Myth #1: Neither the use of digital subtraction technology nor live fluoroscopy is needed during the performance of lumbar transforaminal epidural steroid injections.
Myth #2: Particulate steroids can be used as a first-line treatment in lumbar TFESIs.
Myth #3: A local anesthetic test dose does not affect the safety of lumbar TFESI.
Myth #4: The use of digital subtraction imaging during lumbar TFESI correctly identifies intra-arterial uptake and allows prevention of neurological events in all cases.
Find the facts surrounding this myth and the best practices to support safe performance of interventional pain procedures in your practice.
You will be awarded CME credit after you read the FactFinder and complete the post-test. Before submitting the test, there is a review screen for learners to review your answers before submitting each attempt.
CME Credits: 0.5 AMA PRA Category 1 Credit(s)™
Price: Members: $24.95; Fellows/Residents: $9.95; Non-members: $49.95
Educational Objectives
Upon completion of this activity, participants should be able to:
- Identify best practices to ensure patient safety during interventional spine procedures, and,
- Cite the evidentiary basis for risk mitigation strategies in the safe performance of interventional pain procedures.
Authors
Adrian Popescu, MD; Zachary L. McCormick, MD; and Clark C. Smith, MD, MPH on behalf of the Spine Intervention Society’s Patient Safety Committee.
Author Disclosures
All individuals in control of content have disclosed the following financial relationships. All of these relationships were reviewed, and all conflicts of interest have been resolved (C7 SCS 6.1-6.2, 6.5).
Popescu, Adrian: Financial Relationships to Disclose.
McCormick, Zachary L.: Grant and research support: SIS grant for 59k, Foundation of PM&R grant for 10k, Midwest pain society grant for 3k; no payment or salary support to me from any of these grant funds.Travel Expenses: SIS board travel expenses.
Smith, Clark C.: No Financial Relationships to Disclose.
Commercial Support
No commercial support was received for this activity.
Accreditation Statement
The Spine Intervention Society (SIS) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Credit Designation Statement
SIS designates this internet enduring material for a maximum of 0.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Method of Physician Participation
Each participant will read the FactFinder and will answer post-test questions.
Copyright
Materials presented in this activity have been made available by the Spine Intervention Society for educational purposes only. We reserve all rights to such material.
Date of Activity Release: 2/17/19
Date of Activity Expiration: 2/16/22