Safe Use of Epidural Corticosteroid Injections: Recommendations of the WIP Benelux Work Group

Background: Epidural corticosteroid injections are used frequently worldwide in the treatment of radicular pain. Concerns have arisen involving rare major neurologic injuries after this treatment. Recommendations to prevent these complications have been published, but local implementation is not always feasible due to local circumstances, necessitating local recommendations based on literature review. Methods: A work group of 4 stakeholder pain societies in Belgium, The Netherlands, and Luxembourg (Benelux) has reviewed the literature involving neurological complications after epidural cortico... Mehr ...

Verfasser: Van Boxem, Koen
Rijsdijk, Mienke
Hans, Guy
de Jong, Jasper
Kallewaard, Jan Willem
Vissers, Kris
van Kleef, Maarten
Rathmell, James P.
Van Zundert, Jan
Dokumenttyp: Artikel
Erscheinungsdatum: 2019
Schlagwörter: Complications / Corticosteroid / Dexamethasone / Epidural / Safe use / Radiculopathy/drug therapy / Netherlands / Belgium / Humans / Injections / Epidural/adverse effects / Adrenal Cortex Hormones/administration & dosage / Anesthesiology and Pain Medicine / Review / Research Support / Non-U.S. Gov't / Journal Article / Practice Guideline
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-28929754
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://dspace.library.uu.nl/handle/1874/388512

Background: Epidural corticosteroid injections are used frequently worldwide in the treatment of radicular pain. Concerns have arisen involving rare major neurologic injuries after this treatment. Recommendations to prevent these complications have been published, but local implementation is not always feasible due to local circumstances, necessitating local recommendations based on literature review. Methods: A work group of 4 stakeholder pain societies in Belgium, The Netherlands, and Luxembourg (Benelux) has reviewed the literature involving neurological complications after epidural corticosteroid injections and possible safety measures to prevent these major neurologic injuries. Results: Twenty-six considerations and recommendations were selected by the work group. These involve the use of imaging, injection equipment particulate and nonparticulate corticosteroids, epidural approach, and maximal volume to be injected. Conclusion: Raising awareness about possible neurological complications and adoption of safety measures recommended by the work group aim at reducing the risks for these devastating events.