Journal of Pain Research
spelling doaj.art-d49eef04f1694bccbc34474648188b112023-05-18T18:42:34ZengDove Medical PressJournal of Pain Research1178-70902023-05-01Volume 161637164683833Interventional Pain Procedures: A Narrative Review Focusing on Safety and Complications. Part 1 Injections for Spinal PainLo Bianco GTinnirello APapa ATorrano VRusso GStogicza AMercadante SCortegiani AMazzoleni SSchatman MEGiuliano Lo Bianco,1,2 Andrea Tinnirello,3 Alfonso Papa,4 Vito Torrano,5 Gianluca Russo,6 Agnes Stogicza,7 Sebastiano Mercadante,8 Andrea Cortegiani,9 Silvia Mazzoleni,3 Michael E Schatman10,11 1Department of Biomedical and Biotechnological Sciences, University of Catania, Catania, Italy; 2Department of Anesthesiology and Pain, Fondazione Istituto G. Giglio, Cefalù, Italy; 3Department of Anesthesiology and Pain Medicine, ASST Franciacorta, Ospedale di Iseo, Iseo, Italy; 4Department of Pain Management– AO “Ospedali dei Colli” – Monaldi Hospital, Naples, Italy; 5Department of Anesthesia, Critical Care and Pain Medicine, Asst Grande Ospedale Metropolitano Niguarda, Milan, Italy; 6Department of Anesthesia, Postoperative Intensive Care and Pain Therapy, Lodi Hospital, Lodi, Italy; 7Department of Anesthesiology Saint Magdolna Hospital, Budapest, Hungary; 8Department of Pain Relief and Supportive Care, Private Hospital La Maddalena, Palermo, Sicilia, Italy; 9Department of Anesthesiology and Intensive Care, Università degli Studi di Palermo, Palermo, Italy; 10Department of Anesthesiology, Perioperative Care, and Pain Medicine, NYU School of Medicine, New York, NY, USA; 11Department of Population Health – Division of Medical Ethics, NYU School of Medicine, New York, NY, USACorrespondence: Andrea Tinnirello, Department of Anesthesiology and Pain Medicine, ASST Franciacorta, Ospedale di Iseo, Via Giardini Garibaldi 4, Iseo, 25049, Italy, Tel +393392599568, Email andreatinny@libero.itAbstract: In recent years, there has been a considerable increase in the number of image-guided interventional procedures performed for the management of acute and chronic pain. Concomitantly, there has also been an increase in the complication rate related to these procedures. The aim of this narrative review is to summarize the primary complications associated with commonly performed image-guided (fluoroscopic- or ultrasound-guided) interventional procedures. We conclude that although complications from interventional pain procedures can be mitigated to a certain degree, they cannot be eliminated altogether. In order to avoid adverse events, patient safety should be given considerable attention and physicians should be constantly aware of the possibility of developing complications.Keywords: chronic pain, pain management, analgesics, opioid, epidural injection, facet jointshttps://www.dovepress.com/interventional-pain-procedures-a-narrative-review-focusing-on-safety-2-peer-reviewed-fulltext-article-JPRchronic painpain managementanalgesicsopioidepidural injectionfacet joints
spellingShingle Lo Bianco G
Tinnirello A
Papa A
Torrano V
Russo G
Stogicza A
Mercadante S
Cortegiani A
Mazzoleni S
Schatman ME
Interventional Pain Procedures: A Narrative Review Focusing on Safety and Complications. Part 1 Injections for Spinal Pain
Journal of Pain Research
chronic pain
pain management
analgesics
opioid
epidural injection
facet joints
title Interventional Pain Procedures: A Narrative Review Focusing on Safety and Complications. Part 1 Injections for Spinal Pain
title_full Interventional Pain Procedures: A Narrative Review Focusing on Safety and Complications. Part 1 Injections for Spinal Pain
title_fullStr Interventional Pain Procedures: A Narrative Review Focusing on Safety and Complications. Part 1 Injections for Spinal Pain
title_full_unstemmed Interventional Pain Procedures: A Narrative Review Focusing on Safety and Complications. Part 1 Injections for Spinal Pain
title_short Interventional Pain Procedures: A Narrative Review Focusing on Safety and Complications. Part 1 Injections for Spinal Pain
title_sort interventional pain procedures a narrative review focusing on safety and complications part 1 injections for spinal pain
topic chronic pain
pain management
analgesics
opioid
epidural injection
facet joints
url https://www.dovepress.com/interventional-pain-procedures-a-narrative-review-focusing-on-safety-2-peer-reviewed-fulltext-article-JPR
work_keys_str_mv AT lobiancog interventionalpainproceduresanarrativereviewfocusingonsafetyandcomplicationspart1injectionsforspinalpain
AT tinnirelloa interventionalpainproceduresanarrativereviewfocusingonsafetyandcomplicationspart1injectionsforspinalpain
AT papaa interventionalpainproceduresanarrativereviewfocusingonsafetyandcomplicationspart1injectionsforspinalpain
AT torranov interventionalpainproceduresanarrativereviewfocusingonsafetyandcomplicationspart1injectionsforspinalpain
AT russog interventionalpainproceduresanarrativereviewfocusingonsafetyandcomplicationspart1injectionsforspinalpain
AT stogiczaa interventionalpainproceduresanarrativereviewfocusingonsafetyandcomplicationspart1injectionsforspinalpain
AT mercadantes interventionalpainproceduresanarrativereviewfocusingonsafetyandcomplicationspart1injectionsforspinalpain
AT cortegiania interventionalpainproceduresanarrativereviewfocusingonsafetyandcomplicationspart1injectionsforspinalpain
AT mazzolenis interventionalpainproceduresanarrativereviewfocusingonsafetyandcomplicationspart1injectionsforspinalpain
AT schatmanme interventionalpainproceduresanarrativereviewfocusingonsafetyandcomplicationspart1injectionsforspinalpain