Basics of radio frequency techniques in pain management jadon.a

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Ashok Jadon

Basics of radio-frequency ablation techniques

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Basics of Radio Frequency techniques in Pain Management Dr. Ashok Jadon, MD DNB Sr. Consultant & HOD Anaesthesia Tata Motors Hospital, Jamshedpur

Principle of RF lesion ,[object Object],[object Object],[object Object],[object Object]

Principle of RF (contd.) ,[object Object],[object Object]

Conventional vs. Pulsed RF ,[object Object],[object Object],[object Object],[object Object],In pulsed RF. Electrical field produces some punch in the capacitor of small diameter nociceptive fibers. Thereby signal transmission is stopped.

Conventional vs. Pulsed RF ,[object Object],[object Object],[object Object],[object Object]

Lesion characteristics ,[object Object],[object Object],[object Object],[object Object]

Impedance ,[object Object],[object Object],[object Object]

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

CW: 20V, t=10 sec COSMAN, MIT 37˚C 40˚C 45˚C 60˚C 55˚C 50˚C 67˚C

CW: 20V, t=20 sec COSMAN, MIT 37˚C 40˚C 45˚C 60˚C 55˚C 50˚C 67˚C

CW: 20V, t=30 sec COSMAN, MIT 37˚C 40˚C 45˚C 60˚C 55˚C 50˚C 67˚C

CW: 20V, t=40 sec COSMAN, MIT 37˚C 40˚C 45˚C 60˚C 55˚C 50˚C 67˚C

CW: 20V, t=50 sec COSMAN, MIT 37˚C 40˚C 45˚C 60˚C 55˚C 50˚C 67˚C

CW: 20V, t=60 sec COSMAN, MIT 37˚C 40˚C 45˚C 60˚C 55˚C 50˚C 67˚C

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

Choice Between Conventional RF & Pulsed RF ,[object Object],[object Object],[object Object]

Localization of the Target nerve ,[object Object],[object Object],[object Object],[object Object],[object Object]

Conventional RF ,[object Object],[object Object],[object Object],[object Object]

Clinical Indications of Conventional RF ,[object Object]

Indications of Conventional RF Contd… Cervical facet joint denervation Sacro -iliac Joint denervation

Conventional RF Contd.. Lumber facet joint denervation

Indication of Pulse RF ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Stellate Ganglion RF

Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Conclusion ,[object Object],[object Object]

[object Object],[object Object],[object Object]

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