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Paper Information

Journal:   JOURNAL OF ANESTHESIOLOGY AND PAIN (PERSIAN)   SPRING 2011 , Volume 1 , Number 3; Page(s) 24 To 31.
 
Paper: 

EVALUATION OF ADDING HYALURONIDASE TO INJECTATE IN TRANSFORAMINAL EPIDURAL BLOCKADE IN THE MANAGEMENT OF CHRONIC LOW BACK PAIN

 
 
Author(s):  IMANI FARNAD, RAHIMZADEH POUPAK*, FAIZ SEYED HAMID REZA, AKHAVAN AKBARI GHODRAT
 
* DEPARTMENT OF ANESTHESIOLOGY AND PAIN MEDICINE, RASOUL-AKRAM MEDICAL CENTER, TEHRAN UNIVERSITY OF MEDICAL SCIENCES (TUMS)
 
Abstract: 

Background and aims: Maintaining low back pain after spinal surgeries is one of the pretty challenging problems in treating patients. Various modalities have been introduced for treatment and one of the most effective ways between them, is steroid and other drugs injection into epidural space.
Materials and methods: In a double blind RCT study, 25 patient from pain clinic with low back pain due to failed back surgery syndrome were candidate for epidural transforaminal block and divided into case and control groups randomly. The selected drug regimens were as follow: in case group bupivacaine %0.5, triamcinolone 40 mg, hypertonic saline 5%, hyaluronidase 1500 IU, and in control group stilled water instead of hyaluronidase was used per each nerve root. Pain score, analgesic consumption, neurological examinations and satisfaction were evaluated in recovery and 1, 2, and 4 weeks later.
Results: There was no difference in demographic data between 2 groups. Pain score and total analgesic consumption in case group was meaningfully higher 2 and 4 weeks after blockade (p<0.01). Patient satisfaction was higher in case group.
Discussion: Adding hyaluronidase to transforaminal injectate should be an effective for managing chronic low back pain in failed back surgery syndrome.

 
Keyword(s): TRANSFORAMINAL EPIDURAL, HYALURONIDASE, FAILED BACK SURGERY SYNDROME, PAIN SCORE
 
 
References: 
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Citations: 
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+ Click to Cite.
APA: Copy

IMANI, F., & RAHIMZADEH, P., & FAIZ, S., & AKHAVAN AKBARI, G. (2011). EVALUATION OF ADDING HYALURONIDASE TO INJECTATE IN TRANSFORAMINAL EPIDURAL BLOCKADE IN THE MANAGEMENT OF CHRONIC LOW BACK PAIN. JOURNAL OF ANESTHESIOLOGY AND PAIN (PERSIAN), 1(3), 24-31. https://www.sid.ir/en/journal/ViewPaper.aspx?id=275621



Vancouver: Copy

IMANI FARNAD, RAHIMZADEH POUPAK, FAIZ SEYED HAMID REZA, AKHAVAN AKBARI GHODRAT. EVALUATION OF ADDING HYALURONIDASE TO INJECTATE IN TRANSFORAMINAL EPIDURAL BLOCKADE IN THE MANAGEMENT OF CHRONIC LOW BACK PAIN. JOURNAL OF ANESTHESIOLOGY AND PAIN (PERSIAN). 2011 [cited 2021July28];1(3):24-31. Available from: https://www.sid.ir/en/journal/ViewPaper.aspx?id=275621



IEEE: Copy

IMANI, F., RAHIMZADEH, P., FAIZ, S., AKHAVAN AKBARI, G., 2011. EVALUATION OF ADDING HYALURONIDASE TO INJECTATE IN TRANSFORAMINAL EPIDURAL BLOCKADE IN THE MANAGEMENT OF CHRONIC LOW BACK PAIN. JOURNAL OF ANESTHESIOLOGY AND PAIN (PERSIAN), [online] 1(3), pp.24-31. Available: https://www.sid.ir/en/journal/ViewPaper.aspx?id=275621.



 
 
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