Manual Of Rf Techniques 3rd Gauci
I said in my introduction to the 2nd edition of this book that the first edition of Manual of RF Techniques, which was printed in 2004, was a worldwide success and was also produced in Korean and Spanish editions. I was then asked to write a 2nd edition, which I did in 2008.
Both editions have sold out, which is why I have been asked to produce this 3rd edition.Radiofrequency and Pulsed radiofrequency are modalities which are used all over the world by interventional pain physicians; the techniques in use are constantly being refined and modified as more targets are located; in my writing, I always ensure that the Manual keeps up to date with recent developments.I have added quite a lot of material to this edition, viz. Alternative ways of targeting the lumbar facet joints, as well as the sacroiliac joint (the latter includes use of the Cosman™ Bipolar Palisade technique and of the Neurotherm™ Simplicity probe). I have added alternative ways of targeting the thoracic facet joints (using cool RF) and the thoracic dorsal root ganglia, alternative ways of targeting the cervical facet joints and the lateral atlanto-axial joint. I have also included pulsed radiofrequency of the pudendal, phrenic and coccygeal nerves. In addition the physics section has been rewritten and expanded.I am very grateful for the contributions of Prof.
Alex Cahana & his team, Prof. Cosman Sr., Dr. Videojet excel 2017 user manual. Cosman Jr., Prof.
Phil Finch, Dr. Olav Rohof and Prof. Miles Day; these are all big names in interventional pain as well as being good drinking colleagues at WIP meetings! I am also very grateful to Enrico Cohen, the Managing Director of CoMedical who is publishing this edition. He has been extremely helpful in getting this project off the ground after the previous publisher Flivopress was acquired by the US-registered Neurotherm Ltd and was consequently recluded from the field of medical publishing under US law and surrendered copyright.
Basia Jankowiak, my graphic designer has, yet again, provided her great skills to make this book what it is. Once again, I hope that interventional pain physicians across the world will continue to find this Manual of RF Techniques, useful to them in their daily practise of their chosen field.Charles A. GauciLondon, UKAugust 2011. Now in its third edition, Dr. Gauci´s Manual is a 'how to do it' radiofrequency handbook that concentrates on the essentials of widely used RF pain management procedures, including facet denervation, PRF of the DRG, sympathetic RF, facial RF, RF cordotomy, and peripheral nerve RF. The text is reduced to a bare minimum and is accompanied by a series of clear illustrations. Spring-bound, laminated, and supplied with a waterproof pen, the manual can be taken into the operating theater when performing procedures.
This edition contains guest chapters from several big names in interventional pain management: Professor Alex Cahana, Professor Phillip Finch, Professor Eric Cosman Sr., Dr. Eric Cosman Jr., Professor Miles Day, and Dr. Olaf Rohof.Active in pain management since 1979, Dr.Gauci is Lead Consultant in pain management at Whipps Cross University Hospital, London; an Honorary Consultant in pain management at Guy’s & St. Thomas’ Hospital, London, UK; and a Visiting Consultant in pain management to the Ministry of Health in Malta. He is also Honorary Secretary of the World Institute of Pain (WIP), a Trustee of the WIP Foundation, and an examiner for the FIPP Diploma.
This guide details Dr. Charles Gauci’s method for percutaneous RF denervation of the lumbo-sacral facets and sacroiliac joints, one of the most fundamental and commonly performed RF procedure in pain medicine. Pain from these joints is estimated to account for 15% of chronic lower back pain. The guide covers epidemiology, diagnosis, pre-operative routine, facilities and surgical equipment, operative steps including cannulae placement and RF generator operation, and post-operative care. Gauci has been actively involved in pain management since 1979 and is a world-renowned educator, clinician, and leader in interventional pain medicine.
He is the author of “Manual of RF Techniques”, a popular, practical manual of RF procedures in chronic pain medicine. He practices at Whipps Cross University Hospital in London, and at Queen’s Hospital in Essex, UK. In this guide, Drs. Tew and Grande detail the RF technique they have personally used to treat over 3000 patients with trigeminal neuralgia. This percutaneous, outpatient method provides “a safe and proven method of achieving long-term pain relief from trigeminal neuralgia.” The published recurrence rate with this technique is “25% over 15 years, which is better than other percutaneous procedures and comparable to microvascular decompression,” an open neurosurgical procedure.
The guide covers diagnosis, pre-operative routine, facilities and surgical equpment, operative steps including cannulae placement and RF generator operation, post-operative care, and a literature review on outcomes. Tew is a pioneer in RF treatment of trigeminal neuralgia, having developed the curved TEW trigeminal electrode with Dr.
Eric Cosman, Sr, PhD in the late 1970’s. Tew is a neurosurgeon at the Mayfield Clinic in Cincinnati, Ohio, specializing in brain tumors, spinal cord tumors, acoustic neuromas, pituitary tumors, shingles, trigeminal neuralgia, glossopharyngeal neuralgia, percutaneous stereotactic rhizotomy (PSR), microvascular decompression (MVD), hemifacial spasm, and Chiari malformations. Andrew Grande is a graduate of the Mayfield Clinic’s Neurosurgerical residency program and is now an assistant professor of neurosurgery at the University of Minnesota. Despite the rise of neuromodulation surgeries for pain, DREZ thermocoagulation remains the best evidence-based treatment for deafferentation pain. Cervical DREZ radiofrequency thermocoagulation remains a safe and highly effective operation for patients suffering from chronic pain from cervical nerve root avulsions and phantom limb pain.
Nucleus caudalis DREZ has proven effective for medically-intractable facial pain syndromes including post-herpetic neuralgia, brainstem infarct-related facial pain, anesthesia dolorosa, facial pain due to multiple sclerosis, and cancer-related facial pain. Detailed followup studies from Dr. Blaine Nashold’s practice suggest the as many as 90% of patients with brachial plexus avulsion may be pain free immediately after surgery and more than 70% continue to have complete or good palliation years later. Amr El-Naggar and John Moossy trained under Dr. Blaine Nashold at Duke University during the formative years of the DREZ operation. El-Naggar designed the first electrode for nucleus caudalis DREZ lesioning with Dr.
Nashold and Prof. Eric Cosman Sr, PhD. Nestor Tomycz and John Moossy practice at University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
El-Naggar practices at Lake Cumberland Neurosurgical Clinic, Somerset, Kentucky. Stephen Sandwell practices at University of Rochester, Rochester, New York. Now in its third edition, Dr. Gauci’s Manual is a “how to do it” radiofrequency handbook that concentrates on the essentials of widely used RF pain management procedures, including facet denervation, PRF of the DRG, sympathetic RF, facial RF, RF cordotomy, and peripheral nerve RF.
The text is reduced to a bare minimum and is accompanied by a series of clear illustrations. Spring-bound, laminated, and supplied with a waterproof pen, the manual can be taken into the operating theater when performing procedures. This edition contains guest chapters from several big names in interventional pain management: Professor Alex Cahana, Professor Phillip Finch, Professor Eric Cosman Sr., Dr. Eric Cosman Jr., Professor Miles Day, and Dr.
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Active in pain management since 1979, Dr.Gauci is Lead Consultant in pain management at Whipps Cross University Hospital, London; an Honorary Consultant in pain management at Guy’s & St. Thomas’ Hospital, London, UK; and a Visiting Consultant in pain management to the Ministry of Health in Malta. He is also Honorary Secretary of the World Institute of Pain (WIP), a Trustee of the WIP Foundation, and an examiner for the FIPP Diploma.
Manual Of Rf Techniques
The Manual of RF Techniques is published by CoMedical BV (Ridderkerk, Netherlands).