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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. Comprehensive cervical cancer control

Chapter 1. Background 1 b. Cervix The cervix is the lower third of the uterus. In a non-pregnant woman of fertile age, it measures approximately 3 cm in length and 2.5 cm in diameter. The lower part of the cervix (ectocervix) lies within the vagina and is visible with a speculum; the upper two thirds of the cervix (endocervix) lies above the vagina and is not visible. Most cervical cancers originate in the area where the endocervix and ectocervix join. Figure 1.5 shows the uterus and the relative size (...) sides along the length of the cervix. It is important to keep the vessel location in mind to avoid injecting local anaesthetic into a vessel when applying cervical anaesthesia. The lymph nodes and ducts draining the pelvic organs lie close to the blood vessels and may act as a pathway for the spread of cervical cancer. In late stages of cancer, large tumours may block lymphatic drainage and cause the legs to swell (lymphoedema). g. Nervous system of the pelvic region The ectocervix has no pain nerve

2015 World Health Organisation Guidelines

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 (...) of HPV infection and subsequent development of cervical cancer. Magnitude of Effect : Women who experience first sexual intercourse at age 17 years or younger or women who have had six or more lifetime sexual partners have approximately two to three times the risk of squamous cell carcinoma or adenocarcinoma of the cervix, compared with women aged 21 years or older or who have a single sexual partner.[ ] Study Design : Evidence obtained from cohort and case-control studies. Internal Validity : Good

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 (...) Cervical preparation for second-trimester surgical abortion prior to 20 weeks' gestation Clinical Guidelines Cervical preparation for second-trimester surgical abortion prior to 20 weeks' gestation SFP Guideline #2013-4 Abstract For a dilation and evacuation (D&E) procedure, the cervix must be dilated sufficiently to allow passage of operative instruments and products of conception without injuring the uterus or cervical canal. Preoperative preparation of the cervix reduces the risk of cervical

2014 Society of Family Planning

9. Cefepime for Injection USP and Dextrose Injection USP in the Duplex® Container

and enlargement of anterior cervical glands. She underwent a food test and was found to be sensitive to wheat, corn, rye, milk, eggs and pork. Upon avoidance of all sources of corn, the patient reported an improvement for the first time in many months. After a second feeding test with corn meal gruel and corn sugar, she developed severe chills and headache. Two months later, she underwent the test of 25 cc. of 5% dextrose injection intravenously; seven hours later, she developed angioedema of the face (...) Cefepime for Injection USP and Dextrose Injection USP in the Duplex® Container CENTER FOR DRUG EVALUATION AND RESEARCH APPLICATION NUMBER: 50-821 MEDICAL REVIEW(S) 1 NDA 50821 Cefepime for Injection USP and Dextrose Injection USP in the Duplex ® Container B. Braun Medical Inc. Complete Response Submission November 6, 2009 Clinical Team Leader Memo Background B. Braun Medical Inc. submitted NDA 50821 to the Agency on September 26, 2008 as a 505(b)(2) application. The NDA is for a new drug

2009 FDA - Drug Approval Package

10. 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 (...) Date : February 2017 Estimated Study Completion Date : March 2017 Resource links provided by the National Library of Medicine related topics: available for: Arms and Interventions Go to Arm Intervention/treatment Experimental: Intracervical lidocaine This group will comprise of patients that will receive the intracervical block. The study group will receive a total of 60 mg (6 mL) of 1% lidocaine to be injected at four points (12, 4, 6, and 8 o'clock) circumferentially into the cervix (1.5 mL

2016 Clinical Trials

11. Zyprexa Relprevv (olanzapine) for Extended Release Injectable Suspension - statistical review

potential of Zyprexa in rats when administered once a month through intramuscular injection for about 104 weeks. It should be noted that the common regulatory requirement for carcinogenicity experiment is to include studies in two species, one in rats and one in mice. In the present form of this drug, Zyprexa is an extended release formulation of the previous regular Zyprexa. During the submission of regular Zyprexa a two species study was conducted and was reviewed by the agency. Hence, in a pre (...) , respectively. The control stayed without treatment. In addition to these treatment groups, an extra group of 60 animals were added to each sex (Group 2). The males in these additional group received 37 mg/kg of pamoic acid while the females received 92.5 mg/kg of pamoic acid through once a month intramuscular injection. Pamoic acid was evaluated since it represents the part of the molecule that would be released on ionization of Zyprexa and since no published carcinogenicity data could be cited supporting

2009 FDA - Drug Approval Package

12. 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 (...) of HPV infection and subsequent development of cervical cancer. Magnitude of Effect : Women who experience first sexual intercourse at age 17 years or younger or women who have had six or more lifetime sexual partners have approximately two to three times the risk of squamous cell carcinoma or adenocarcinoma of the cervix, compared with women aged 21 years or older or who have a single sexual partner.[ ] Study Design : Evidence obtained from cohort and case-control studies. Internal Validity : Good

2015 PDQ - NCI's Comprehensive Cancer Database

13. 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

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. 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

16. 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

17. 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

18. 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

19. Therapeutic Injections for Pain Management (Diagnosis)

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

20. 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

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