[Novelties in interventional pain techniques].
The clinical application of new interventional technology begins with its conception, passes through a scientific validation and finally should be accepted as part of current clinical practice. One way of scientifically validating these techniques is analyzing present practice, available resources and patient outcome. The first part of this article describes the stages in the creation of a quality management system (ISO 9001) which we carried out, in order to judiciously realize these novel interventions. In the second part two techniques indicated in low back and leg pain are described. The first is spinal endoscopy, a three dimensional procedure designed to diagnose and treated painful lumbar radiculopathy. The second is intra-discal electro-therapy (IDET), indicated in discogenic pain. Albeit novel, these techniques are of promising nature, and their qualitative analysis, via rigorous certification is, we think, of interest.
Mavrocordatos
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P
Service d'anesthésiologie, Département d'anesthésiologie, pharmacologie, soins intensifs, HUG, Genève. philippe.mavrocordatos@hcuge.ch
Cahana
A
A
D002908:Chronic Disease; D004599:Electric Stimulation Therapy; D004724:Endoscopy / Q000379:methods*; D004824:Epidural Space; D006757:Hospital Units; D006801:Humans; D059408:Pain Management; D011785:Quality Assurance, Health Care; D000267:Tissue Adhesions / Q000601:surgery