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Basics of radio frequency techniques in pain management jadon.a
1.
Basics of
Radio Frequency techniques in Pain Management Dr. Ashok Jadon, MD DNB Sr. Consultant & HOD Anaesthesia Tata Motors Hospital, Jamshedpur
2.
3.
stylet Exposed tip
= 5 mm RF electrode
4.
5.
6.
7.
8.
9.
10.
Lesion size versus
Lesion Time CW: 20V, t= 0 sec COSMAN, MIT 37˚C 40˚C 45˚C 60˚C 55˚C 50˚C 67˚C
11.
CW: 20V, t=10
sec COSMAN, MIT 37˚C 40˚C 45˚C 60˚C 55˚C 50˚C 67˚C
12.
CW: 20V, t=20
sec COSMAN, MIT 37˚C 40˚C 45˚C 60˚C 55˚C 50˚C 67˚C
13.
CW: 20V, t=30
sec COSMAN, MIT 37˚C 40˚C 45˚C 60˚C 55˚C 50˚C 67˚C
14.
CW: 20V, t=40
sec COSMAN, MIT 37˚C 40˚C 45˚C 60˚C 55˚C 50˚C 67˚C
15.
CW: 20V, t=50
sec COSMAN, MIT 37˚C 40˚C 45˚C 60˚C 55˚C 50˚C 67˚C
16.
CW: 20V, t=60
sec COSMAN, MIT 37˚C 40˚C 45˚C 60˚C 55˚C 50˚C 67˚C
17.
CW: 20V, t=60
sec 50˚C Isotherm |E|=2,750 V/m |E|=17,000 V/m COSMAN, MIT 37˚C 40˚C 45˚C 60˚C 55˚C 50˚C 67˚C
18.
19.
20.
21.
22.
Indications of Conventional
RF Contd… Cervical facet joint denervation Sacro -iliac Joint denervation
23.
Conventional RF Contd..
Lumber facet joint denervation
24.
25.
Cervical DRG lesioning
26.
Lumber DRG lesioning
27.
Lumber DRG lesioning
28.
Lumber sympathetic block
29.
30.
31.
32.
Thank You
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