MD, PhD Hugo Adriaensen (Head of the Department of Anaesthesiology and Pain Therapy), MD Jan Maeyaert (Anaesthesiologist), MD Jean Pierre van Buyten (Anaesthesiologist), MD Erik Vanduynhoven (Anaesthesiologist), MD, PhD Marcel Vercauteren (Anaesthesiologist), MD Gery Vermaut (Anaesthesiologist), MD Kris Vissers (Anaesthesiologist)
{"title":"2d The place of nerve blocks and invasive methods in pain therapy: evidence-based results in chronic pain relief","authors":"MD, PhD Hugo Adriaensen (Head of the Department of Anaesthesiology and Pain Therapy), MD Jan Maeyaert (Anaesthesiologist), MD Jean Pierre van Buyten (Anaesthesiologist), MD Erik Vanduynhoven (Anaesthesiologist), MD, PhD Marcel Vercauteren (Anaesthesiologist), MD Gery Vermaut (Anaesthesiologist), MD Kris Vissers (Anaesthesiologist)","doi":"10.1016/S0950-3501(98)80007-X","DOIUrl":null,"url":null,"abstract":"<div><p>Since the emergence of locoregional anaesthesia, nerve blocks with local anaesthetic or neurolytic agents have been used in chronic pain patients for diagnostic and therapeutic purposes.</p><p>A critical evaluation of this type of intervention has only begun during the past 10 years. In the literature, few clinical reports on nerve blockade have withstood criticism. A scientific basis for legitimating the daily use of nerve blocks in our clinical practice is missing.</p><p>This has led not only to controversy and discussion, but also to a renewed interest and a more scientific approach towards nerve blockade. Other invasive techniques have also emerged, such as radiofrequency lesioning and dorsal column stimulation; they have partially replaced the older neurolytic or destructive techniques.</p><p>With the help of several co-authors, this chapter outlines the points of this evolution.</p></div>","PeriodicalId":80610,"journal":{"name":"Bailliere's clinical anaesthesiology","volume":"12 1","pages":"Pages 69-87"},"PeriodicalIF":0.0000,"publicationDate":"1998-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0950-3501(98)80007-X","citationCount":"2","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Bailliere's clinical anaesthesiology","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S095035019880007X","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 2
Abstract
Since the emergence of locoregional anaesthesia, nerve blocks with local anaesthetic or neurolytic agents have been used in chronic pain patients for diagnostic and therapeutic purposes.
A critical evaluation of this type of intervention has only begun during the past 10 years. In the literature, few clinical reports on nerve blockade have withstood criticism. A scientific basis for legitimating the daily use of nerve blocks in our clinical practice is missing.
This has led not only to controversy and discussion, but also to a renewed interest and a more scientific approach towards nerve blockade. Other invasive techniques have also emerged, such as radiofrequency lesioning and dorsal column stimulation; they have partially replaced the older neurolytic or destructive techniques.
With the help of several co-authors, this chapter outlines the points of this evolution.
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