SIR 2024
General IR
Cody R. Criss, DO, PhD
Resident
OhioHealth Riverside Methodist Hospital
Financial relationships: Full list of relationships is listed on the CME information page.
Mina S. Makary, MD (he/him/his)
Interventional Radiologist
The Ohio State University Wexner Medical Center
Financial relationships: Full list of relationships is listed on the CME information page.
To review technical details, methodology of nerve blocks across multiple interventions and its utility for enhancing interventional radiology (IR) therapy outcomes. This abstract aims to enable viewers to 1) understand the role of nerve blocks in IR procedures, 2) explore specific nerve block techniques for hepatic interventions, uterine artery embolization, and intercostal nerve blocks and 3) recognize the clinical implications and benefits of incorporating nerve blocks in IR practices.
Background:
Along with the increasing complexity and versatility of interventional radiology, there has been a concomitant need for adequate procedural sedation and analgesia.1 Nerve blocks represent a pivotal advancement in enhancing patient comfort and procedural outcomes within IR. By selectively blocking nerve conduction, procedural discomfort can be diminished, and the need for general and conscious sedation can be reduced, thereby minimizing overall procedural complication risk. The use of regional analgesia and proper pain control can improve patient compliance and shorten recovery time.1,2
Clinical Findings/Procedure Details:
This education exhibit will: (1) provide an overview of different types of nerve blocks (e.g. hepatic hilar, superior hypogastric nerve, intercostal/paravertebral nerve blockade), (2) indications across specific procedures such as hepatic interventions and uterine artery embolization3-6, (3) present an evidence-based review of the impact of on optimizing patient outcomes such as minimizing patient discomfort and improving patient experience and (5) discuss limitations and future directions for nerve blocks among other interventional radiology procedures.
Conclusion and/or Teaching Points: Nerve blocks represent a pivotal advancement in enhancing patient comfort and procedural outcomes within interventional radiology. After reviewing this exhibit, viewers will become familiar with indications for nerve block use, specific procedural related approaches and advantages and barriers of incorporating nerve blocks into the IR toolkit.