Prevalence and Characteristics of Pain Induced by Percutaneous Liver Biopsy

@article{Eisenberg2003PrevalenceAC,
  title={Prevalence and Characteristics of Pain Induced by Percutaneous Liver Biopsy},
  author={Elon Eisenberg and M Konopniki and E Veitsman and Rimma Kramskay and Diana Gaitini and Yaacov Baruch},
  journal={Anesthesia \& Analgesia},
  year={2003},
  volume={96},
  pages={1392-1396}
}
Percutaneous needle liver biopsy is an important procedure for the diagnosis and evaluation of liver disease and is frequently associated with pain. In this prospective study, we investigated the prevalence and characteristics of this pain syndrome. Fifty-four subjects, who underwent liver biopsy under ultrasound guidance, received 5 mg of diazepam orally 1 h before the procedure and local infiltration with 10 mL of 2% lidocaine just before needle insertion. Outcome measures included the visual… 
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TLDR
The results of this pilot study suggest that, although deemed as minor, pain experienced during Percutaneous liver biopsy should be taken into consideration and that patients should be provided adequate prophylactic analgesia.
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Ultrasound-guided percutaneous liver biopsy is safe and well tolerated, and postprocedural pain does not correlate with the lobe punctured, patient age, or the indication for biopsy and appears to affect more women than men.
FREQUENCY OF PAIN ASSOCIATED WITH ULTRASOUND GUIDED PERCUTANEOUS LIVER BIOPSY
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Frequency of pain associated with ultrasound guided percutaneous trucut needle liver biopsy shows that females report pain more frequently than males, and the incidence of biopsy associated pain is more in patients who are addicted to narcotics.
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Prophylactic combination of short-acting tramadol and lorazepam is effective, safe, and can be used routinely before liver biopsy.
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The procedure of PLB is expected to be more painful than it really is by the patients, especially by females, and calming the patients by informing them about the procedure and their diseases will probably diminish the expected pain.
Pain after percutaneous liver biopsy for diffuse hepatic disease: a randomized trial comparing subcostal and intercostal approaches.
TLDR
US-guided percutaneous liver biopsy performed with fentanyl and midazolam premedication is a well-tolerated procedure with minimal patient discomfort.
Pain and Anxiety Experienced by Patients Following Placement of a Percutaneous Endoscopic Gastrostomy.
TLDR
It is likely that pain is not identified in patients unable to communicate and patients need to be better informed about the possibility of postprocedural pain and routinely offered access to appropriate analgesia.
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TLDR
Subcapsular anesthesia is a well-tolerated procedure compared to a pericapsular procedure and the application of a subcapsular anesthetic with a subcostal approach was reported to result in the lowest pain and greatest patient comfort.
Ethnicity influences pain after ultrasound-guided percutaneous liver biopsy
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Ethnicity has an important role in the development of pain after US-guided percutaneous liver biopsy and has a significant impact on willingness to repeat the procedure.
Prospective investigation of pain associated with ultrasound- and computed tomography-guided percutaneous biopsies in oncological patients.
TLDR
CT- and US- guided percutaneous biopsies are associated with low levels of pain that are generally well tolerated by patients irrespective of the targeted organ.
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