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Lower Cervical Intramuscular Injection

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1. Lower Cervical Intramuscular Injection

Lower Cervical Intramuscular Injection Lower Cervical Intramuscular Injection Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Lower (...) Cervical Intramuscular Injection Lower Cervical Intramuscular Injection Aka: Lower Cervical Intramuscular Injection , Cervical Injection for Headache , Cervical Injection for Facial Pain II. Indication triggered by spasm of the trapezius ( ) Trapezius Spasm III. Mechanism Trigeminal block IV. Preparation 1% or Bupivicaine 0.5% Draw up 3 cc in syringe Use 1.5 inch needle V. Precautions Avoid directing needle inferiorly (risk of at level of lung apex) VI. Adverse effects may pardoxically worsen

2018 FP Notebook

2. Lower Cervical Intramuscular Injection

Lower Cervical Intramuscular Injection Lower Cervical Intramuscular Injection Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Lower (...) Cervical Intramuscular Injection Lower Cervical Intramuscular Injection Aka: Lower Cervical Intramuscular Injection , Cervical Injection for Headache , Cervical Injection for Facial Pain II. Indication triggered by spasm of the trapezius ( ) Trapezius Spasm III. Mechanism Trigeminal block IV. Preparation 1% or Bupivicaine 0.5% Draw up 3 cc in syringe Use 1.5 inch needle V. Precautions Avoid directing needle inferiorly (risk of at level of lung apex) VI. Adverse effects may pardoxically worsen

2015 FP Notebook

3. Autologous Adipose-Derived Stromal Cell Delivered Via Intramuscular Injections for the Treatment of Critical Limb Ischemia

will be collected for isolation of platelet rich plasma, which are then combined with the ASC's for intramuscular injection into the lower limb. Condition or disease Intervention/treatment Phase Critical Limb Ischemia Procedure: Liposuction Other: Stem Cell Injection Phase 1 Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Actual Enrollment : 0 participants Intervention Model: Single Group Assignment Masking: None (Open Label) Primary Purpose: Treatment Official (...) Autologous Adipose-Derived Stromal Cell Delivered Via Intramuscular Injections for the Treatment of Critical Limb Ischemia Autologous Adipose-Derived Stromal Cell Delivered Via Intramuscular Injections for the Treatment of Critical Limb Ischemia - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached

2014 Clinical Trials

4. Intramuscular Hydroxyprogesterone Caproate and Placenta Previa

degree when the lower edge of the placenta lies within 2 cm from the internal cervical os and Placenta previa minor degree if the lower edge of the placenta at lower uterine segment but more than 2 cm from internal os. Placenta previa is responsible for 0.03% of maternal mortality and 8.1% of perinatal mortality of 8.1% in the developed world and much more in developing countries. Many studies in literature proved the positive correlation between the Placenta previa and preterm uterine contractility (...) /treatment Active Comparator: 17α hydroxy progesterone caproate group Drug: 17α hydroxy progesterone caproate where patients will have a 17α hydroxy progesterone caproate intramuscular injection every week starting from 24 weeks of gestation till completed 37 weeks No Intervention: No intervention group Outcome Measures Go to Primary Outcome Measures : number of women delivered before 37 weeks [ Time Frame: 13 weeks ] Eligibility Criteria Go to Information from the National Library of Medicine Choosing

2017 Clinical Trials

5. Botulinum neurotoxin for the treatment of blepharospasm, cervical dystonia, adult spasticity, and headache

. There was no significant difference between the 2 products at week 4, but at week 12 there was a significantly shorter duration and lower efficacy of onaBoNT-A assessed by reduction in TWSTRS total score, suggesting that the optimal conversion ratio between onaBoNT-A and aboBoNT-A is lower than 1:3. Three long-term, prospective, open-label studies (Class IV) , , evaluated the clinical response of repeated injections of onaBoNT-A and found persistent benefit for up to 2 years. Conclusions. AboBoNT-A (2 Class I studies (...) Botulinum neurotoxin for the treatment of blepharospasm, cervical dystonia, adult spasticity, and headache Practice guideline update summary: Botulinum neurotoxin for the treatment of blepharospasm, cervical dystonia, adult spasticity, and headache | Neurology Advertisement Search for this keyword Main menu User menu Search Search for this keyword The most widely read and highly cited peer-reviewed neurology journal Share May 10, 2016 ; 86 (19) Special Article Practice guideline update summary

2016 American Academy of Neurology

6. Intracervical Lidocaine Versus Intramuscular Diclofenac for Pain Relief in HSG in a Tertiary Hospital in Kano

hysterosalpingography. Half of participants will receive intracervical block with 1% lidocaine, while the other half will receive intramuscular diclofenac 75mg. Condition or disease Intervention/treatment Phase Female Infertility of Tubal Origin Drug: Intracervical lidocaine Drug: Intramuscular Diclofenac Phase 4 Detailed Description: Hysterosalpingography (HSG) is a radiographic test to evaluate the contour of the uterine cavity and patency of the fallopian tubes after injection of a radio-opaque dye through (...) at each point) 5 minutes before proceeding with the hysterosalpingogram. Drug: Intracervical lidocaine Intracervical lidocaine injected at four different points Other Name: lignocaine Active Comparator: Intramuscular Diclofenac This group will comprise of patients that will receive intramuscular diclofenac potassium 75mg 30 minutes before proceeding with the hysterosalpingogram. Drug: Intramuscular Diclofenac Intramuscular Diclofenac 30 mins before HSG Other Names: Diclofenac sodium Voltaren Outcome

2016 Clinical Trials

7. Cervical Cancer Prevention (PDQ®): Health Professional Version

vaccine. Women were evaluated every 6 months up to 5 years. The rate of high-grade cervical, vulvar, or vaginal disease was the same in both groups (14.0 per 1,000 person-years) because of pre-existing HPV infection, but the rate of disease related to HPV-31, -35, -45, -52, and -58 was lower in the 9vHPV vaccine group (0.1 vs. 1.6 per 1,000 person-years). Injection-site reactions were more common in the 9vHPV group.[ ] Although not addressed in this study, the benefit of HPV vaccination is optimal (...) cancer were identified during the trial. A 9-valent VLP vaccine was studied in another international randomized trial, which included 14,215 women. This new vaccine 9vHPV includes the four HPV types in the quadrivalent vaccine, qHPV (6, 11, 16, 18) and also 5 more oncogenic types (31, 33, 45, 52, 58). Sexually active women aged 16 to 26 years with fewer than five lifetime sexual partners received three intramuscular injections (day 1, month 2, and month 6) of either the qHPV vaccine or the 9vHPV

2017 PDQ - NCI's Comprehensive Cancer Database

8. Cervical preparation for second-trimester surgical abortion prior to 20 weeks' gestation

reported that 0.4% of 450 women administered 200 mg of mifepristone for cervical priming prior to second-trimester abortion delivered spontaneously within the 48-h interval before misoprostol administration [27]. One brief case series reports that 4 of 5 patients treated with serial intramuscular progesterone injections following first-trimester mifepristone administration delivered healthy term infants, suggesting that the effects of mifepristone may be reversed [67]. One woman completed her abortion (...) ' satisfaction with cervical preparation was much lower when misoprostol was used (37% vs. 95%, pb.001). Less preoperative dilationwas achievedwithmisoprostolthanwithovernightlaminaria(33 Fr vs. 43 Fr,pb.001), and procedures in the misoprostol group were more likely to require additional mechanical dilation(80%vs.21%,pb.001).Physiciansrated27%ofthe misoprostolproceduresasmoderatetomarkedlydifficultvs. 5% in the laminaria group (p=.01); however, 98.8% of all procedures were completed on the first attempt

2014 Society of Family Planning

9. Cervical Cancer Prevention (PDQ®): Health Professional Version

vaccine. Women were evaluated every 6 months up to 5 years. The rate of high-grade cervical, vulvar, or vaginal disease was the same in both groups (14.0 per 1,000 person-years) because of pre-existing HPV infection, but the rate of disease related to HPV-31, -35, -45, -52, and -58 was lower in the 9vHPV vaccine group (0.1 vs. 1.6 per 1,000 person-years). Injection-site reactions were more common in the 9vHPV group.[ ] Although not addressed in this study, the benefit of HPV vaccination is optimal (...) cancer were identified during the trial. A 9-valent VLP vaccine was studied in another international randomized trial, which included 14,215 women. This new vaccine 9vHPV includes the four HPV types in the quadrivalent vaccine, qHPV (6, 11, 16, 18) and also 5 more oncogenic types (31, 33, 45, 52, 58). Sexually active women aged 16 to 26 years with fewer than five lifetime sexual partners received three intramuscular injections (day 1, month 2, and month 6) of either the qHPV vaccine or the 9vHPV

2015 PDQ - NCI's Comprehensive Cancer Database

10. Clostridium botulinum neurotoxin type A, free from complexing proteins - Cervical Dystonia

at the neuromuscular junction, temporarily preventing muscle contractions. Xeomin differs from Botox, the only other botulinum toxin A product available in Canada, in that it is free from complexing proteins. Common Drug Review Common Drug Review CEDAC Meeting – November 18, 2009 Page 2 of 5 Notice of CEDAC Final Recommendation – December 16, 2009 © 2009 CADTH Xeomin is given as an intramuscular injection and is available as a powder for reconstitution (100 U per vial). The Health Canada product monograph (...) recommends that dosing in cervical dystonia be individualized based on the muscle to be injected, up to a maximum of 50 U per injection site. A total dose does not usually exceed 200 U, but up to 300 U may be used. The recommended interval between each treatment is at least three months. Summary of CEDAC Considerations: The Committee considered the following information prepared by the Common Drug Review (CDR): a systematic review of randomized controlled trials (RCTs) of Xeomin and a critique

2010 Canadian Agency for Drugs and Technologies in Health - Common Drug Review

11. A Comparison of Botox 100 U/mL and Dysport 100 U/mL Using Dose Conversion Ratio 1: 3 and 1: 1.7 in the Treatment of Cervical Dystonia: A Double-Blind, Randomized, Crossover Trial. (PubMed)

A Comparison of Botox 100 U/mL and Dysport 100 U/mL Using Dose Conversion Ratio 1: 3 and 1: 1.7 in the Treatment of Cervical Dystonia: A Double-Blind, Randomized, Crossover Trial. Intramuscular injections of botulinum toxin (BTX) are used as symptomatic treatment for cervical dystonia. Botox and Dysport are commercial products containing BTX; however, dosage and concentration of the prepared solution vary considerably among studies. The concentration of BTX in the prepared solution affects (...) clinical outcome. This double-blind, randomized crossover trial compares Botox and Dysport in 2 different dose conversion ratios (1:3 and 1:1.7) when diluted to the same concentration (100 U/mL).Forty-six patients with cervical dystonia received 3 different treatments, Botox in 2 different doses and Dysport as control treatment. The efficacy was evaluated 4 and 12 weeks after treatment using 5 instruments, including Toronto Western Spasmodic Torticollis Rating Scale.The primary outcome

2015 Clinical neuropharmacology

12. Dose-finding, Safety Study of Plasmid DNA Therapeutic Vaccine to Treat Cervical Intraepithelial Neoplasia

dose will be administered on 4mg group participants through intramuscular route using EP device. The injection points are at 0 week, 4 week and 12week. Biological: GX-188E DNA vaccine administered via IM route using TDS-IM electroporation device Other Name: DNA therapeutic vaccine Outcome Measures Go to Primary Outcome Measures : The Rate of Participants with Histopathological Regression of Cervical Lesions to CIN1 or Less [ Time Frame: 20 weeks ] Secondary Outcome Measures : The Rate (...) by the National Library of Medicine available for: resources: Arms and Interventions Go to Arm Intervention/treatment Experimental: 1mg of GX-188E per dose 1mg of GX-188E per dose will be administered on 1mg group participants through intramuscular route using EP device. The injection points are at 0 week, 4 week and 12 week. Biological: GX-188E DNA vaccine administered via IM route using TDS-IM electroporation device Other Name: DNA therapeutic vaccine Experimental: 4mg of GX-188E per dose 4mg of GX-188E per

2014 Clinical Trials

13. Cervical Cancer Prevention

) and also 5 more oncogenic types (31, 33, 45, 52, 58). Sexually active women aged 16 to 26 years with fewer than five lifetime sexual partners received three intramuscular injections (day 1, month 2, and month 6) of either the qHPV vaccine or the 9vHPV vaccine. Women were evaluated every 6 months up to 5 years. The rate of high-grade cervical, vulvar, or vaginal disease was the same in both groups (14.0 per 1,000 person-years) because of pre-existing HPV infection, but the rate of disease related to HPV (...) -31, -35, -45, -52, and -58 was lower in the 9vHPV vaccine group (0.1 vs. 1.6 per 1,000 person-years). Injection-site reactions were more common in the 9vHPV group.[ ] Although not addressed in this study, the benefit of HPV vaccination is optimal in younger females before the onset of sexual activity. All forms of the HPV vaccine are currently recommended by the Centers for Disease Control and Prevention (CDC) in the United States as a two-dose schedule at least 6 months apart for adolescents

2012 PDQ - NCI's Comprehensive Cancer Database

14. Epidural Steroid Injections (Overview)

randomized study comparing transforaminal lumbar epidural injection with lumbar paraspinal trigger-point injection. [ ] They randomized 48 patients with sciatica from herniated disk pulposus (confirmed by lumbar spine MRI) into 2 groups. One group received transforaminal lumbar epidural injection, and the other received a lumbar paraspinal intramuscular injection with saline. The average follow-up period was 16 months. The authors used patient satisfaction, the Rolland-Morris scale, and pain reduction (...) . The alternative approach using the Kambin triangle may be the better choice (see below for description). Comparison of interlaminar vs transforaminal lumbar epidural injections More evidence favors the use of transforaminal ESIs in the lumbar spine compared with the cervical spine. Although the interlaminar approach (see Approaches for Epidural Injections) may allow the injectate to flow to the site of pathology by migrating around the thecal sac and into the ventral epidural space, the transforaminal route

2014 eMedicine.com

15. Epidural Steroid Injections (Diagnosis)

randomized study comparing transforaminal lumbar epidural injection with lumbar paraspinal trigger-point injection. [ ] They randomized 48 patients with sciatica from herniated disk pulposus (confirmed by lumbar spine MRI) into 2 groups. One group received transforaminal lumbar epidural injection, and the other received a lumbar paraspinal intramuscular injection with saline. The average follow-up period was 16 months. The authors used patient satisfaction, the Rolland-Morris scale, and pain reduction (...) . The alternative approach using the Kambin triangle may be the better choice (see below for description). Comparison of interlaminar vs transforaminal lumbar epidural injections More evidence favors the use of transforaminal ESIs in the lumbar spine compared with the cervical spine. Although the interlaminar approach (see Approaches for Epidural Injections) may allow the injectate to flow to the site of pathology by migrating around the thecal sac and into the ventral epidural space, the transforaminal route

2014 eMedicine.com

16. Therapeutic Injections for Pain Management (Treatment)

a factor when determining the appropriate injectate. [ ] Highly soluble steroids such as betamethasone sodium phosphate-acetate are rapidly absorbed and pose a lower risk for connective tissue injury, such as tendon rupture, fat atrophy, and muscle wasting. Relatively insoluble steroid esters have a longer duration of action. [ ] Corticosteroids are among the most commonly used active substances for spinal intervention. Particulate steroids should not be placed into the cervical foramina, because (...) . Direct neural damage is most often reported with brachial plexus blocks. Direct intraneural injection often is attributed to the practitioner's negligence or lack of skill but can occur with highly skilled and experienced interventionists. Needles with a low bevel angle (< 45°) may contribute to a lower incidence of such complications. Postblock neuropathy can occur immediately after the block or within the first 7 days; however, recovery is common over the ensuing 2-3 months. Accidental injection

2014 eMedicine.com

17. Therapeutic Injections for Pain Management (Overview)

a factor when determining the appropriate injectate. [ ] Highly soluble steroids such as betamethasone sodium phosphate-acetate are rapidly absorbed and pose a lower risk for connective tissue injury, such as tendon rupture, fat atrophy, and muscle wasting. Relatively insoluble steroid esters have a longer duration of action. [ ] Corticosteroids are among the most commonly used active substances for spinal intervention. Particulate steroids should not be placed into the cervical foramina, because (...) . Direct neural damage is most often reported with brachial plexus blocks. Direct intraneural injection often is attributed to the practitioner's negligence or lack of skill but can occur with highly skilled and experienced interventionists. Needles with a low bevel angle (< 45°) may contribute to a lower incidence of such complications. Postblock neuropathy can occur immediately after the block or within the first 7 days; however, recovery is common over the ensuing 2-3 months. Accidental injection

2014 eMedicine.com

18. Epidural Steroid Injections (Treatment)

randomized study comparing transforaminal lumbar epidural injection with lumbar paraspinal trigger-point injection. [ ] They randomized 48 patients with sciatica from herniated disk pulposus (confirmed by lumbar spine MRI) into 2 groups. One group received transforaminal lumbar epidural injection, and the other received a lumbar paraspinal intramuscular injection with saline. The average follow-up period was 16 months. The authors used patient satisfaction, the Rolland-Morris scale, and pain reduction (...) . The alternative approach using the Kambin triangle may be the better choice (see below for description). Comparison of interlaminar vs transforaminal lumbar epidural injections More evidence favors the use of transforaminal ESIs in the lumbar spine compared with the cervical spine. Although the interlaminar approach (see Approaches for Epidural Injections) may allow the injectate to flow to the site of pathology by migrating around the thecal sac and into the ventral epidural space, the transforaminal route

2014 eMedicine.com

19. Epidural Steroid Injections (Follow-up)

randomized study comparing transforaminal lumbar epidural injection with lumbar paraspinal trigger-point injection. [ ] They randomized 48 patients with sciatica from herniated disk pulposus (confirmed by lumbar spine MRI) into 2 groups. One group received transforaminal lumbar epidural injection, and the other received a lumbar paraspinal intramuscular injection with saline. The average follow-up period was 16 months. The authors used patient satisfaction, the Rolland-Morris scale, and pain reduction (...) . The alternative approach using the Kambin triangle may be the better choice (see below for description). Comparison of interlaminar vs transforaminal lumbar epidural injections More evidence favors the use of transforaminal ESIs in the lumbar spine compared with the cervical spine. Although the interlaminar approach (see Approaches for Epidural Injections) may allow the injectate to flow to the site of pathology by migrating around the thecal sac and into the ventral epidural space, the transforaminal route

2014 eMedicine.com

20. Therapeutic Injections for Pain Management (Follow-up)

a factor when determining the appropriate injectate. [ ] Highly soluble steroids such as betamethasone sodium phosphate-acetate are rapidly absorbed and pose a lower risk for connective tissue injury, such as tendon rupture, fat atrophy, and muscle wasting. Relatively insoluble steroid esters have a longer duration of action. [ ] Corticosteroids are among the most commonly used active substances for spinal intervention. Particulate steroids should not be placed into the cervical foramina, because (...) . Direct neural damage is most often reported with brachial plexus blocks. Direct intraneural injection often is attributed to the practitioner's negligence or lack of skill but can occur with highly skilled and experienced interventionists. Needles with a low bevel angle (< 45°) may contribute to a lower incidence of such complications. Postblock neuropathy can occur immediately after the block or within the first 7 days; however, recovery is common over the ensuing 2-3 months. Accidental injection

2014 eMedicine.com

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