Complete Guide Of The PRP Injections
Is it harmful to patients to try the platelet-rich plasma in sports? Well, the majority of the doctors do not think so. Results prove that the majority of the cases provide positive results. But, a lot of research is still needed to prove whether the PRP therapy is suitable or not.
Now, you may think that PRP therapy is quite tough and complicated. But, let me tell you one thing, the PRP therapy is way simpler than you think. But, some famous physicians are hesitant about whether they should learn about PRP therapy or not. Even if they do opt for stem cell treatment, they get confused about what they should do and what they should avoid.
Injections Protocol Of The Platelet Rich Plasma
Injecting a PRP injection requires protocols, technique, and endorsement.
Protocol/Technique For Platelet-Rich Plasma
The majority of the procedures require a physician and some assistants (one or two). The assistants help in sustaining the sterile technique.
Considerations Before The PRP Therapy
When it comes to physical exams, an implication should be connected to accept the studies like Cat scan, MRI before treatment, or Ultrasound. Besides, a physician should hold meetings with patients. This way they can understand more about the patient and can get the approval of the patient.
Review Of The Contraindications Before the Surgery/Procedure
Preparation of the Graft
The first step is to position the patient. You need to make sure that your patient gets a cozy great.
After this, you should use needles and syringes. Make sure that you use the syringe and needles with proper guidelines and handling.
Once you have done this, your next task is to suck out the required amount of blood. The purpose of sucking put the blood is to use that blood for PRP therapy.
In case if you cannot draw out the blood on the first try, either due to the vein or the syringe, you should go for a new site.
The sterile technique is among the best techniques you can opt for. Through the sterile technique, you can easily transfer the venous blood in the centrifuge. One thing you need to keep in check is that the PRP should be taken through a separate device. The device should be specially made for autologous blood. In this method, a close system is preferred. This can help in avoiding the blood from exposing it to the open air.
Guidance Of PRP Therapy Through Imaging
When a physician is operating a PRP injection, imaging guidance must be considered. The image guidance can be used through ultrasound CT or fluoroscopy.
In case if you are thinking to go for the Ultrasound, you need to consider some things before you go for it.
- If it is a long procedure, experts suggest you inject the PRP injection close to the spine.
- You should opt for sterile probe covers. You should keep the probe clean before and after the PRP procedures.
- Once the procedure is complete, you should apply a bandage. This will protect you against the germs and will block them from entering.
What To Do After The Injection Is Injected?
Once you have injected the injection, I would recommend you to look after the patient. The reason for this is that numerous problems can occur like the Vaso-Vagal.
You should also give your patient advice so that they can handle the situation once they are on their own. If they have any queries, do not hesitate in answering them.
One thing that you should keep in mind is that after the PRP therapy, a patient might suffer from pain. Therefore, being a doctor, you must tell them each and everything about the pain prescriptions. Your patient must stay away from NSAIDs until they have completely recovered.
It is essential to record and document the entire PRP procedure. This should have a note with the following details.
- Diagnoses of both pre and post-therapy
- Name of the therapy
- Name of physician and assistant
- Anesthesia was used, yes or no
- If anesthesia was used, explain the type
- A short term indicator of the procedure
Protocols For The Injections Of The PRP Therapy
To check whether or not the patient is suffering from pain, they are analyzed in some two to six weeks.
The response of the patient should be documented or recorded. In case if you witness any complications, it should be immediately put in the ICMS tracking system. If it becomes necessary, you should go for another PRP injection. But, keep the choice of the final decision in the patient’s hand.
Safety Measures After The PRP Injection
No matter which therapy you are going for, one thing is for sure, precautions must be considered.
The Patient might suffer from infections like Klebsiella, Enterococcus, and Pseudomonas.
Risks Of The PRP Therapy For Patients
- Lack Of Result
- Nerve Damage
Indications Of The PRP therapy to locate or find a diagnosis, one needs to look for a complete history. In major cases, physicians need studies and researches to find out the reason for the failure of the treatments. If we look at the chronic and subacute conditions, PRP treatment is an alternative treatment. In a span of six to twelve weeks, the healing gets slow until it becomes to a minimum speed. In case if the patient does not experience any enhancement and improvement in six weeks, the healing process has stopped.
Contradictions Of The PRP Therapy
- Platelet dysfunction syndrome
- Hemodynamic instability
- Infections Might Occur
- Critical thrombocytopenia