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Full-Text Articles in Medicine and Health Sciences
Two-Needle Technique For Lumbar Radiofrequency Medial Branch Denervation: A Technical Note, K. B. Chapman, F. Schirripa, T. Oud, P. S. Groenen, R. R. Ramsook, N. Van Helmond
Two-Needle Technique For Lumbar Radiofrequency Medial Branch Denervation: A Technical Note, K. B. Chapman, F. Schirripa, T. Oud, P. S. Groenen, R. R. Ramsook, N. Van Helmond
Journal Articles
© 2020, American Society of Interventional Pain Physicians. All rights reserved. Background: Radiofrequency ablation (RFA) of the medial branches of the dorsal rami has been reported to relieve facet joint–related back pain for 6 months to 1 year in 60% of patients. Although providing benefit in a significant proportion of patients, there remains a group of patients who do not experience any pain relief from RFA or experience only benefit from the ablation for a short period. Failure of RFA has been attributed to technical failure of coagulating the nerve or coagulation of a minimal section of the nerve, allowing …
Unilateral Dorsal Root Ganglion Stimulation Lead Placement With Resolution Of Bilateral Lower Extremity Symptoms In Diabetic Peripheral Neuropathy., K. B. Chapman, B. W. Van Roosendaal, N. Van Helmond, T. A. Yousef
Unilateral Dorsal Root Ganglion Stimulation Lead Placement With Resolution Of Bilateral Lower Extremity Symptoms In Diabetic Peripheral Neuropathy., K. B. Chapman, B. W. Van Roosendaal, N. Van Helmond, T. A. Yousef
Journal Articles
Dorsal root ganglion stimulation (DRG-S) is a form of neuromodulation that can target specific dermatomes to obtain better coverage of the distal extremity. Previously proposed mechanisms of action for DRG-S focused on the dorsal root ganglion (DRG) itself, without consideration of orthodromic effects in the dorsal horn and antidromic effects on the nerve root and sympathetic chain. Diabetic peripheral neuropathy (DPN) is an axonal neuropathy that affects around half of all patients with diabetes mellitus, causing severe pain and sensory impairment in the distal extremities. We present a case of a patient with DPN in both feet, in addition to …
Dorsal Root Ganglion Stimulation Lead Fracture Within The Superficial Fascial Layers In 4 Cases, K. B. Chapman, K. V. Patel, N. Van Helmond, G. C. Chien
Dorsal Root Ganglion Stimulation Lead Fracture Within The Superficial Fascial Layers In 4 Cases, K. B. Chapman, K. V. Patel, N. Van Helmond, G. C. Chien
Journal Articles
We present 4 cases of dorsal root ganglion stimulation lead fracture. In these cases, the surgical technique involved (1) traversing fascial layers for placement of leads via a Tuohy needle in the upper low back, (2) subcutaneous tunneling from the implantable pulse generator site to the lead puncture site without dissecting below the superficial fascial plane at the puncture site, and (3) connection of the lead/extension with the generator. All fractures occurred adjacent to the original lead puncture site. These cases suggest lead entrapment within the membranous fascial plane, with tension on a thin lead, is a mechanism underlying lead …
Electrophysiology Practice During Covid-19 Pandemic: A New York Tertiary Hospital Experience, D. Anca, O. Reyes, R. L. Mitra, L. M. Epstein, L. Shore-Lesserson
Electrophysiology Practice During Covid-19 Pandemic: A New York Tertiary Hospital Experience, D. Anca, O. Reyes, R. L. Mitra, L. M. Epstein, L. Shore-Lesserson
Journal Articles
© 2020 Elsevier Inc. As hospitals became overwhelmed during the Covid-19 pandemic in March-May in New York, Cardiology and Electrophysiology (EP) departments rapidly developed protocols for case selection as well modifying the practice of managing the cases. Recommendations by the AHA/HRS as well as American Society of Anesthesiology (ASA) were considered in the multidisciplinary collaborative approach to patient care and personnel safety and the anesthesiology team had an integral role in developing protocols for workflow, care, recovery and transport during these challenging times.
Development And Performance Of A Web-Based Tool To Adjust Urine Toxicology Testing Frequency: Retrospective Study, K. B. Chapman, M. M. Pas, D. Abrar, W. Day, K. C. Vissers, N. Van Helmond
Development And Performance Of A Web-Based Tool To Adjust Urine Toxicology Testing Frequency: Retrospective Study, K. B. Chapman, M. M. Pas, D. Abrar, W. Day, K. C. Vissers, N. Van Helmond
Journal Articles
Background: Several pain management guidelines recommend regular urine drug testing (UDT) in patients who are being treated with chronic opioid analgesic therapy (COAT) to monitor compliance and improve safety. Guidelines also recommend more frequent testing in patients who are at high risk of adverse events related to COAT; however, there is no consensus on how to identify high-risk patients or on the testing frequency that should be used. Using previously described clinical risk factors for UDT results that are inconsistent with the prescribed COAT, we developed a web-based tool to adjust drug testing frequency in patients treated with COAT. Objective: …