Matches in SemOpenAlex for { <https://semopenalex.org/work/W2041516266> ?p ?o ?g. }
Showing items 1 to 63 of
63
with 100 items per page.
- W2041516266 abstract "A 49-yr-old woman sustained a cervical spine fracture at the age of 21 yr as the result of a swimming accident. In 1986, she developed syringomyelia and underwent a C2-3 laminectomy, drainage of the syrinx, and placement of a syringo-subarachnoid shunt. At this time, she became ventilator dependent. Pain had been experienced in the right shoulder, neck, and lateral aspect of the forearm for 3 yr. A series of trigger point injections provided short-term relief, as did a series of stellate ganglion b:ocks. Several injections of steroid into the bursa of the shoulder joint also yielded no sustained relief, and further injections were refused. She was maintained on baclofen 100 mg daily, acetaminophen 350 mg four times daily, hydromorphone 3 mg every 3 hr, and amitriptyline 50 mg twice daily, but this regimen failed to provide adequate analgesia. When she came to the Pain Clinic, examination revealed a ventilated patient with a tracheostomy. There was limited range of motion of her neck, especially on rotation to the right. Neck movement was not painful. The neck was obese, and there was a posterior scar as a result of her previous laminectomy. Neurologic examination revealed flaccid quadriplegia, absent sensation ‘below C,, decreased reflexes in both upper and lower extremities, negative Babinski signs bilaterally, and finger contractures of both hands. Cervical spine radiographs showed demineralization of the lower cervical vertebrae, with no focal abnormality. The remainder of the examination was unremarkable. The right scapular pain was thought to be secondary to cervical osteoarthritis, and the shoulder pain was ascribed to bursitis. Cervical cpidural steroid injections were considered, but were then rejected due to the technical difficulties posed by a patient with an obese short neck, limited range of movement, prior neck surgery, and a tracheostomy band around the neck. A trial of interpleural analgesics was planned. With the patient in the left lateral position, a 17-gauge Tuohy needle was advanced at the T7-8 interspace. The interpleural space was identified using a “passive loss of resistance” technique. This method allows l-2 mI, of air from a syringe to be drawn into the interpleural" @default.
- W2041516266 created "2016-06-24" @default.
- W2041516266 creator A5007118043 @default.
- W2041516266 creator A5017151899 @default.
- W2041516266 creator A5046579942 @default.
- W2041516266 date "1993-05-01" @default.
- W2041516266 modified "2023-09-30" @default.
- W2041516266 title "Interpleural analgesia: Its use, and a complication, in a quadriplegic patient with chronic benign pain" @default.
- W2041516266 cites W1998757237 @default.
- W2041516266 cites W2049864322 @default.
- W2041516266 cites W2054267690 @default.
- W2041516266 cites W2322373630 @default.
- W2041516266 cites W2927362534 @default.
- W2041516266 cites W2943566787 @default.
- W2041516266 doi "https://doi.org/10.1016/0885-3924(93)90134-h" @default.
- W2041516266 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/7963766" @default.
- W2041516266 hasPublicationYear "1993" @default.
- W2041516266 type Work @default.
- W2041516266 sameAs 2041516266 @default.
- W2041516266 citedByCount "4" @default.
- W2041516266 crossrefType "journal-article" @default.
- W2041516266 hasAuthorship W2041516266A5007118043 @default.
- W2041516266 hasAuthorship W2041516266A5017151899 @default.
- W2041516266 hasAuthorship W2041516266A5046579942 @default.
- W2041516266 hasBestOaLocation W20415162661 @default.
- W2041516266 hasConcept C118552586 @default.
- W2041516266 hasConcept C141071460 @default.
- W2041516266 hasConcept C142724271 @default.
- W2041516266 hasConcept C204787440 @default.
- W2041516266 hasConcept C2780091945 @default.
- W2041516266 hasConcept C2780168130 @default.
- W2041516266 hasConcept C2780775167 @default.
- W2041516266 hasConcept C2781038967 @default.
- W2041516266 hasConcept C42219234 @default.
- W2041516266 hasConcept C71924100 @default.
- W2041516266 hasConceptScore W2041516266C118552586 @default.
- W2041516266 hasConceptScore W2041516266C141071460 @default.
- W2041516266 hasConceptScore W2041516266C142724271 @default.
- W2041516266 hasConceptScore W2041516266C204787440 @default.
- W2041516266 hasConceptScore W2041516266C2780091945 @default.
- W2041516266 hasConceptScore W2041516266C2780168130 @default.
- W2041516266 hasConceptScore W2041516266C2780775167 @default.
- W2041516266 hasConceptScore W2041516266C2781038967 @default.
- W2041516266 hasConceptScore W2041516266C42219234 @default.
- W2041516266 hasConceptScore W2041516266C71924100 @default.
- W2041516266 hasLocation W20415162661 @default.
- W2041516266 hasLocation W20415162662 @default.
- W2041516266 hasOpenAccess W2041516266 @default.
- W2041516266 hasPrimaryLocation W20415162661 @default.
- W2041516266 hasRelatedWork W1976994629 @default.
- W2041516266 hasRelatedWork W2069721889 @default.
- W2041516266 hasRelatedWork W2131333162 @default.
- W2041516266 hasRelatedWork W2335365458 @default.
- W2041516266 hasRelatedWork W2395634085 @default.
- W2041516266 hasRelatedWork W2417961914 @default.
- W2041516266 hasRelatedWork W2419874425 @default.
- W2041516266 hasRelatedWork W2474039552 @default.
- W2041516266 hasRelatedWork W2945124548 @default.
- W2041516266 hasRelatedWork W3110090265 @default.
- W2041516266 isParatext "false" @default.
- W2041516266 isRetracted "false" @default.
- W2041516266 magId "2041516266" @default.
- W2041516266 workType "article" @default.