311 results match your criteria Anesthesia Regional Digital Block


Efficacy and duration of effect for liposomal bupivacaine when administered perineurally to the palmar digital nerves of horses.

Am J Vet Res 2020 May;81(5):400-405

Objective: To determine the efficacy and duration of effect for liposomal bupivacaine following perineural administration to the medial and lateral palmar digital nerves of horses.

Animals: 9 nonlame mares.

Procedures: For each horse, 2 mL of liposomal bupivacaine (13. Read More

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http://dx.doi.org/10.2460/ajvr.81.5.400DOI Listing

Effects of vasoconstrictor use on digital nerve block: systematic review with meta-analysis.

Rev Col Bras Cir 2020 20;46(6):e20192269. Epub 2020 Jan 20.

Centro Universitário Tiradentes, Curso de Medicina, Maceió, AL, Brasil.

Conventionally, the association of local anesthetics with vasoconstrictors is avoided at extremities due to the risk of ischemia. However, recent studies suggest that there is safety in the use of vasoconstrictors at extremities. Thus, we sought to evaluate the effectiveness and safety of vasoconstrictor use combined with local anesthetics in digital nerve block compared to the use of anesthetics without vasoconstrictors, through a systematic review with meta-analysis of randomized clinical trials. Read More

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http://dx.doi.org/10.1590/0100-6991e-20192269DOI Listing

[Ultrasound-guided erector spinae plane block combined with pregabalin for post-herpetic neuralgia].

Zhonghua Yi Xue Za Zhi 2019 Oct;99(37):2907-2911

Department of Anesthesiology, the First Affiliated Hospital of Bengbu Medical College, Bengbu 233004, China.

To analyze the clinical effect of ultrasound-guided erector spinae block combined with pregabalin on post-herpetic neuralgia (PHN) in the elderly. Sixty patients with post-herpetic neuralgia from January 2018 to January 2019 in the Department of Pain, First Affiliated Hospital of Bengbu Medical College were selected. The patients were divided into two groups according to the random number table (30): group C and ultrasound-guided erector spinae block (ESPB) group. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0376-2491.2019.37.007DOI Listing
October 2019
3 Reads

Is Epinephrine Safe for Infant Digit Excision? A Retrospective Review of 402 Polydactyly Excisions in Patients Younger than 6 Months.

Plast Reconstr Surg 2019 07;144(1):149-154

Washington, D.C. From the Division of Plastic Surgery, Children's National Health System.

Background: Conventional dogma suggests that the use of local anesthetic with epinephrine is contraindicated in the digits because of fear of ischemia and necrosis. Although several reports have refuted this notion, the precept is still propagated in many clinical forums. For many years, the authors have used lidocaine with epinephrine to perform removal of postaxial polydactyly in infants and have observed few complications and no cases of digital ischemia or necrosis. Read More

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http://dx.doi.org/10.1097/PRS.0000000000005719DOI Listing
July 2019
12 Reads

The difference of subcutaneous digital nerve block method efficacy according to injection location.

Am J Emerg Med 2020 01 15;38(1):95-98. Epub 2019 Apr 15.

Department of Emergency Medicine, Soonchunhyang University Bucheon Hospital, Republic of Korea. Electronic address:

Introduction: Finger injuries are commonly attended to in the emergency department, and digital nerve block is a frequently performed procedure for such injuries. This study compared the efficacy levels of the subcutaneous method according to the different injection sites.

Method: This was a simulation study for medical students who rendered medical service at the emergency department. Read More

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http://dx.doi.org/10.1016/j.ajem.2019.04.031DOI Listing
January 2020
8 Reads

Changes in facial temperature measured by digital infrared thermal imaging in patients after transnasal sphenopalatine ganglion block: Retrospective observational study.

Medicine (Baltimore) 2019 Apr;98(15):e15084

Department of Anesthesiology and Pain Medicine, Ajou University, School of Medicine, Suwon, South Korea.

Sphenopalatine ganglion block (SPGB) is a technique developed in the 1990s for the management of head and neck pain patients. Recently, transnasal sphenopalatine ganglion block (TN-SPGB) has been widely used for these patients; however, no objective methods exist for validating the success of TN-SPGB. In this study, we measured the changes in facial temperature before and 30 minutes after TN-SPGB by using digital infrared thermal imaging (DITI) to validate its success. Read More

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http://dx.doi.org/10.1097/MD.0000000000015084DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6485901PMC
April 2019
27 Reads

Recent Topics on Fingertip Replantations Under Digital Block.

Hand Clin 2019 05;35(2):179-184

Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, The University of Tokyo, 1-3-7, Hongo, Bunkyo-ku, Tokyo 113-0011, Japan.

The authors describe 3 cases with successful fingertip replantations using supermicrosurgical arteriole (terminal branch of digital artery) anastomoses, arteriole graft obtained from the same fingertip defect, reverse arteriole flow to subdermal venule, and delayed venular drainage for venous congestion. Among these 16 consecutive distal phalangeal replantations, 7 fingers showed postoperative venous congestion (43.8% of the total fingers) and 5 were reoperated on with delayed venous drainage under digital block. Read More

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http://dx.doi.org/10.1016/j.hcl.2018.12.007DOI Listing
May 2019
7 Reads

Panoramic Radiographic Relationship of the Mandibular Foramen to the Anterior Border of the Ramus and Occlusal Plane as an Aid in Inferior Alveolar Nerve Block.

Anesth Prog 2019 ;66(1):20-23

Dentistry student, Islamic Azad University, Tehran, Iran.

The location of the mandibular foramen (MF) on digital panoramic radiographs can be an important guide for clinicians when administering the inferior alveolar nerve block (IANB) for dental anesthesia of the mandible. This study, aimed to assess the location of the MF relative to the anterior border (AB) of the ramus and the occlusal plane (OP) from digital panoramic radiographs. An observational case series study was conducted on digital panoramic radiographs from the oral and maxillofacial radiology department archives of patients at least 18 years of age with a 1:1 scale (100%). Read More

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http://dx.doi.org/10.2344/anpr-65-04-05DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424164PMC
January 2020
12 Reads

A randomized controlled comparison between periprostatic nerve block and pelvic plexus block at the base and apex of 14-core prostate biopsies.

World J Urol 2019 Dec 12;37(12):2663-2669. Epub 2019 Mar 12.

Department of Urology, Gangneung Asan Hospital, University of Ulsan College of Medicine, Bangdong-gil 38, Sacheon-myeon, Gangneung, Gangwon-do, Republic of Korea.

Purpose: To compare the pain control efficacies of the pelvic plexus block (PPB), periprostatic nerve block (PNB), and controls during a 14-core basal and apical core prostate biopsy.

Methods: This randomized controlled study, performed between January 2015 and January 2016, included patients with an abnormal serum prostate-specific antigen (PSA > 3 ng/mL) level or a palpable nodule on digital rectal examination. The enrolled patients were randomized into three groups: Group 1, intrarectal local anesthesia (IRLA, 10 mL of 2% lidocaine jelly) and PPB with 3. Read More

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http://dx.doi.org/10.1007/s00345-019-02722-wDOI Listing
December 2019
24 Reads

Evaluation of the B-Smart manometer and the CompuFlo computerized injection pump technology for accurate needle-tip injection pressure measurement during peripheral nerve blockade.

Reg Anesth Pain Med 2019 01;44(1):86-90

Department of Anesthesiology, University of Miami - Miller School of Medicine, Miami, Florida, USA.

Background And Objectives: The exact mechanism of peripheral nerve blocks causing/leading to nerve injury remains controversial. Evidence from animal experiments suggests that intrafascicular injection resulting in high injection pressure has the potential to rupture nerve fascicles and may consequently cause permanent nerve injury and neurological deficits. The B-Smart (BS) in-line manometer and the CompuFlo (CF) computerized injection pump technology are two modalities used for monitoring pressure during regional anesthesia. Read More

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http://dx.doi.org/10.1136/rapm-2018-000026DOI Listing
January 2019

[YouTube as an informational source for brachial plexus blocks: evaluation of content and educational value].

Rev Bras Anestesiol 2019 Mar - Apr;69(2):168-176. Epub 2019 Jan 8.

Maltepe University, Faculty of Medicine, Department of Anesthesiology and Reanimation, Istambul, Turquia.

Background And Objectives: YouTube, the most popular video-sharing website, contains a significant number of medical videos including brachial plexus nerve blocks. Despite the widespread use of this platform as a medical information source, there is no regulation for the quality or content of the videos. The goals of this study are to evaluate the content of material on YouTube relevant to performance of brachial plexus nerve blocks and its quality as a visual digital information source. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00347094183015
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http://dx.doi.org/10.1016/j.bjan.2018.11.004DOI Listing
August 2019
4 Reads

Efficacy of midazolam addition to local anesthetic in peribulbar block : Randomized controlled trial.

Authors:
M Ibrahim E Gomaa

Anaesthesist 2019 03 9;68(3):143-151. Epub 2019 Jan 9.

Department of Anesthesiology, Faculty of Medicine, Zagazig University, Zagazig, Egypt.

Background: Peribulbar block is considered a safe option for patients undergoing cataract surgery. The limited duration of regional eye blocks was shown to be the main problem. The objective of this study was to evaluate the effects of adjuvant midazolam (in two concentrations) to lidocaine in the peribulbar block. Read More

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http://dx.doi.org/10.1007/s00101-018-0525-3DOI Listing
March 2019
4 Reads

Percutaneous capsulotomy for treatment of digital mucous cysts.

J Hand Surg Eur Vol 2019 03 13;44(3):321-323. Epub 2018 Dec 13.

1 Department of Surgery, School of Medicine, National Yang-Ming University.

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http://dx.doi.org/10.1177/1753193418817246DOI Listing
March 2019
1 Read

Intranasal ketamine reduces pain of digital nerve block; a double blind randomized clinical trial.

Am J Emerg Med 2019 09 17;37(9):1622-1626. Epub 2018 Nov 17.

Emergency Medicine Department, Tehran University of Medical Sciences, Tehran, Iran. Electronic address:

Background: Low dose ketamine can be used as analgesic in acute pain management in the emergency department (ED).

Objective: Efficacy of IN ketamine in acute pain management in the ED.

Method: This is a double blind randomized clinical trial on patients older than 15 years who needed digital nerve block (DNB). Read More

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http://dx.doi.org/10.1016/j.ajem.2018.11.026DOI Listing
September 2019
5 Reads

Low Volume Neurolytic Retrocrural Celiac Plexus Block for Visceral Cancer Pain: Retrospective Review of 507 Patients with Severe Malignancy Related Pain Due to Primary Abdominal Cancer or Metastatic Disease.

Pain Physician 2018 09;21(5):497-504

Department of Anesthesiology and Pain Management, JHS Hospital of Cook County, Chicago, IL.

Background: Abdominal pain from primary cancer or metastatic disease is a significant cause of pain for patients undergoing treatment for the disease. Patient's pain may be resistant to conventional analgesics. The need for timely pain relief in order to facilitate further care in the cancer treatment plan should be a priority. Read More

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September 2018
3 Reads

Effect of the addition of epinephrine to a lidocaine solution on the efficacy and duration of palmar digital nerve blocks in horses with naturally occurring forefoot lameness.

Am J Vet Res 2018 Oct;79(10):1028-1034

OBJECTIVE To determine whether addition of epinephrine to a lidocaine solution would prolong and potentiate the efficacy of a palmar digital nerve block (PDNB) in horses. ANIMALS 6 adult horses with naturally occurring forefoot lameness. PROCEDURES Initially, a PDNB with a 2% lidocaine solution was performed on the affected foot of each horse. Read More

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http://dx.doi.org/10.2460/ajvr.79.10.1028DOI Listing
October 2018
7 Reads
1.335 Impact Factor

The effect of a compression bandage on the distribution of radiodense contrast medium after palmar digital nerve blocks.

Equine Vet J 2019 Mar 23;51(2):261-265. Epub 2018 Aug 23.

Department of Veterinary Clinical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Taastrup, Denmark.

Background: Studies have shown proximal diffusion of injected drugs in perineural blocks; such diffusion may affect specificity of the nerve block.

Objectives: To investigate the effect of a compression bandage applied to the pastern region on proximal diffusion of contrast medium injected over the palmar digital nerves.

Study Design: Experimental study, randomised cross-over design. Read More

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http://dx.doi.org/10.1111/evj.13000DOI Listing
March 2019
36 Reads

[The transthecal digital block].

Ned Tijdschr Geneeskd 2018 Jul 6;162. Epub 2018 Jul 6.

UMC Utrecht, afd. Anatomie.

Anaesthesia of an entire finger is a routinely performed procedure at the General Practice and the emergency room, and by many surgical disciplines. The method according to Oberst is the most-performed procedure to do this. The transthecal digital block is a new method that can be easily learned. Read More

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July 2018
3 Reads

Comparison of the Cost and Efficacy of Axillary Anesthesia and Wide-Awake Anesthesia in Finger Surgeries.

Sisli Etfal Hastan Tip Bul 2018 12;52(2):119-123. Epub 2018 Jun 12.

Department of Orthopedics, University of Health Sciences, Erzurum Regional Training and Research Hospital, Erzurum, Turkey.

Objectives: Wide-awake anesthesia is a type of local anesthesia consisting of a combined application of lidocaine, epinephrine, and bicarbonate and has a wide potential in hand surgery as it offers the advantage of being applied without sedation and without using a tourniquet. In light of recent studies, its use has increased with the disappearance of the belief among surgeons that epinephrine can cause circulatory disturbance in fingers.

Methods: Patients with finger pathologies who were operated upon at the Baltalimani Bone Diseases Teaching and Research Hospital between January 2015 and February 2016 were divided into two groups according to anesthesia type: wide-awake anesthesia and axillary block anesthesia, with 52 patients in each group. Read More

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http://dx.doi.org/10.14744/SEMB.2017.17363DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315058PMC

Regional Anesthesia in the Setting of Arm Replantation: A Case Report.

A A Pract 2018 Jul;11(2):38-40

From the Department of Anesthesiology, San Antonio Military Medical Center, Joint Base San Antonio, Fort Sam Houston, San Antonio, Texas.

The perioperative implementation of continuous peripheral nerve blocks is poorly described within the literature for replantation surgeries beyond digital replantation. The management of replantation patients presents a challenging balance between pain control and limb perfusion. We report the successful use of a continuous interscalene catheter in a therapeutically anticoagulated patient after midshaft humerus arm replantation. Read More

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http://dx.doi.org/10.1213/XAA.0000000000000728DOI Listing
July 2018
56 Reads

Digital technology for performing a nasopalatine and greater palatine nerve block with a modified implant surgical guide: A technique article.

J Prosthet Dent 2018 Sep 5;120(3):338-342. Epub 2018 Apr 5.

Faculty, Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia.

This article describes a computer-aided design and computer-aided manufacturing (CAD-CAM) technique to perform a precise nerve block of the nasopalatine and greater palatine nerves by using an implant surgical guide. The technique uses additional guide anchor pins planned and positioned for specific anatomic landmarks during guided implant surgical guide planning. A relief modification virtually designed on the intaglio surface of the surgical guide allows for palatal soft tissue distension following administration of local anesthetic. Read More

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http://dx.doi.org/10.1016/j.prosdent.2017.10.028DOI Listing
September 2018
7 Reads

[Dose-response relationship of ropivacaine for epidural block in early herpes zoster guided by CT].

Zhonghua Yi Xue Za Zhi 2017 Dec;97(48):3783-3786

Department of Pain Management, the First Hospital of Jiaxing, Jiaxing 314000, China.

To determine the dose-response relationship of ropivacaine for epidural block in early herpes zoster by CT guided. From January 2015 to February 2017, according to the principle of completely random digital table, 80 patients with early herpes zoster who were prepared for epidural block were divided into 4 groups(each group 20 patients): in group A the concentration of ropivacaine was 0.08%, in group B was 0. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0376-2491.2017.48.006DOI Listing
December 2017
7 Reads

A single injection metacarpal block of the second digital ray: an easy, efficient and patient friendly technique.

Authors:
Guirgis A Awad

J Hand Surg Eur Vol 2018 09 10;43(7):785-786. Epub 2018 Jan 10.

Plastic Surgery Department, Queen Victoria Hospital NHS Foundation, East Grinstead, UK.

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http://dx.doi.org/10.1177/1753193417751718DOI Listing
September 2018
3 Reads

Radiation Exposure During Uterine Fibroid Embolization (UFE): A Confounder-Controlled Comparison Between a State-of-the-Art Angiography Unit and a Conventional Angiography unit.

Rofo 2018 03 21;190(3):250-258. Epub 2017 Sep 21.

Klinikum Stuttgart, Clinic for Diagnostic and Interventional Radiology, Stuttgart, Germany.

Purpose: To compare radiation exposure of a state-of-the-art and a conventional angiography unit in patients undergoing uterine fibroid embolization (UFE).

Materials And Methods: Between January 2009 and December 2016, 286 patients underwent UFE in our Interdisciplinary Fibroid Center. The inclusion criteria for this retrospective analysis were first-time transarterial embolization for symptomatic fibroids, bilateral embolization, procedures applying a state-of-the-art (Group 1) or a conventional angiography unit (Group 2), and bilateral technical success with an adequate embolization endpoint after the injection of microspheres. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-119036
Publisher Site
http://dx.doi.org/10.1055/s-0043-119036DOI Listing
March 2018
20 Reads

Digital Anaesthesia and Relevant Digital Anatomy for the Dermatologist.

J Cutan Med Surg 2017 Sep/Oct;21(5):467-471

1 The Division of Dermatology, Women's College Hospital, University of Toronto, Toronto, ON, Canada.

Cutaneous surgery requires a precise understanding of anatomy. This review describes the clinically relevant anatomy of the hand and relates it to the most common methods of digital anaesthesia. Read More

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http://dx.doi.org/10.1177/1203475417711125DOI Listing
June 2018
25 Reads

Duration of action of mepivacaine and lidocaine in equine palmar digital perineural blocks in an experimental lameness model.

Vet Surg 2017 Oct 13;46(7):986-993. Epub 2017 Jul 13.

Small Animal Surgery Department, College of Veterinary Medicine, Murdoch University, Perth, Australia.

Objective: To establish and compare the onset and duration of action of 2 local anesthetics based on objective lameness and skin sensitivity assessment.

Study Design: Interventional crossover experimental trial with balanced randomization.

Animals: Eight horses. Read More

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http://dx.doi.org/10.1111/vsu.12689DOI Listing
October 2017
4 Reads

[Epidural analgesia in 20 parturients at the Sylvanus Olympio University Hospital Center in Lomé (Togo)].

Pan Afr Med J 2017 1;26:56. Epub 2017 Feb 1.

Service d'Anesthésie Réanimation du CHU Sylvanus Olympio de Lomé, Togo.

We conducted a prospective and descriptive study on epidural analgesia (EA) at the Sylvanus Olympio University Hospital Center in Lomé from February to June 2014. After taking consent from pregnant women selected by simple random sampling and in the absence of contraindication for anesthesia (pre-anesthetic assessment performed in their 8th month of pregnancy), women were enrolled. Out of 29 selected women, 20 (69%) underwent EA. Read More

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http://dx.doi.org/10.11604/pamj.2017.26.56.11520DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5398878PMC
June 2017
23 Reads

Etiology and Treatment Modalities of Occipital Artery Aneurysms.

World Neurosurg 2017 Jun 8;102:697.e1-697.e4. Epub 2017 Mar 8.

Department of Neurosurgery, Brigham & Women's Hospital, Harvard School of Medicine, Boston, MA, USA. Electronic address:

Background: Aneurysms of the external carotid artery represent approximately 2% of cervical carotid aneurysms, with the majority being traumatic pseudoaneurysms. Given the paucity of literature available for guidance, the diagnosis, treatment, and follow-up of such lesions are completely individualized.

Case Description: We report an 83-year-old woman with an 8-week history of headache in the occipital region, transient episode of gait disturbance, and pulsatile tinnitus on the right. Read More

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http://dx.doi.org/10.1016/j.wneu.2017.02.121DOI Listing
June 2017
90 Reads

Use of a Dental Vibration Tool to Reduce Pain From Digital Blocks: A Randomized Controlled Trial.

Reg Anesth Pain Med 2017 Jul/Aug;42(4):458-461

From the *Texas A&M Health Science Center/Christus Spohn, Corpus Christi; and †Texas Tech University, Lubbock, TX.

Background And Objectives: The infiltration of local anesthetic is consistently described as painful by patients. Vibration anesthesia has been studied in the dental literature as a promising tool to alleviate the pain from dental nerve blocks. Many of these studies used a specific device, the DentalVibe. Read More

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http://dx.doi.org/10.1097/AAP.0000000000000584DOI Listing
September 2018
2 Reads
3.089 Impact Factor

Anatomy of the sacral hiatus and its clinical relevance in caudal epidural block.

Surg Radiol Anat 2017 Sep 28;39(9):943-951. Epub 2017 Feb 28.

Department of Anatomy, Faculty of Medicine, Ege University, Izmir, Turkey.

Purpose: Caudal epidural anesthesia (CEB) is widely used for the prevention of chronic lower back pain, the control of intraoperative analgesia such as genitourinary surgery and labor pain cases in sacral epidural space approach for the implementation of analgesia. CEB is an anesthetic solution used into the sacral canal via sacral hiatus (SH). For optimal access into the sacral epidural space, detailed anatomical landmarks of SH are required. Read More

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http://dx.doi.org/10.1007/s00276-017-1823-1DOI Listing
September 2017
4 Reads

Intraneural Median Nerve Anatomy and Implications for Treating Mixed Median Nerve Injury in the Hand.

Hand (N Y) 2016 12 5;11(4):416-420. Epub 2016 Apr 5.

Washington University School of Medicine, St. Louis, MO, USA.

Nerve transfers have resulted in increased interest in the microanatomy of peripheral nerves. Herein, we expand our understanding of the internal anatomy of the digital nerve to the ulnar index and long fingers, the radial long and ring fingers, and the nerves to the second and third web spaces. The median nerve was dissected from the digital nerves to the antecubital fossa in 14 fresh upper extremities. Read More

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http://dx.doi.org/10.1177/1558944716643290DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5256659PMC
December 2016
5 Reads

Axillary Block-Induced Chemical Sympathectomy in the Setting of Digital Ischemia.

Ochsner J 2016 ;16(4):450-456

The University of Queensland School of Medicine, Ochsner Clinical School, New Orleans, LA ; Department of Rheumatology, Ochsner Clinic Foundation, New Orleans, LA.

Background: Digital ischemia is associated with several rheumatologic disorders and is often difficult to treat. Symptoms and sequelae can include pain, disability, need for amputation, and poor quality of life.

Methods: Patients diagnosed with digital ischemia were referred for an ultrasound-guided axillary nerve block using liposomal bupivacaine (Exparel, Pacira Pharmaceuticals). Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5158149PMC
January 2016
18 Reads

Ultrasound-guided transthecal digital block.

Rev Esp Anestesiol Reanim 2016 11 7;63(9):551-552. Epub 2016 Mar 7.

Unidad de Anatomía y Embriología Humana, Facultad de Medicina, Universitat de Barcelona, Barcelona, España; Departamento de Anestesiología, Hospital Clínic de Barcelona, Barcelona, España. Electronic address:

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http://dx.doi.org/10.1016/j.redar.2016.02.001DOI Listing
November 2016
1 Read

Two injection digital block versus single subcutaneous palmar injection block for finger lacerations.

Eur J Trauma Emerg Surg 2017 Dec 5;43(6):863-868. Epub 2016 Oct 5.

Department of Emergency Medicine, Atatürk Training And Research Hospital, Bilkent, Ankara, Turkey.

Purpose: We aimed to compare two digital nerve block techniques in patients due to traumatic digital lacerations.

Methods: This was a randomized-controlled study designed prospectively in the emergency department of a university-based training and research hospital. Randomization was achieved by sealed envelopes. Read More

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http://dx.doi.org/10.1007/s00068-016-0727-9DOI Listing
December 2017
2 Reads

A comparison of strength for two continuous peripheral nerve block catheter dressings.

Korean J Anesthesiol 2016 Oct 25;69(5):506-509. Epub 2016 Jul 25.

Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA.; Anesthesiology and Perioperative Care Service, Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, USA.

Background: Despite the benefits of continuous peripheral nerve blocks, catheter dislodgment remains a major problem, especially in the ambulatory setting. However, catheter dressing techniques to prevent such dislodgment have not been studied rigorously. We designed this simulation study to test the strength of two commercially available catheter dressings. Read More

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http://dx.doi.org/10.4097/kjae.2016.69.5.506DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5047987PMC
October 2016
19 Reads

The Influence of Injected Volume on Discomfort During Administration of Digital Block.

J Hand Surg Asian Pac Vol 2016 10;21(3):369-73

* Faculty of Medicine, NTNU, Norwegian University of Science and Technology, Trondheim, Norway.

Background: Digital nerve block is associated with pain. In a search for methods to reduce the discomfort, we investigated how the volume of anaesthetic fluid influences pain during subcutaneous digital nerve block, and how it affects the success of the anaesthesia.

Methods: A randomized blinded prospective study was performed on 36 healthy volunteers. Read More

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http://dx.doi.org/10.1142/S2424835516500363DOI Listing
October 2016
5 Reads

Digital nerve block.

Authors:
Izak Van Niekerk

Can J Rural Med 2016 ;21(3):84

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June 2017
4 Reads

[Effect of Stellate Ganglion Block on Bilateral Regional Cerebral Oxygen Saturation and Postoperative Cognitive Function].

Sheng Wu Yi Xue Gong Cheng Xue Za Zhi 2016 Feb;33(1):132-5

The present study was to examine the effect of stellate ganglion block (SGB) on bilateral regional cerebral oxygen saturation (rSO2) and postoperative cognitive function. Eighty patients undergoing selective coronary artery bypass graft with cardiopulmonary bypass (CPB) were randomly and equally divided into two groups. The patients in group S were given right SGB with ropivacaine, while the patients in group C were injected with normal saline. Read More

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February 2016
17 Reads

Anatomical-Ultrasound Visor for Regional Anaesthesia.

J Med Syst 2016 Jul 16;40(7):158. Epub 2016 May 16.

Department of Anesthesia and Pain Therapy, Universitary Hospital, Salamanca, Spain.

Introduction: Regions considered optimal for performing peripheral nerve blocking have been well documented. However identify and perform regional anesthesia in those regions from ultrasound images remains a challenge.

Aim: This study aims to develop a virtual environment for the simulation of ultrasound exploration of the neck nerves and both the upper and lower limbs for regional anesthesia. Read More

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http://dx.doi.org/10.1007/s10916-016-0522-5DOI Listing
July 2016
8 Reads

Retrieval of a Broken Dental Needle Close to the Facial Artery After Cervical Migration.

J Craniofac Surg 2016 Jun;27(4):e338-40

*School of Post-graduate Quixadaense (EQUIP), Quixadá †Department of Surgery and Integrated Clinic, Aracatuba Dental School, São Paulo State Univ Estadual Paulista "Julio de Mesquita Filho"-UNESP, Aracatuba ‡Faculty of Medicine, University Brasília-UnB, Brasília, Brazil.

Use of imaging tools like digital C-arm, tridimensional tomography, and navigational surgery has proven its value to the surgical removal of broken needles. A 32-year-old patient was referred for evaluation of a fractured needle during inferior alveolar nerve block attempt few days before. The patient complained of a pricking sensation at the injured area while moving the neck. Read More

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http://dx.doi.org/10.1097/SCS.0000000000002507DOI Listing
June 2016
17 Reads
0.676 Impact Factor

Should I Use Lidocaine With Epinephrine in Digital Nerve Blocks?

Ann Emerg Med 2016 12 26;68(6):756-757. Epub 2016 Apr 26.

Indiana University School of Medicine, Indianapolis, IN.

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http://dx.doi.org/10.1016/j.annemergmed.2016.03.052DOI Listing
December 2016
6 Reads

A novel case of a broken dental anesthetic needle transecting the right internal carotid artery.

J Am Dent Assoc 2016 09 15;147(9):739-42. Epub 2016 Apr 15.

Background And Overview: Although dental anesthetic needle fractures remain an uncommon occurrence, there is a lack of consensus on the management of the treatment of this complication. Complications could include trismus, dysphagia, or infection that may lead to more deleterious results.

Case Description: In this case study, a 47-year-old man underwent a routine dental extraction at a private office. Read More

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http://dx.doi.org/10.1016/j.adaj.2016.03.014DOI Listing
September 2016
10 Reads

Double-dorsal versus single-volar digital subcutaneous anaesthetic injection for finger injuries in the emergency department: A randomised controlled trial.

Emerg Med Australas 2016 Apr 16;28(2):193-8. Epub 2016 Mar 16.

Department of Emergency Medicine, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.

Objective: The objective of this present study is to compare pain associated with the double-dorsal versus a single-volar subcutaneous injection in the provision of digital anaesthesia for finger injuries presenting to the ED.

Methods: A randomised controlled trial from November 2012 to January 2014 at a single adult tertiary-referral hospital. ED patients with finger injuries requiring digital anaesthesia was randomised to either the double-dorsal or a single-volar subcutaneous injection technique. Read More

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http://dx.doi.org/10.1111/1742-6723.12559DOI Listing
April 2016
11 Reads

The occasional digital nerve block.

Authors:
Len Kelly

Can J Rural Med 2016 ;21(2):51-2

Sioux Lookout Meno Ya Win Health Centre, Sioux Lookout, Ont.

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December 2016
5 Reads

Impact of Type of Needle on Incidence of Intravascular Injection During Diagnostic Lumbar Medial Branch Block.

Reg Anesth Pain Med 2016 May-Jun;41(3):392-7

From the *Department of Anesthesiology and Pain Medicine, Samsung Medical Center College of Medicine; †Department of Anesthesiology and Pain Medicine, Seoul National University Hospital College of Medicine, Seoul; ‡Department of Anesthesiology and Pain Medicine, Chonnam National University Hospital College of Medicine, Gwangju; and §Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital College of Medicine, Gyeonggi, Republic of Korea.

Background And Objectives: Intravascular (IV) injection of local anesthetics is a potential cause of false-negative results after lumbar medial branch nerve blockade (L-MBB) performed to diagnose facetogenic back pain. The aim of the present study was to identify the relationship between the needle type and the incidence of IV injection in patients undergoing L-MBB using fluoroscopy with digital subtraction imaging (DSI).

Methods: In this prospective randomized study, we compared the incidence of IV uptake of contrast medium using the Quincke needle and Whitacre needle under real-time DSI during L-MBB. Read More

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http://dx.doi.org/10.1097/AAP.0000000000000381DOI Listing
January 2017
41 Reads

Digital block with or without the addition of epinephrine in the anesthetic solution.

Braz J Anesthesiol 2016 Jan-Feb;66(1):63-71. Epub 2015 Nov 25.

Serviço Médico de Anestesia (SMA), São Paulo, SP, Brazil; Hospital Alemão Oswaldo Cruz, São Paulo, SP, Brazil.

Background And Objectives: Review of various techniques for digital blocks with local anesthetic, with or without epinephrine.

Contents: Description of various procedures and comparison of results reported in the literature, mainly on latency and quality of anesthesia, details on vasoconstrictor effect of epinephrine, intraoperative bleeding, necessity of tourniquet use, duration of anesthesia and postoperative analgesia, blood flow and digital SpO2 behavior, local and systemic complications, and also approaches and drugs to be used in certain situations of ischemia.

Conclusions: The advantages of adding epinephrine to the anesthetic solution are minor when compared to the risks of the procedure, and it seems dangerous to use a vasoconstrictor in the fingers, unless the safety of the technique and the possibility of discarding the tourniquet are definitely proven. Read More

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http://dx.doi.org/10.1016/j.bjane.2013.12.004DOI Listing
January 2017
9 Reads

Local anesthesia type affects cancer detection rate in transrectal ultrasound guided prostate biopsy.

Int Braz J Urol 2015 Sep-Oct;41(5):859-63

Department of Urology, Bagcilar Training and Research Hospital, 6. Sokak, Bagcilar/Istanbul, Turkey.

Purpose: Studies about the anesthesia techniques during transrectal ultrasound guided prostate biopsy (TRUS-Bx) are usually focused on pain relief. Although patients' tolerance is an important issue in TRUS-Bx, cancer detection rate (CDR) must not be ignored. In this study, we compared the impact of intrarectal lidocaine gel anesthesia (IRLA) and periprostatic nerve blockade (PNB) techniques on CDR. Read More

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http://www.scielo.br/pdf/ibju/v41n5/1677-5538-ibju-41-5-0859
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4756962PMC
http://dx.doi.org/10.1590/S1677-5538.IBJU.2014.0337DOI Listing
May 2016
16 Reads

Ultrasound-guided bilateral stellate ganglion blockade to treat digital ischemia in a patient with sepsis: a case report.

Can J Anaesth 2016 Jan 28;63(1):56-60. Epub 2015 Sep 28.

Service de Réanimation Polyvalente, Centre Hospitalier de Narbonne, Bd Dr Lacroix, 11100, Narbonne, France.

Purpose: This case report describes the use of ultrasound-guided stellate ganglion blockade to treat sepsis-related digital ischemia in the intensive care unit (ICU).

Clinical Features: A 71-yr-old female was admitted to the ICU with septic shock and acute respiratory distress syndrome (ARDS) following an initial right hemicolectomy complicated by an anastomotic leak and peritonitis. The patient's condition was further complicated by an abdominal abscess 22 days later. Read More

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http://dx.doi.org/10.1007/s12630-015-0503-zDOI Listing
January 2016
13 Reads

Unusual root morphology in second mandibular molar with a radix entomolaris, and comparison between cone-beam computed tomography and digital periapical radiography: a case report.

J Med Case Rep 2015 Sep 22;9:201. Epub 2015 Sep 22.

Department of Operative Dentistry and Endodontics, School of Dentistry, University of Santiago de Compostela, C/ Entrerríos s/n Santiago Compostela, A Coruña, 15782, Spain.

Introduction: Radix entomolaris presents with an unusual morphology and is a rare occurrence. It is mainly observed in mandibular first molars. The incidence varies in different populations but it is far from common. Read More

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http://dx.doi.org/10.1186/s13256-015-0681-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4578332PMC
September 2015
8 Reads