Ultrasound-Guided Lauromacrogol Injection for the Treatment of Active Bleeding After Renal Biopsy

Background: This study aimed to describe the technique and outcomes of hemostasis for ultrasound-guided lauromacrogol injection for active bleeding after renal biopsy.Methods: Data from patients with active bleeding after renal biopsy between January 2018 and December 2020 were retrospectively collected. Patients who still had active bleeding after 30 min of compression were then injected with lauromacrogol under ultrasound guidance. The patient’s symptoms before and after operation were collected to assess whether they had severe complications. Changes in hemoglobin and serum creatinine values were collected.Results: Data from a total of 15 patients with active bleeding after renal biopsy were collected, including data of 6 men and 9 women. After the operation, there were 11 cases of mild back pain; 1 case of chills, cold sweats, and back pain; 1 case of cold sweats and blood pressure reduction, and 2 cases with no obvious symptoms. No severe complications occurred in this study, and active bleeding was stopped in all patients. After the operation, compared with before the operation, there was no statistically significant difference in the hemoglobin value and serum creatinine value (p = 0.10 > 0.05, p = 0.78 > 0.05).Conclusion: Ultrasound-guided lauromacrogol injection is a relatively simple, safe and feasible method, which could be helpful in treating active bleeding in the immediate post-procedure period after renal biopsy.

Download Full-text

Association of Serum Serotonin and Pain in Patients with Chronic Low Back Pain before and after Spinal Surgery

Pain Research and Treatment ◽

10.1155/2018/4901242 ◽

2018 ◽

Vol 2018 ◽

pp. 1-6 ◽

Cited By ~ 1

Author(s):

Afshin Farhanchi ◽

Behrouz Karkhanei ◽

Negar Amani ◽

Mashhood Aghajanloo ◽

Elham Khanlarzadeh ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Chronic Low Back Pain ◽

Rating Scale ◽

Numerical Rating Scale ◽

Low Back ◽

Significant Difference ◽

Before And After ◽

Postoperative Serum ◽

Serum Serotonin

Introduction. In this study we are aiming to evaluate the changes of serum serotonin and its association with pain in patients suffering from chronic low back pain before and after lumbar discectomy surgery. Patients and Methods. A prospective study was performed on the patients referring to the outpatient clinic in Besat hospital, Hamadan University of Medical Sciences, Hamadan, Iran, during 2016. A 2 mL fasting blood sample was collected from each patient at preoperative day 1 and postoperative day 14 and they were measured for level of serum serotonin. Besides, all patients were asked for severity of their low back pain in preoperative day 1 and postoperative day 14 and scored their pain from zero to ten using a Numerical Rating Scale. Results. Forty patients with the mean age of 47 ± 13 yrs/old (range 25–77) including 15 (37.5%) males were enrolled into the study. The overall mean score of preoperative pain was significantly decreased from 7.4 ± 2.18 (range 4–10) to the postoperative pain score 3.87 ± 2.92 (range 0–10) (P < .001). The overall levels of pre- and postoperative serum serotonin were 3.37 ± 1.27 (range 1.1–6.4) and 3.58 ± 1.32 (range .94–7.1) ng/mL, respectively, with no significant difference (P = .09). The levels of pre- and postoperative serum serotonin were significantly higher in males and patients older than 50 yrs/old compared to the females and patients younger than 50 yrs/old, respectively (P = .03 and .005, respectively). A significant inverse correlation between the postoperative levels of pain and serum serotonin was observed (r = -.36 and P = .02). Conclusion. A negative medium strength linear relationship may exist between the postoperative serum serotonin and low back pain.

Download Full-text

Ultrasound-Guided Aspiration Does Not Reduce the Recurrence Rate of Ganglion Cysts of the Wrist

Journal of Wrist Surgery ◽

10.1055/s-0038-1668156 ◽

2018 ◽

Vol 08 (02) ◽

pp. 100-103 ◽

Cited By ~ 2

Author(s):

Gregory Kurkis ◽

Albert Anastasio ◽

Marijke DeVos ◽

Michael Gottschalk

Keyword(s):

Recurrence Rate ◽

Ultrasound Guidance ◽

Ganglion Cyst ◽

High Recurrence Rate ◽

P Value ◽

Ultrasound Guided ◽

Recurrence Rates ◽

Level Of Evidence ◽

Ganglion Cysts ◽

Significant Difference

Background Ganglion cysts are the most frequent soft tissue tumor encountered in the upper extremity and are commonly treated by aspiration or by surgical excision. Ultrasound is a promising addition to traditional aspiration, as it allows for visualization of the needle within the ganglion before aspiration. Questions Are ganglion cysts of the wrist less likely to reoccur if they are aspirated under ultrasound guidance versus “blind” aspiration without the use of ultrasound guidance? Does patient functionality change based on whether or not the cyst recurred? Patients and Methods In total, 52 patients were successfully contacted and recurrence rates were compared between those whose cyst was treated with ultrasound-guided (13 patients) with those whose cyst was treated with blind aspiration (39 patients). Mean follow-up time was 2.9 years. Results Recurrence rates were 69% (9 patients) and 74% (29 patients) for the ultrasound-guided and blind aspiration groups, respectively (p-value: 0.73), showing no significant difference in recurrences of wrist ganglion between the two groups. A metric of functionality (Quick–DASH [Disabilities of the Arm, Shoulder, and Hand]) revealed worse outcomes in patients who experienced return of ganglion cyst after aspiration versus those who did not. Conclusion Additional studies with improved sample sizes are needed to demonstrate the superiority of ultrasound-guided aspiration versus blind aspiration. Due to a high recurrence rate following aspiration (both ultrasound-guided and blinded), a lower threshold for surgical intervention is likely reasonable. Level of Evidence This is a Level IIIb study.

Download Full-text

A comparative study of the therapeutic efficacy of vertical oscillatory pressure and transverse oscillatory pressure in the management of Chronic Low Back Pain

Revista Pesquisa em Fisioterapia ◽

10.17267/2238-2704rpf.v8i2.1916 ◽

2018 ◽

Vol 8 (2) ◽

pp. 216-222

Author(s):

Oluwadare Akanni Ogundipe ◽

Olufemi Opeyemi Ogundiran

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Outcome Measures ◽

Chronic Low Back Pain ◽

Low Back ◽

Significant Difference ◽

Before And After ◽

Treatment Data ◽

Quasi Experimental ◽

Oscillatory Pressure

BACKGROUND: The use of physical modalities in treatment of Chronic Low Back Pain (CLBP) is potentially beneficial, but the general evidence still leaves questions about its security application. OBJECTIVE: This study sought to investigate and compare the relative efficacy of Vertical Oscillatory Pressure (VOP) and Transverse Oscillatory Pressure (TOP) in the management chronic low back pain (CLBP) of mechanical origin. METHODS: A two-group, quasi-experimental design was utilized, involving a total of forty-two participants purposively recruited with due consideration of the specific inclusion and exclusion criteria. Five research questions were raised with corresponding hypotheses formulated for them, which were tested at 0.05 level of significance. The participants were randomly assigned to the VOP and TOP groups, and were subsequently managed thrice weekly for a duration of six weeks. The pain intensity rating, straight leg raising, and spinal range of motion were the outcome measures selected, which were assessed before and after treatment. Data were collected, organized, and analyzed using descriptive and T-Student test analytical statistics. RESULTS: The results of the study showed a significant difference in each of the outcome measures for both groups (p<0,05). CONCLUSION: This suggested that both VOP and VOP were relatively effective in managing CLBP.

Download Full-text

Accuracy of ultrasound-guided versus palpation-based carpometacarpal joint injections: A randomized pilot study in cadavers

Ultrasound ◽

10.1177/1742271x18789711 ◽

2018 ◽

Vol 26 (4) ◽

pp. 245-250

Author(s):

Armen Derian ◽

Julia Amundson ◽

Karl Abi-Aad ◽

Ricardo Vasquez-Duarte ◽

Douglas Johnson-Greene

Keyword(s):

Ultrasound Guidance ◽

Rating Scale ◽

Carpometacarpal Joint ◽

Ultrasound Guided ◽

Chi Square ◽

Rater Reliability ◽

Carpometacarpal Joints ◽

Significant Difference ◽

Chi Square Analysis ◽

Joint Injections

Objective To determine the accuracy of ultrasound guidance compared to palpation in performing carpometacarpal joint injections in cadavers. Design In all, 36 carpometacarpal joints were randomized to either ultrasound-guided or palpation-based injections, with 1 cc of blue latex solution injected into each joint. The specimens were then dissected and the distribution of the latex was assessed by two independent, blinded raters. Injection accuracy was evaluated on a four-point quartile rating scale of 1–4, corresponding to the amount of the latex solution within the joint (1 = 0–25%, 2 = 26–50%, 3 = 51–75%, 4 = 76–100%). Inter-rater reliability was a secondary measure. Results The mean rating of accuracy was 2.1 for both palpation-based and ultrasound-guided injections. There was no statistically significant difference in accuracy between the two injectors. Chi-square analysis testing differences in accuracy for the two conditions was not statistically significant. The Cronbach’s alpha for rater 2 was 0.74, which represents an acceptable level of reliability. A Friedman’s Chi-square for the two raters was 2.3 ( p = 0.13), indicating no significant difference between raters. Conclusion Ultrasound guidance did not improve the accuracy of carpometacarpal joint injections in cadavers. However, the high inter-rater reliability attests to the value of the novel assessment scale.

Download Full-text

Impact of nonsurgical spinal decompression on paraspinal muscle morphology and mechanical properties in young adults with low back pain

Journal of International Medical Research ◽

10.1177/0300060520919232 ◽

2020 ◽

Vol 48 (7) ◽

pp. 030006052091923

Author(s):

Wai Leung Ambrose Lo ◽

Di Lei ◽

Yan Leng ◽

Huanjie Huang ◽

Biru Wang ◽

...

Keyword(s):

Mechanical Properties ◽

Young Adults ◽

Low Back Pain ◽

Back Pain ◽

Subcutaneous Tissue ◽

Paraspinal Muscle ◽

Low Back ◽

Spinal Decompression ◽

Significant Difference ◽

Before And After

Objective The mechanism underlying the benefit of nonsurgical spinal decompression (NSSD) on low back pain is unclear. This study was performed to investigate the immediate impact of NSSD on the mechanical properties and morphology of the paraspinal muscles. Methods Participants with low back pain were recruited. NSSD therapy was provided on one occasion. A myotonometer was placed perpendicularly on the skin surface over the paraspinal muscle at the level of L3/L4 to measure the mechanical muscle properties. The multifidus thickness was measured using B-mode ultrasound and defined as the distance between the transverse process and subcutaneous tissue fascia. The difference between before and after NSSD was analyzed by a paired t-test. Results Thirty participants (mean age, 20.9 ± 0.8 years; 9 male, 21 female) were recruited. No significant difference was observed in the muscle mechanical properties or morphology between before and after the intervention. Conclusions NSSD intervention did not induce immediate changes in the paraspinal muscle mechanical properties or multifidus thickness in young adults with low back pain. NSSD might produce benefits by stimulating mechanical receptors rather than inducing morphological changes or mechanical property alterations of the muscle fibers. These parameters may not be suitable outcome measures for NSSD intervention.

Download Full-text

Percutaneous Renal Biopsy: Comparison of Blind and Real-time Ultrasound Guided Technique

Journal of Nepal Health Research Council ◽

10.3126/jnhrc.v16i1.19369 ◽

2018 ◽

Vol 16 (1) ◽

pp. 66-72 ◽

Cited By ~ 2

Author(s):

Anil Pokhrel ◽

Rajendra Kumar Agrawal ◽

Anil Baral ◽

Ajaya Rajbhandari ◽

Rajani Hada

Keyword(s):

Renal Biopsy ◽

Real Time ◽

Randomized Study ◽

Bleeding Complications ◽

Renal Diseases ◽

Ultrasound Guided ◽

Macroscopic Hematuria ◽

Percutaneous Renal Biopsy ◽

Significant Difference ◽

Perinephric Hematoma

Background: Percutaneous renal biopsy is performed for diagnosis and prediction of prognosis of renal diseases. Adequacy of tissue and clinically significant bleeding are the main issues of the procedure. We aimed to compare these issues in renal biopsy by blind and real time ultrasound guided technique.Methods: It was a cross sectional, randomized study conducted between June 2016 to December 2016. In blind technique, marking for biopsy was done by ultrasound. Two attempts were performed for all and more if tissue was inadequate. Patients kept in bed rest for 24 hours, observed for post procedure hematuria and ultrasound done at 6 hours and 24 hours to diagnose perinephric hematoma.Results: Total 75 biopsies (blind = 37 and Ultrasound -guided = 38) were evaluated. Blind and Ultrasound-guided technique had significant difference of number of attempt (mean±SD) 2.4±0.6 and 2.1±0.3 (p<0.01) respectively with no difference of number of glomeruli in light microscopy. Bleeding complications were macroscopic hematuria (11(30%)vs15(40%)) and perinephric hematoma ( 5(13.5%)vs3(7.9%)) in blind and Ultrasound-guided technique respectively with no significant difference. Those patients who developed perinephric hematoma was observed in all at 6 hours.Conclusions: Ultrasound-guided technique of percutaneous renal biopsy is superior with fewer attempts and equivalent in adequacy of tissue and bleeding complication than blind technique.

Download Full-text

Low back pain: Differential diagnosis, prognosis and treatment

Acta chirurgica iugoslavica ◽

10.2298/aci0604049l ◽

2006 ◽

Vol 53 (4) ◽

pp. 49-52

Author(s):

V. Lalosevic ◽

Z. Poleksic ◽

Z. Blagojevic ◽

S. Tomic ◽

S. Milickovic

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Orthopedic Surgery ◽

Surgical Care ◽

Blood Analysis ◽

Low Back ◽

Visual Analog Scales ◽

Significant Difference ◽

Before And After ◽

Treatment Data

From January 2002 to February 2003, 137 patients complaining of low back pain were treated at the Institute for Orthopedic Surgery "Banjica", Belgrade, Serbia. There were 89 male and 48 female patients aged 13 to 77, mean age 42.2. Their condition was diagnosed through use of radiography, CT, MRI, EMNG, standard battery of neurological tests, and laboratory analyses (urine and blood analysis). Surgical treatment was performed on 39 patients; all other patients received some form of non-surgical care (physical therapy, medication or corset). Treatment efficacy was evaluated by use of the visual analog scales (VAS) and the Oswestry index, before and after treatment. The use Wilcoxon?s pair test revealed statistically significant difference between before and after treatment data on VAS and Oswestry index for all patients.

Download Full-text

Ultrasound-Guided IV Placement by Emergency Department Nurses versus Hospital IV Insertion Team- A Retrospective Study of Time to Successful Insertion

10.21203/rs.3.rs-42243/v1 ◽

2020 ◽

Author(s):

Virginia LaBond ◽

Nicholaus Josey ◽

Roya Caloia D.O. M.P.H. FACEP ◽

Jennifer Hella ◽

Kimberly Barber

Keyword(s):

Emergency Department ◽

Retrospective Study ◽

Patient Experience ◽

Ultrasound Guidance ◽

Waiting Times ◽

Ultrasound Guided ◽

Emergency Department Nurses ◽

Significant Difference ◽

Primary Measure ◽

Improve Patient

Abstract Background IV access in the emergency and acute care settings can often present as a challenge for patient care employees who are tasked with the essential task of placing an IV into a patient’s vein. This study compares time to IV placement by a IV Resource Insertion team compared to trained ER nurses in the skill of ultrasound guided.Methods This was a single site retrospective study which looked at the time to IV placement between a trained team of ER nurses and a formal IV insertion team, both using ultrasound guidance. The primary measure time to IV placement; age, gender, comorbidities and signs of infection were also reported.Results Thirty patients were chosen for each group. There was a statistically significant difference in times to IV placement between the ultrasound guided IV ER nurse team and the formal IV insertion team, with shorter times to IV insertion by the trained ER nurse team.Conclusion This study lends credibility to the notion that Emergency Department personal should be encouraged to learn and utilize US guided IV insertion to better improve patient waiting times for things such as lab results, IV fluids and antibiotics. This will improve patient experience and care. It will also help to decompress resource stressed health systems.

Download Full-text

Ultrasound-guided total dorsal ramus block for the treatment of chronic low back pain

Journal of Orthopaedics Trauma and Rehabilitation ◽

10.1177/2210491720928505 ◽

2020 ◽

Vol 27 (2) ◽

pp. 128-132

Author(s):

Ryota Kimura ◽

Naohisa Miyakoshi ◽

Yusuke Yuasa ◽

Yoichi Shimada

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Adverse Events ◽

Radiation Exposure ◽

Chronic Low Back Pain ◽

Ultrasound Guidance ◽

Pain Reduction ◽

Low Back ◽

Fluoroscopic Guidance ◽

Ultrasound Guided

Background: To reduce the risk of radiation exposure, we explored whether the total dorsal ramus block can be performed under ultrasound guidance. We evaluated the accuracy and effect of ultrasound-guided total dorsal ramus block for chronic low back pain. Methods: Accuracy of ultrasound guidance after total dorsal ramus block to the L4–L5 level was evaluated using fluoroscopy ( n = 5). A second group was assigned into two groups: ultrasound-guided group ( n = 19) or fluoroscopy-guided group ( n = 18). The effects and adverse events were compared. Results: In all cases, the fluoroscopic findings revealed an accurate injection at the L5 level. Significant alleviation of pain was observed after ultrasound-guided total dorsal ramus block, and comparable effectiveness was observed with both ultrasound guidance and fluoroscopic guidance. There were no complications. Conclusions: The ultrasound-guided total dorsal ramus block may sufficiently block all three branches of the lumbar dorsal ramus at the targeted level resulting in significant pain reduction.

Download Full-text

Assessment of pain in patients with chronic low back pain before and after application of the isostreching method

Fisioterapia em Movimento ◽

10.1590/0103-5150.028.004.ao14 ◽

2015 ◽

Vol 28 (4) ◽

pp. 767-777

Author(s):

Pedro Henrique Brito da Silva ◽

Suely Maria Satoko Moriya Inumaru

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Chronic Low Back Pain ◽

Control Group ◽

Low Back ◽

Evaluation Period ◽

Post Evaluation ◽

Significant Difference ◽

Before And After ◽

Experimental Group

Abstract Introduction : Chronic low back pain is defined as a painful disorder located between the first and the fifth lumbar vertebra and it is considered to be an important public health problem. In Brazil, approximately 10 million people are disabled as a result of this condition. Objective : To assess pain intensity and functional disability in patients with chronic low back pain before and after application of the Isostreching method. Case studies and methods : In this randomized, controlled experimental trial, 14 female individuals with chronic low back pain, aged 45-60 years, divided into control group (CG) and experimental group (EG), with 7 individuals each, twelve 45-minute sessions were held, in which 9 postures of Isostreching method were carried out in the experimental group. The control group did not undergo intervention. A sociodemographic questionnaire, the visual analogue pain scale (VAS) and the Oswestry disability questionnaire were used before and after the study period in both groups. Results : The assessment of pain and disability in the pre-evaluation period showed no statistically significant difference, whereas scores of pain and disability in the post-evaluation period between the two groups showed a statistically significant difference. The CG also showed no statistical difference for the VAS and Oswestry scores between the pre- and post-evaluation periods, in which it was observed an increase in the pain and disability mean scores between those periods and the experimental group showed significant difference between the scores obtained in these two different periods, before and after collection. Conclusion : it is suggested that the method was effective for the group studied and proved to be suitable for the treatment of chronic low back pain.

Download Full-text