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SAFETY OF THE RADIOFREQUENCY DENERVATION FOR CHRONIC PAIN TREATMENT - SINGLE CENTRE EXPERIENCE FROM OSIJEK UNIVERSITY HOSPITAL CENTRE

IVANA HARŠANJI DRENJANČEVIĆ orcid.org/0000-0003-0871-8562 ; Klinički bolnički centar Osijek, Klinika za anesteziologiju, reanimatologiju i intenzivnu medicinu i Sveučilište Josipa Jurja Strossmayera u Osijeku, Medicinski fakultet i Katedra za anesteziologiju, reanimatologiju i intenzivnu medicinu, Osijek, Hrvatska
IVAN RADOŠ ; Klinički bolnički centar Osijek, Klinika za anesteziologiju, reanimatologiju i intenzivnu medicinu i Sveučilište Josipa Jurja Strossmayera u Osijeku, Medicinski fakultet i Katedra za anesteziologiju, reanimatologiju i intenzivnu medicinu, Osijek, Hrvatska
DARIJA VENŽERA-AZENIĆ ; Klinički bolnički centar Osijek, Klinika za anesteziologiju, reanimatologiju i intenzivnu medicinu i Sveučilište Josipa Jurja Strossmayera u Osijeku, Medicinski fakultet i Katedra za anesteziologiju, reanimatologiju i intenzivnu medicinu, Osijek, Hrvatska
MARICA KRISTIĆ ; Klinički bolnički centar Osijek, Klinika za anesteziologiju, reanimatologiju i intenzivnu medicinu i Sveučilište Josipa Jurja Strossmayera u Osijeku, Medicinski fakultet i Katedra za anesteziologiju, reanimatologiju i intenzivnu medicinu, Osijek, Hrvatska
OZANA KATARINA TOT ; Klinički bolnički centar Osijek, Klinika za anesteziologiju, reanimatologiju i intenzivnu medicinu i Sveučilište Josipa Jurja Strossmayera u Osijeku, Medicinski fakultet i Katedra za anesteziologiju, reanimatologiju i intenzivnu medicinu, Osijek, Hrvatska
HRVOJE ČERNOHORSKI ; Klinički bolnički centar Osijek, Klinika za anesteziologiju, reanimatologiju i intenzivnu medicinu, Osijek, Hrvatska
IVAN OMRČEN ; Klinički bolnički centar Osijek, Klinika za anesteziologiju, reanimatologiju i intenzivnu medicinu, Osijek, Hrvatska
DINO BUDROVAC ; Klinički bolnički centar Osijek, Klinika za anesteziologiju, reanimatologiju i intenzivnu medicinu i Sveučilište Josipa Jurja Strossmayera u Osijeku, Medicinski fakultet i Katedra za anesteziologiju, reanimatologiju i intenzivnu medicinu, Osijek, Hrvatska
GORDANA KRISTEK ; Klinički bolnički centar Osijek, Klinika za anesteziologiju, reanimatologiju i intenzivnu medicinu i Sveučilište Josipa Jurja Strossmayera u Osijeku, Medicinski fakultet i Katedra za anesteziologiju, reanimatologiju i intenzivnu medicinu, Osijek, Hrvatska

Sažetak

Treatment of patients suffering from chronic pain of any cause is very demanding and often involves multimodal approach. Analgesics, non-pharmacological methods (physical therapy and acupuncture), local anesthetics and corticosteroids as intraarticular injection or near the nerves are parts of this multimodal approach. Each part of this approach carries a certain risk of side effects and complications. Oral anti-infl ammatory drugs reduce pain and infl ammation, but in certain groups of patients they are contraindicated or represent a greater risk for side effects and complications. Opioid analgesics could be less tolerable for some patients during the treatment due to nausea or, in severe cases, vomiting and constipation, and patients often abandon these analgesics. Co-analgesics (antidepressants and anticonvulsants) are also medicines with signifi cant side effects, most of them are diffi cult to tolerate and patients are reluctant to take them. Non-pharmacological methods for treating chronic pain are mostly associated with minimal or no complications, but with limited analgesic effect. Intraarticular injections of local anesthetics and corticosteroids or injections in the epidural space also represent certain risks for complications. Radiofrequency denervation (neurotomy, ablation) is described in the literature as a minimal invasive procedure in order to induce thermal lesions on the nerves to stop the pain signals to the brain. Radiofrequency denervation is most commonly used in the following chronic pain conditions: trigeminal nerve neuralgia, cervical or back pain caused by degenerative infl ammatory changes in facet joints and osteoarthritis of hip and knee joints. During this procedure, as well
as during any other medical intervention, complications are possible, but rarely described in the literature. In this article, we provide an overview of the literature and our experiences associated with the complications of radiofrequency denervation of the nerves most commonly used.

Ključne riječi

radiofrequency denervation; complications; trigeminal nerve neuralgia; facet joints; chronic knee pain

Hrčak ID:

224654

URI

https://hrcak.srce.hr/224654

Datum izdavanja:

14.7.2019.

Podaci na drugim jezicima: hrvatski

Posjeta: 3.457 *