294 results match your criteria Anesthesia Regional Digital Block


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

Authors:
M Ibrahim E Gomaa

Anaesthesist 2019 Mar 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00101-018-0525-3DOI Listing
March 2019
2 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

View Article

Download full-text PDF

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

[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

View Article

Download full-text PDF

Source

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1213/XAA.0000000000000728DOI Listing
July 2018
20 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.prosdent.2017.10.028DOI Listing
September 2018
4 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3760/cma.j.issn.0376-2491.2017.48.006DOI Listing
December 2017
5 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

View Article

Download full-text PDF

Source
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
10 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/1203475417711125DOI Listing
June 2018
7 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/vsu.12689DOI Listing
October 2017
3 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.11604/pamj.2017.26.56.11520DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5398878PMC
June 2017
13 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.wneu.2017.02.121DOI Listing
June 2017
60 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/AAP.0000000000000584DOI Listing
September 2018

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00276-017-1823-1DOI Listing
September 2017
2 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/1558944716643290DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5256659PMC
December 2016
3 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

View Article

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5158149PMC
January 2016
11 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:

View Article

Download full-text PDF

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

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

View Article

Download full-text PDF

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

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4097/kjae.2016.69.5.506DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5047987PMC
October 2016
6 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

View Article

Download full-text PDF

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

Digital nerve block.

Authors:
Izak Van Niekerk

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

View Article

Download full-text PDF

Source
June 2017
2 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

View Article

Download full-text PDF

Source
February 2016
6 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10916-016-0522-5DOI Listing
July 2016
6 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SCS.0000000000002507DOI Listing
June 2016
7 Reads

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.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.annemergmed.2016.03.052DOI Listing
December 2016
3 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.adaj.2016.03.014DOI Listing
September 2016
5 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/1742-6723.12559DOI Listing
April 2016
7 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.

View Article

Download full-text PDF

Source
December 2016
3 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/AAP.0000000000000381DOI Listing
January 2017
20 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.bjane.2013.12.004DOI Listing
January 2017
4 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

View Article

Download full-text PDF

Source
http://www.scielo.br/pdf/ibju/v41n5/1677-5538-ibju-41-5-0859
Web Search
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4756962PMC
http://dx.doi.org/10.1590/S1677-5538.IBJU.2014.0337DOI Listing
May 2016
8 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s12630-015-0503-zDOI Listing
January 2016
6 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

View Article

Download full-text PDF

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

Regional anesthesia for the trauma patient: improving patient outcomes.

Local Reg Anesth 2015 12;8:45-55. Epub 2015 Aug 12.

Department of Anesthesiology, Duke University, Durham, NC, USA.

Trauma is a significant health problem and a leading cause of death in all age groups. Pain related to trauma is frequently severe, but is often undertreated in the trauma population. Opioids are widely used to treat pain in injured patients but have a broad range of undesirable effects in a multitrauma patient such as neurologic and respiratory impairment and delirium. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2147/LRA.S55322DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4540140PMC
August 2015
2 Reads

Safety of Epinephrine in Digital Nerve Blocks: A Literature Review.

Authors:
Jonathan Ilicki

J Emerg Med 2015 Nov 4;49(5):799-809. Epub 2015 Aug 4.

Department of Emergency Medicine, Karolinska University Hospital, Solna, Stockholm, Sweden.

Background: Digital nerve blocks are commonly performed in emergency departments. Health care practitioners are often taught to avoid performing blocks with epinephrine due to a risk of digital necrosis.

Objective: To review the literature on the safety of epinephrine 1:100,000-200,000 (5-10 μg/mL) with local anesthetics in digital nerve blocks in healthy patients and in patients with risk for poor peripheral circulation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jemermed.2015.05.038DOI Listing
November 2015
2 Reads

The effect of perineural anaesthesia and handler position on limb loading and hoof balance of the vertical ground reaction force in sound horses.

Equine Vet J 2016 Sep 6;48(5):608-12. Epub 2015 Oct 6.

Department of Surgery and Anaesthesiology, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium.

Reasons For Performing Study: The effects of handler position and perineural anaesthesia in sound horses need investigation to facilitate interpretation of pressure plate analysis in lame horses.

Objectives: To evaluate the effect of handler position and perineural anaesthesia on limb loading and particularly hoof balance in sound horses.

Study Design: Nonrandomised crossover study. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/evj.12491DOI Listing
September 2016
1 Read

Selective Low-Dose Spinal Anesthesia for Transrectal Prostate Biopsy: A Prospective and Randomized Study.

J Endourol 2015 Dec 8;29(12):1412-7. Epub 2015 Sep 8.

3 Department of Anesthesia and Intensive Care, Faculty of Medicine, Selcuk University , Konya, Turkey .

Purpose: To evaluate the use of spinal anesthesia by reducing anesthetic agent dose to provide better analgesia with minimal side effects without sacrificing the outpatient setting for prostate biopsy. In this study, efficacy and tolerability of selective low-dose spinal anesthesia versus intrarectal local anesthesia (IRLA) plus periprostatic nerve blockade (PPNB) were compared.

Methods: Between September 2012 and April 2013, 100 patients, aged 40 to 80 years, prostate-specific antigen (PSA) ≥4 ng/mL, abnormal digital rectal examinations, and enrolled for biopsy were included in the present study. Read More

View Article

Download full-text PDF

Source
http://www.liebertpub.com/doi/10.1089/end.2015.0450
Publisher Site
http://dx.doi.org/10.1089/end.2015.0450DOI Listing
December 2015
6 Reads

Morphological and morphometric analysis of the shape, position, number and size of mental foramen on human mandibles.

Acta Med Acad 2015 ;44(1):31-8

Institute of Anatomy "Prof. dr. Hajrudin Hadžiselimović" Faculty of Medicine, University of Sarajevo, Sarajevo, Bosnia and Herzegovina.

Objective: To provide anatomical information on the position, morphological variations and incidence of mental foramen (MF) and accessory mental foramen (AMF) as they are important for dental surgeons, anesthetists in nerve block and surgical procedures, to avoid injury to the neurovascular bundle in the mental foramen area.

Methods: Our study was conducted on 150 adult dry human mandibles from the osteological collection of the Department of Anatomy of the Faculty of Medicine, University of Sarajevo. The location and shape of the MF and the presence of the AMF were studied by visual examination. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5644/ama2006-124.124DOI Listing
May 2016
28 Reads

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

Rev Bras Anestesiol 2016 Jan-Feb;66(1):63-71. Epub 2015 May 23.

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

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

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S00347094140016
Publisher Site
http://dx.doi.org/10.1016/j.bjan.2013.12.004DOI Listing
January 2016
3 Reads

Onset and duration of anesthesia for local anesthetic combinations commonly used in forefoot surgery; surprise results with sequential blocks.

Foot (Edinb) 2015 Jun 26;25(2):75-8. Epub 2015 Mar 26.

Division of Research, Kent State University College of Podiatric Medicine, 6000 Rockside Woods Boulevard, Independence, OH 44131, United States. Electronic address:

Local anesthetic nerve blocks are frequently used for postoperative analgesia and to the best of our knowledge no studies have evaluated the effects of injecting bupivacaine into an area previously injected with lidocaine. Sensation was tested in three groups of subjects receiving local anesthetic digital blocks. Group A received bupivacaine 0. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S09582592150001
Publisher Site
http://dx.doi.org/10.1016/j.foot.2015.03.006DOI Listing
June 2015
3 Reads

Activity in the brain network for dynamic manipulation of unstable objects is robust to acute tactile nerve block: An fMRI study.

Brain Res 2015 Sep 19;1620:98-106. Epub 2015 May 19.

Department of Women׳s and Children׳s Health, Neuropediatric Research Unit, Karolinska Institute, 17176 Stockholm, Sweden; Stockholm Brain Institute, Karolinska Institute, 17176 Stockholm, Sweden.

Objective: To study whether a temporary block of the tactile afferents from the fingers causes altered activity in the neural network for dexterous manipulation.

Methods: Whole-brain functional Magnetic Resonance Imaging (fMRI) was conducted in 18 healthy subjects, while they compressed an unstable spring between the thumb and index finger of the right hand. Two sensory conditions--with and without tactile input from the fingers--were employed. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S00068993150040
Publisher Site
http://dx.doi.org/10.1016/j.brainres.2015.05.016DOI Listing
September 2015
6 Reads

Nail surgery: best way to obtain effective anesthesia.

Dermatol Clin 2015 Apr 29;33(2):265-71. Epub 2015 Jan 29.

Dermatology Professionals, Inc, 1672 South County Trail, East Greenwich, RI 02818, USA.

Nail procedures require an effective and reliable approach to anesthesia of the distal digit. Several techniques have been described in the literature. Herein, the relevant anatomy of the nail unit, pain pathways, anesthetic options, and several injection approaches to achieve complete anesthesia are reviewed. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S07338635140015
Publisher Site
http://dx.doi.org/10.1016/j.det.2014.12.007DOI Listing
April 2015
32 Reads

Adrenaline with lidocaine for digital nerve blocks.

Cochrane Database Syst Rev 2015 Mar 19(3):CD010645. Epub 2015 Mar 19.

Department of Neuroanaesthesiology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India, 110029.

Background: Surgery on fingers is a common procedure in emergency and day care surgery. Adrenaline combined with lidocaine can prolong digital nerve block and provide a bloodless operating field. Extended postoperative pain relief can reduce the need for analgesics and can facilitate hand rehabilitation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/14651858.CD010645.pub2DOI Listing
March 2015
2 Reads

Blue toe syndrome, ischemic pain treated with digital block.

Intern Emerg Med 2015 Aug 21;10(5):637-8. Epub 2015 Jan 21.

Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA,

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11739-015-1190-zDOI Listing
August 2015
5 Reads

Comparison of the efficacy of single volar subcutaneous digital block and the dorsal two injections block.

J Ayub Med Coll Abbottabad 2014 Jan-Mar;26(1):88-91

Background: Digital nerve blocks are commonly used as effective techniques of anaesthesia to allow a variety of surgical procedures performed on digits. This study was conducted to compare the efficacy of volar subcutaneous single injection block and the traditional dorsal two injections digital block.

Methods: This randomized controlled trial was conducted at Plastic and Reconstructive Surgery Department, Hayatabad Medical Complex Peshawar from December. Read More

View Article

Download full-text PDF

Source
http://www.ayubmed.edu.pk/JAMC/26-1/Riaz.pdf
Web Search
December 2014
4 Reads

Local infiltration of liposome bupivacaine in foot and ankle surgery: case-based reviews.

Authors:
Steven A Herbst

Am J Orthop (Belle Mead NJ) 2014 Oct;43(10 Suppl):S10-2

Central Indiana Orthopedics Center, Anderson, Indiana.

Foot and ankle surgical procedures, ranging from simple procedures, such as bunionectomy and correction of hammer toe, to more complex surgery, such as ankle fusion and ankle replacement, are extremely painful. Moreover, there is increasing interest in performing these procedures in an outpatient setting. Nerve blocks are extensively used in foot and ankle surgery, and commonly used techniques include sciatic nerve block with saphenous nerve augmentation; ankle block; and local, digital, or field block. Read More

View Article

Download full-text PDF

Source
October 2014
58 Reads

Anaesthetic digital block with epinephrine vs. tourniquet in ingrown toenail surgery: a clinical trial on efficacy.

J Eur Acad Dermatol Venereol 2015 May 3;29(5):985-90. Epub 2014 Oct 3.

Departamento de Podología, Universidad de Sevilla, Sevilla, Spain.

Background: Current evidence shows that anaesthetic digital block with epinephrine is safe in surgical selected patients. There are no controlled studies that have examined the efficacy of local anaesthesia with vasoconstrictor in chemical matricectomy without using tourniquet to control bleeding.

Objectives: A controlled, prospective and randomized study was conducted to examine primarily the rate of recurrence after segmental phenolization matricectomy with anaesthetic digital block with epinephrine vs. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/jdv.12746DOI Listing
May 2015
7 Reads

Infiltrative anesthesia in office practice.

Am Fam Physician 2014 Jun;89(12):956-62

Headquarters Air Armament Center Family Medicine Residency, Eglin Air Force Base, FL, USA.

When choosing an infiltrative anesthetic agent, the type of procedure, the length of time required for anesthesia, and the pharmacodynamics of each medication are important considerations. Distraction techniques and buffering with sodium bicarbonate can be used to decrease the pain associated with injection. Local cutaneous infiltration is the most commonly used anesthetic technique and involves direct injection into the area requiring anesthesia. Read More

View Article

Download full-text PDF

Source
June 2014
8 Reads

Nerve stimulator-guided sciatic-femoral nerve block in raptors undergoing surgical treatment of pododermatitis.

Vet Anaesth Analg 2015 Jul 9;42(4):449-53. Epub 2014 Jul 9.

Anaesthesiology and Pain Therapy Division, Vetsuisse Faculty, University of Berne, Berne, Switzerland.

Objective: To describe the nerve stimulator-guided sciatic-femoral nerve block in raptors undergoing surgical treatment of pododermatitis.

Study Design: Prospective clinical trial.

Animals: Five captive raptors (Falco peregrinus) aged 6. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/vaa.12204DOI Listing
July 2015
1 Read

Combination of lidocaine suppository and periprostatic nerve block during transrectal prostate biopsy: a prospective randomized trial.

Int J Urol 2014 Nov 26;21(11):1126-30. Epub 2014 Jun 26.

Department of Urology, Hanusch Krankenhaus, Vienna, Austria.

Objective: To assess the most effective local analgesia during transrectal ultrasound-guided prostate biopsy.

Methods: A total of 123 consecutive patients undergoing transrectal ultrasound-guided prostate biopsy for elevated prostate-specific antigen levels and/or a suspicious digital rectal examination were randomized to three groups. Patients received a 60-mg lidocaine suppository (group 1, n = 41), a periprostatic nerve block (10-mL injection of lidocaine hydrochloride; group 2, n = 41) or a combination of both (group 3, n = 41) before a 10-core transrectal ultrasound-guided biopsy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/iju.12542DOI Listing
November 2014
4 Reads