135 results match your criteria Local and Regional Anesthesia


Effect of local anesthesia (with lidocaine vs bupivacaine) on cognitive function in patients undergoing elective cataract surgery.

Local Reg Anesth 2019 31;12:1-6. Epub 2018 Dec 31.

Department of Ophthalmology, Beni-suef University, Beni Suef, Egypt.

Purpose: Postoperative cognitive dysfunction has gained much attention over the last years. Multiple clinical trials have attempted to differentiate the effect of local vs general anesthesia on postoperative cognitive function. The aim of this work was to study the effect of local anesthesia with lidocaine vs bupivacaine on cognitive function. Read More

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http://dx.doi.org/10.2147/LRA.S185367DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6318706PMC
December 2018

Treatment of peripheral pain with low-dose local anesthetics by epidermal, epithelial and periosteal application.

Local Reg Anesth 2018 11;11:129-136. Epub 2018 Dec 11.

Graf Biostatistics, CH-8400 Winterthur, Switzerland.

Objectives: The efficiency of local anesthetics (LAs) in the treatment of peripheral pain is commonly attributed to their capacity to block the axon conduction of sensory nerves. LAs even in non-blocking concentration suppress oscillations of the resting membrane potential. Spiking in sensory neurons is triggered by subthreshold membrane potential oscillations (SMPOs), which reach threshold and is maintained by depolarizing impulse after oscillations. Read More

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http://dx.doi.org/10.2147/LRA.S151316DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6294063PMC
December 2018
1 Read

Real-time ultrasound-guided retrobulbar block vs blind technique for cataract surgery (pilot study).

Local Reg Anesth 2018 6;11:123-128. Epub 2018 Dec 6.

Asiout University, Asyut, Egypt.

Background: Retrobulbar regional eye block aims to ensure eye globe akinesia and anesthesia during ophthalmic surgery, and despite the rarity of occurrence of complications due to the blind needle passage while performing either peribulbar or retrobulbar block, some of them are serious and may be life threatening.

Aim: The aim of this study was to estimate the accuracy and safety of real-time ultrasound-guided retrobulbar regional anesthesia in comparison with the blind technique for cataract surgery.

Design: This was a prospective randomized controlled trial. Read More

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http://dx.doi.org/10.2147/LRA.S178771DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6287535PMC
December 2018
1 Read

Patient-controlled paravertebral analgesia for video-assisted thoracoscopic surgery lobectomy.

Local Reg Anesth 2018 22;11:115-121. Epub 2018 Nov 22.

Department of Anesthesia and Pain Medicine, Military Hospital 103, Vietnam Military Medical University, Hanoi, Vietnam,

Background: Paravertebral block has been proven to be an efficient method to provide post-thoracotomy pain management. This study aimed to compare patient-controlled paravertebral analgesia (PCPA) and intravenous patient-controlled analgesia (IVPCA) in terms of analgesic efficiency, respiratory function, and adverse effects after video-assisted thoracoscopic surgery (VATS) lobectomy.

Patients And Methods: The prospective randomized trial study was carried out on 60 patients who underwent VATS lobectomy (randomly allocated 30 patients in each group). Read More

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http://dx.doi.org/10.2147/LRA.S184589DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6255283PMC
November 2018
2 Reads

Broken needle during spinal anesthesia: an avoidable complication.

Local Reg Anesth 2018 23;11:111-113. Epub 2018 Nov 23.

Department of Anesthesia, Ales-en-Cévennes Hospital, Alès-en-Cévennes, France.

The occurrence of a needle breaking is a very rare complication of spinal anesthesia (SA). We report a case of a broken spinal needle occurring in a morbid obese pregnant woman during SA indicated for an emergent cesarean section. Multiple puncture attempts due to difficult identification of lumbar spine, associated with an inadequate use of the introducer, contributed to this complication. Read More

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https://www.dovepress.com/broken-needle-during-spinal-anesth
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http://dx.doi.org/10.2147/LRA.S175547DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6260186PMC
November 2018
10 Reads

Regional anesthesia to ameliorate postoperative analgesia outcomes in pediatric surgical patients: an updated systematic review of randomized controlled trials.

Local Reg Anesth 2018 15;11:91-109. Epub 2018 Nov 15.

Department of Anesthesiology, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, Providence, RI, USA,

Regional anesthesia is becoming increasingly popular among anesthesiologists in the management of postoperative analgesia following pediatric surgery. The main objective of this review was to systematically evaluate the last 5 years of randomized controlled trials on the role of regional anesthesia techniques in alleviating postoperative pain associated with various pediatric surgical procedures. Forty studies on 2,408 pediatric patients were evaluated. Read More

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http://dx.doi.org/10.2147/LRA.S185554DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6244583PMC
November 2018
3 Reads

Erector spinae block for postoperative analgesia following axillary hidradenitis suppurativa resection: a case report.

Local Reg Anesth 2018 15;11:87-90. Epub 2018 Nov 15.

Department of Anesthesiology, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, TX 77030, USA,

Hidradenitis suppurativa (HS) is a chronic inflammatory disease of the terminal hair follicle of the apocrine gland-bearing skin, presenting with inflamed nodules, abscesses, and sinus tracts. Autoimmune, genetic, and infectious factors have been implicated in its pathogenesis. HS can be managed medically using topical and systemic antibiotics and with tumor necrosis factor antibody therapy in severe cases. Read More

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http://dx.doi.org/10.2147/LRA.S179830DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6244584PMC
November 2018
1 Read

Impact of thoracic epidural sympathetic block on cardiac repolarization.

Local Reg Anesth 2018 16;11:81-85. Epub 2018 Oct 16.

Department of Anesthesiology, Dokkyo Medical University, school of Medicine, Mibu, Tochigi 321-0293, Japan,

Purpose: The interval from the peak to the end of the T wave (Tp-Te) on electrocardiography is considered a marker of ventricular arrhythmias. A previous study suggested that right stellate ganglion block prolonged QT and QT dispersion (QTD). We investigated the effect of thoracic epidural sympathetic block with 1% mepivacaine on QT, QTD, Tp-Te, and Tp-Te/QT by using computerized measurement. Read More

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http://dx.doi.org/10.2147/LRA.S182402DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6200079PMC
October 2018
9 Reads

Caudal epidural block instead of general anesthesia in an adult with Duchenne muscular dystrophy.

Local Reg Anesth 2018 15;11:75-80. Epub 2018 Oct 15.

Department of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, Columbus, OH, USA,

Duchenne muscular dystrophy (DMD), first described in 1834, is an X-linked dystrophinopathy, leading to early onset skeletal muscle weakness. Life expectancy is reduced to early adulthood as a result of involvement of voluntary skeletal muscles with respiratory failure, orthopedic deformities, and associated cardiomyopathy. Given its multisystem involvement, surgical intervention may be required to address the sequelae of the disease process. Read More

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https://www.dovepress.com/caudal-epidural-block-instead-of-g
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http://dx.doi.org/10.2147/LRA.S180867DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6197695PMC
October 2018
10 Reads

Frailty and anesthesia - risks during and post-surgery.

Local Reg Anesth 2018 5;11:61-73. Epub 2018 Oct 5.

Centre for Research in Geriatric Medicine, University of Queensland, Princess Alexandra Hospital, Brisbane, QLD, Australia,

Frailty is a state of decreased physiologic reserve and resistance to stressors. Its prevalence increases with age and is estimated to be 26% in those aged above 85 years. As the population ages, frailty will be increasingly seen in surgical patients receiving anesthesia. Read More

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https://www.dovepress.com/frailty-and-anesthesia-risks-durin
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http://dx.doi.org/10.2147/LRA.S142996DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6178933PMC
October 2018
15 Reads

Plasma ropivacaine concentration after TAP block in a patient with cardiac and renal failure.

Local Reg Anesth 2018 21;11:57-60. Epub 2018 Sep 21.

Department of Anesthesiology and Resuscitology, Shinshu University School of Medicine, Matsumoto, Nagano, Japan,

We report a successful ultrasound-guided transversus abdominis plane (TAP) block as an analgesic option for minor abdominal surgery in a 66-year-old patient with cardiac, respiratory, and renal dysfunction caused by primary systemic amyloidosis. Bilateral TAP blocks with 120 mg (1.8 mg/kg) of ropivacaine provided sufficient intra- and postoperative analgesia for insertion of a continuous ambulatory peritoneal dialysis catheter. Read More

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https://www.dovepress.com/plasma-ropivacaine-concentration-a
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http://dx.doi.org/10.2147/LRA.S173877DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6159791PMC
September 2018
6 Reads

The impact of fluoroscopic confirmation of thoracic imaging on accuracy of thoracic epidural catheter placement on postoperative pain control.

Local Reg Anesth 2018 29;11:49-56. Epub 2018 Aug 29.

Department of Anesthesiology, Advocate Illinois Masonic Medical Center, Chicago, IL, USA,

Background: Thoracic epidural analgesia (TEA) provides superior postoperative pain control compared to parenteral opioids after major thoracic and abdominal surgeries. However, some studies with respect to benefits of continuous TEA have shown mixed results. The purpose of this study was to determine the rate of successful TEA catheter insertion into the epidural space using contrast fluoroscopy and the impact of placement location on postoperative analgesia and opioid use. Read More

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https://www.dovepress.com/the-impact-of-fluoroscopic-confirm
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http://dx.doi.org/10.2147/LRA.S155984DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6120568PMC
August 2018
5 Reads

Foot drop after spinal anesthesia for cesarean section: a case report.

Local Reg Anesth 2018 10;11:45-47. Epub 2018 Aug 10.

Lung Diseases Research Center, Mashhad University of Medical Sciences, Mashhad, Iran,

Objective: Spinal anesthesia is the preferred anesthetic technique for cesarean section. Neurological complications are very rare and often transient after spinal anesthesia.

Case Report: In the present case, a 37-year-old woman was considered eligible for cesarean section due to fetal distress. Read More

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http://dx.doi.org/10.2147/LRA.S165587DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6089110PMC
August 2018
15 Reads

Local anesthetic systemic toxicity: current perspectives.

Local Reg Anesth 2018 8;11:35-44. Epub 2018 Aug 8.

Department of Anesthesia, Toronto Western Hospital, University of Toronto, Ontario, Canada.

Local anesthetic systemic toxicity (LAST) is a life-threatening adverse event that may occur after the administration of local anesthetic drugs through a variety of routes. Increasing use of local anesthetic techniques in various healthcare settings makes contemporary understanding of LAST highly relevant. Recent data have demonstrated that the underlying mechanisms of LAST are multifactorial, with diverse cellular effects in the central nervous system and cardiovascular system. Read More

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http://dx.doi.org/10.2147/LRA.S154512DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6087022PMC
August 2018
18 Reads

Optimizing the securement of epidural catheters: an in vitro trial.

Local Reg Anesth 2018 17;11:31-34. Epub 2018 Jul 17.

Department of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, Columbus, OH, USA,

Introduction: Epidural anesthesia is frequently used to provide postoperative analgesia following major surgical procedures. Secure fixation of the epidural catheter is necessary to prevent premature dislodgment and loss of epidural analgesia. Using an in vitro model, the current prospective study evaluates different types of dressings for securement of an epidural catheter by quantifying the force in Newtons (N) required for dislodgment using a digital force gage. Read More

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http://dx.doi.org/10.2147/LRA.S172799DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6054289PMC
July 2018
5 Reads

Deterioration of Regional Lung Strain and Inflammation during Early Lung Injury.

Am J Respir Crit Care Med 2018 Oct;198(7):891-902

1 Department of Anesthesia, Critical Care and Pain Medicine.

Rationale: The contribution of aeration heterogeneity to lung injury during early mechanical ventilation of uninjured lungs is unknown.

Objectives: To test the hypotheses that a strategy consistent with clinical practice does not protect from worsening in lung strains during the first 24 hours of ventilation of initially normal lungs exposed to mild systemic endotoxemia in supine versus prone position, and that local neutrophilic inflammation is associated with local strain and blood volume at global strains below a proposed injurious threshold.

Methods: Voxel-level aeration and tidal strain were assessed by computed tomography in sheep ventilated with low Vt and positive end-expiratory pressure while receiving intravenous endotoxin. Read More

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http://dx.doi.org/10.1164/rccm.201710-2038OCDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6173064PMC
October 2018
6 Reads

Spinal anesthesia instead of general anesthesia for infants undergoing tendon Achilles lengthening.

Local Reg Anesth 2018 3;11:25-29. Epub 2018 May 3.

Department of Anesthesiology & Pain Medicine, Nationwide Children's Hospital, Columbus, OH, USA.

Spinal anesthesia (SA) has been used relatively sparingly in the pediatric population, as it is typically reserved for patients in whom the perceived risk of general anesthesia is high due to comorbid conditions. Recently, concern has been expressed regarding the potential long-term neurocognitive effects of general anesthesia during the early stages of life. In view of this, our center has developed a program in which SA may be used as the sole agent for applicable surgical procedures. Read More

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http://dx.doi.org/10.2147/LRA.S157650DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5937509PMC
May 2018
2 Reads

Pectoral I Block Does Not Improve Postoperative Analgesia After Breast Cancer Surgery: A Randomized, Double-Blind, Dual-Centered Controlled Trial.

Reg Anesth Pain Med 2018 Aug;43(6):596-604

Department of Anesthesiology, Centre Hospitalier de l'Université de Montréal, Montréal.

Background And Objectives: General anesthesia for breast surgery may be supplemented by using a regional anesthetic technique. We evaluated the efficacy of the first pectoral nerve block (Pecs I) in treating postoperative pain after breast cancer surgery.

Methods: A randomized, double-blind, dual-centered, placebo-controlled trial was performed. Read More

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https://rapm.bmj.com/lookup/doi/10.1097/AAP.0000000000000779
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http://dx.doi.org/10.1097/AAP.0000000000000779DOI Listing
August 2018
6 Reads

Remifentanil-induced postoperative hyperalgesia: current perspectives on mechanisms and therapeutic strategies.

Local Reg Anesth 2018 9;11:15-23. Epub 2018 Apr 9.

Department of Anesthesia and Intensive Care, IRCCS-ISMETT (Istituto Mediterraneo per i Trapianti e Terapie ad alta specializzazione), Palermo, Italy.

The use of remifentanil in clinical practice offers several advantages and it is used for a wide range of procedures, ranging from day-surgery anesthesia to more complex procedures. Nonetheless, remifentanil has been consistently linked with development of opioid-induced hyperalgesia (OIH), which is described as a paradoxical increase in sensitivity to painful stimuli that develops after exposure to opioid treatment. The development of OIH may cause several issues, delaying recovery after surgery and preventing timely patient's discharge. Read More

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http://dx.doi.org/10.2147/LRA.S143618DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5898588PMC
April 2018
4 Reads

Effect of warming anesthetic on pain perception during dental injection: a split-mouth randomized clinical trial.

Local Reg Anesth 2018 22;11:9-13. Epub 2018 Feb 22.

Department of Center for Interdisciplinary Studies on Nervous System (CISNe), Universidad Austral de Chile, Valdivia, Chile.

Background: The purpose of this study is to determine the effectiveness of warming anesthesia on the control of the pain produced during the administration of dental anesthesia injection and to analyze the role of Transient Receptor Potential Vanilloid-1 nociceptor channels in this effect.

Patients And Methods: A double-blind, split-mouth randomized clinical trial was designed. Seventy-two volunteer students (22. Read More

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http://dx.doi.org/10.2147/LRA.S147288DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5826251PMC
February 2018
6 Reads

Local anesthetics for brain tumor resection: current perspectives.

Local Reg Anesth 2018 1;11:1-8. Epub 2018 Feb 1.

Department of Anesthesiology, Erasmus MC, Rotterdam, The Netherlands.

This review summarizes the added value of local anesthetics in patients undergoing craniotomy for brain tumor resection, which is a procedure that is carried out frequently in neurosurgical practice. The procedure can be carried out under general anesthesia, sedation with local anesthesia or under local anesthesia only. Literature shows a large variation in the postoperative pain intensity ranging from no postoperative analgesia requirement in two-thirds of the patients up to a rate of 96% of the patients suffering from severe postoperative pain. Read More

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http://dx.doi.org/10.2147/LRA.S135413DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5798542PMC
February 2018
2 Reads

Esophageal Manometry and Regional Transpulmonary Pressure in Lung Injury.

Am J Respir Crit Care Med 2018 Apr;197(8):1018-1026

2 Translational Medicine, Departments of Critical Care Medicine and Anesthesia, Hospital for Sick Children, and.

Rationale: Esophageal manometry is the clinically available method to estimate pleural pressure, thus enabling calculation of transpulmonary pressure (Pl). However, many concerns make it uncertain in which lung region esophageal manometry reflects local Pl.

Objectives: To determine the accuracy of esophageal pressure (Pes) and in which regions esophageal manometry reflects pleural pressure (Ppl) and Pl; to assess whether lung stress in nondependent regions can be estimated at end-inspiration from Pl. Read More

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http://dx.doi.org/10.1164/rccm.201709-1806OCDOI Listing
April 2018
11 Reads

Administration of epidural labor analgesia is not associated with a decreased risk of postpartum depression in an urban Canadian population of mothers: a secondary analysis of prospective cohort data.

Local Reg Anesth 2017 31;10:99-104. Epub 2017 Oct 31.

Alberta Children's Hospital Research Institute and Pediatrics, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.

Background: Postpartum depression (PPD) is a common complication of pregnancy, affecting approximately 13% of mothers internationally. Previous research has examined whether epidural analgesia used for pain control during labor and birth is associated with a lower risk of PPD, but reports conflicting results and may have suffered from methodological shortcomings. Our study aimed to prospectively assess whether epidural analgesia is associated with a lower risk of PPD (at either 6 weeks or 6 months postpartum) after attempting to adequately adjust for selection bias and confounding variables. Read More

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http://dx.doi.org/10.2147/LRA.S141569DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5673041PMC
October 2017
4 Reads

Efficiency of spinal anesthesia versus general anesthesia for lumbar spinal surgery: a retrospective analysis of 544 patients.

Local Reg Anesth 2017 10;10:91-98. Epub 2017 Oct 10.

Department of Neurosurgery.

Background: Previous studies have shown varying results in selected outcomes when directly comparing spinal anesthesia to general in lumbar surgery. Some studies have shown reduced surgical time, postoperative pain, time in the postanesthesia care unit (PACU), incidence of urinary retention, postoperative nausea, and more favorable cost-effectiveness with spinal anesthesia. Despite these results, the current literature has also shown contradictory results in between-group comparisons. Read More

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http://dx.doi.org/10.2147/LRA.S141233DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5644537PMC
October 2017
16 Reads

Preventing nausea and vomiting in women undergoing regional anesthesia for cesarean section: challenges and solutions.

Local Reg Anesth 2017 9;10:83-90. Epub 2017 Aug 9.

Department of Anesthesia and Critical Care, University Hospitals of Wuerzburg, Wuerzburg.

Background: Intraoperative nausea and vomiting (IONV) or postoperative nausea and vomiting (PONV) affecting women undergoing regional anesthesia for cesarean section is an important clinical problem since these techniques are used widely. There are burdens of literature about IONV/PONV and several in parturient and cesarean. However, it needs more attention. Read More

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http://dx.doi.org/10.2147/LRA.S111459DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5558589PMC
August 2017
8 Reads

Case report: bilateral tunneled epidural catheters to prevent unilateral analgesia for cancer-related pain.

Local Reg Anesth 2017 20;10:79-82. Epub 2017 Jul 20.

Interventional Pain, Moffitt Cancer Center, University of South Florida, Tampa, FL, USA.

Objective: Unilateral analgesia often occurs with epidural analgesia. Traditional methods of troubleshooting this problem can be insufficient in obtaining adequate pain relief in a timely manner for terminal cancer patients. This case report demonstrates a safe and effective solution which can be utilized in these circumstances. Read More

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http://dx.doi.org/10.2147/LRA.S135809DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5529603PMC
July 2017
1 Read

Great auricular neuropraxia with beach chair position.

Local Reg Anesth 2017 20;10:75-77. Epub 2017 Jul 20.

Department of Anesthesiology, New York Methodist Hospital, New York, NY, USA.

Shoulder arthroscopy has been shown to be the procedure of choice for many diagnostic and therapeutic interventions. Neuropraxia of the great auricular nerve (GAN) is an uncommon complication of shoulder surgery, with the patient in the beach chair position. We report a case of great auricular neuropraxia associated with direct compression by a horseshoe headrest, used in routine positioning for uncomplicated shoulder surgery. Read More

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http://dx.doi.org/10.2147/LRA.S138998DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5529604PMC
July 2017
5 Reads

Efficacy of single-injection unilateral thoracic paravertebral block for post open cholecystectomy pain relief: a prospective randomized study at Gondar University Hospital.

Local Reg Anesth 2017 10;10:67-74. Epub 2017 Jul 10.

Department of Anesthesia, School of Medicine, Gondar College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

Background: Cholecystectomy can be associated with considerable postoperative pain. While the benefits of paravertebral block (PVB) on pain after thoracotomy and mastectomy have been demonstrated, not enough investigations on the effects of PVB on pain after open cholecystectomy have been conducted. We tested the hypothesis that a single-injection thoracic PVB reduces pain scores, decreases opioid consumption, and prolongs analgesic request time after cholecystectomy. Read More

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http://dx.doi.org/10.2147/LRA.S133946DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5513842PMC
July 2017
7 Reads
1 Citation

Does the approach influence the success rate for ultrasound-guided rectus sheath blocks? An anatomical case series.

Local Reg Anesth 2017 5;10:61-65. Epub 2017 Jul 5.

Institute of Anatomy, Medical University of Rostock, Rostock, Germany.

The anterior cutaneous branches of the thoracolumbar spinal nerves enter the rectus sheath at its lateral border and perforate the muscle after travelling a short distance in the ventral direction. In this anatomical case series, we show that dye injection at the medial margin did not lead to reliable impregnation of the target nerves. The local anesthetic should therefore be injected at the lateral edge of the rectus sheath. Read More

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http://dx.doi.org/10.2147/LRA.S133500DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5507869PMC
July 2017
2 Reads

Spinal anesthesia: the Holy Grail?

Local Reg Anesth 2017 23;10:59-60. Epub 2017 Jun 23.

Department of Anesthesiology, Pain and Palliative Care, Radboud University Medical Center, Nijmegen, The Netherlands.

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http://dx.doi.org/10.2147/LRA.S139852DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5499955PMC
June 2017
5 Reads

Epidural anesthesia for labor and delivery in a patient with May-Hegglin anomaly: a case report.

Local Reg Anesth 2017 28;10:53-58. Epub 2017 Apr 28.

Department of Anesthesia, King Abdulaziz Medical City, National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia.

We report a case of May-Hegglin anomaly (MHA) in a woman who had a successful labor and delivery under epidural anesthesia. MHA is an inherited thrombocytopenia easily misdiagnosed as idiopathic (immune) thrombocytopenic purpura (ITP). Early and appropriate diagnosis of MHA during pregnancy is essential for optimal maternal and neonatal delivery outcome. Read More

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http://dx.doi.org/10.2147/LRA.S125811DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5417665PMC
April 2017
22 Reads

The smaller the better?

Authors:
Cornelis Slagt

Local Reg Anesth 2017 24;10:51-52. Epub 2017 Apr 24.

Department of Anaesthesia, Pain and Palliative Medicine, Radboud University Medical Center, Nijmegen, the Netherlands.

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http://dx.doi.org/10.2147/LRA.S138331DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5411166PMC
April 2017
15 Reads

Ambulatory anesthetic care in children undergoing myringotomy and tube placement: current perspectives.

Local Reg Anesth 2017 19;10:41-49. Epub 2017 Apr 19.

Department of Anaesthesia, Royal Aberdeen Children's Hospital, Aberdeen, UK.

Purpose: Myringotomy and tube placement is one of the most frequently performed ear, nose and throat (ENT) surgeries in the pediatric population. Effective anesthetic management is vital to ensuring successful ambulatory care and ensuring child and parental satisfaction.

Recent Findings: This review summarizes recently published studies about the long-term effects of general anesthesia in young children, novel approaches to preoperative fasting and simplified approaches to the assessment and management of emergence delirium (ED) and emergence agitation (EA). Read More

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http://dx.doi.org/10.2147/LRA.S113591DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5403003PMC
April 2017
8 Reads

Ambulatory thyroidectomy: an anesthesiologist's perspective.

Local Reg Anesth 2017 5;10:31-39. Epub 2017 Apr 5.

Department of Anaesthesia and Critical Care.

Thyroidectomy has been performed on an inpatient basis because of concerns regarding postoperative complications. These include cervical hematoma, bilateral recurrent laryngeal nerve injury and symptomatic hypocalcemia. We have reviewed the current available evidence and aimed to collate published data to generate incidence of the important complications. Read More

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http://dx.doi.org/10.2147/LRA.S111554DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5388280PMC
April 2017
13 Reads

Spinal anesthesia after intraoperative cardiac arrest during general anesthesia in an infant.

Local Reg Anesth 2017 31;10:25-29. Epub 2017 Mar 31.

Department of Anesthesiology & Pain Medicine, Nationwide Children's Hospital.

Although generally safe and effective, severe perioperative complications, including cardiac arrest, may occur during general anesthesia in infants. With the emergence of evidence that specific anesthetic agents may affect future neurocognitive outcomes, there has been an increased focus on alternatives to general anesthesia, including spinal anesthesia. We present a case of cardiac arrest during general anesthesia in an infant who required urologic surgery. Read More

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http://dx.doi.org/10.2147/LRA.S123157DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5386604PMC
March 2017
2 Reads

Prilocaine hydrochloride 2% hyperbaric solution for intrathecal injection: a clinical review.

Local Reg Anesth 2017 31;10:15-24. Epub 2017 Mar 31.

Department of Medical and Surgical Sciences, Anesthesia and Intensive Care Unit, Policlinico S. Orsola-Malpighi, Bologna, Italy.

Prilocaine is a local anesthetic characterized by intermediate potency and duration and fast onset of action. As hyperbaric formulation of 5% solution, it was introduced and has been successfully used for spinal anesthesia since 1960. A new formulation of 2% plain and hyperbaric solution is currently available in Europe. Read More

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http://dx.doi.org/10.2147/LRA.S112756DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5383067PMC
March 2017
3 Reads

Assessment of risk factors for postdural puncture headache in women undergoing cesarean delivery in Jordan: a retrospective analytical study.

Local Reg Anesth 2017 17;10:9-13. Epub 2017 Mar 17.

Department of Anesthesia.

Purpose: Postdural puncture headache (PDPH) is one of the most recognized complications after spinal anesthesia in women undergoing cesarean delivery. This study aimed to investigate the incidence of PDPH and its associated risk factors in women undergoing cesarean delivery in Jordan.

Patients And Methods: This study included all women who underwent cesarean delivery at King Abdullah University Hospital in Jordan during 2015. Read More

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http://dx.doi.org/10.2147/LRA.S129811DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5364012PMC
March 2017
12 Reads

Anesthesia for the patient undergoing total knee replacement: current status and future prospects.

Local Reg Anesth 2017 8;10:1-7. Epub 2017 Mar 8.

Department of Anesthesiology, Weill Cornell Medical College, New York, NY, USA.

Total knee arthroplasty (TKA) has become one of the most common orthopedic surgical procedures performed nationally. As the population and surgical techniques for TKAs have evolved over time, so have the anesthesia and analgesia used for these procedures. General anesthesia has been the dominant form of anesthesia utilized for TKA in the past, but regional anesthetic techniques are on the rise. Read More

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http://dx.doi.org/10.2147/LRA.S101373DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5349500PMC
March 2017
4 Reads

The analgesic efficacy of intravenous lidocaine infusion after laparoscopic fundoplication: a prospective, randomized, double-blind, placebo-controlled trial.

Local Reg Anesth 2016 2;9:87-93. Epub 2016 Dec 2.

Concord Clinical School, The University of Sydney, Sydney, Australia.

This study aimed to determine if intravenous lidocaine infusion reduces postoperative pain intensity following laparoscopic fundoplication surgery and to also validate the safety of intravenous lidocaine at the dose tested. This was an equally randomized, double-blind, placebo-controlled, parallel-group, single center trial. Adult patients undergoing laparoscopic fundoplication were recruited. Read More

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http://dx.doi.org/10.2147/LRA.S119483DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5144913PMC
December 2016
3 Reads

Single-shot lamina thoracic paravertebral block with ketofol for modified radical mastectomy.

Local Reg Anesth 2016 6;9:83-86. Epub 2016 Oct 6.

World Health Organisation, Akure, Ondo State, Nigeria.

We describe the use of single-shot lamina thoracic paravertebral block (TPVB) with sedation for a 56-year-old female patient who had modified radical mastectomy with axillary clearance. Two years ago, she suffered vocal cord palsy post thyroidectomy, which was managed with tracheostomy. The tracheostomy tube was removed 8 months later, leaving the patient with persistent hoarseness of voice and left vocal cord palsy. Read More

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https://www.dovepress.com/single-shot-lamina-thoracic-parave
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http://dx.doi.org/10.2147/LRA.S116102DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5063483PMC
October 2016
11 Reads

Regional anesthesia or patient-controlled analgesia and compartment syndrome in orthopedic surgical procedures: a systematic review.

Local Reg Anesth 2016 6;9:65-81. Epub 2016 Oct 6.

Department of Anesthesiology and Perioperative Medicine, University of Alabama at Birmingham, Birmingham, AL.

A systematic review of the literature on the use of regional anesthesia (RA) and patient-controlled analgesia (PCA) was conducted in patients who require orthopedic extremity procedures to determine whether either analgesic technique contributes to a delayed diagnosis of compartment syndrome (CS). A total of 34 relevant articles (28 case reports and six research articles) were identified. Of all case report articles published after 2009, the majority (75%) concluded that RA does not put the patient at an increased risk of a delayed diagnosis of CS. Read More

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http://dx.doi.org/10.2147/LRA.S109659DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5063486PMC
October 2016
6 Reads

An electronic surgical order, undertaking patient education, and obtaining informed consent for regional analgesia before the day of surgery reduce block-related delays.

Local Reg Anesth 2016 5;9:59-64. Epub 2016 Oct 5.

Department of Anesthesiology and Perioperative Medicine.

Background: Obtaining patient informed consent for a regional analgesia block on the day of surgery can result in surgical case delays. We hypothesized that implementing a preoperative electronic surgical order, undertaking patient education, and obtaining informed consent for a regional block in our preoperative assessment clinic prior to the day of surgery would reduce surgical case delays attributed to our regional anesthesia pain service and increase the percentage of patients for whom our regional anesthesia pain service was requested to provide a block.

Methods: A prospective two-group time-series design, with a nonrandomized, pre- and post-intervention data collection strategy, was applied. Read More

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http://dx.doi.org/10.2147/LRA.S115432DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5063487PMC
October 2016
3 Reads

Managing anesthesia for cesarean section in obese patients: current perspectives.

Local Reg Anesth 2016 16;9:45-57. Epub 2016 Aug 16.

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

Obesity is a worldwide epidemic. It is associated with increased comorbidities and increased maternal, fetal, and neonatal complications. The risk of cesarean delivery is also increased in obese parturients. Read More

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http://dx.doi.org/10.2147/LRA.S64279DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4993564PMC
August 2016
7 Reads

Optimal point of insertion of the needle in neuraxial blockade using a midline approach: study in a geometrical model.

Local Reg Anesth 2016 10;9:39-44. Epub 2016 Aug 10.

Department of Anesthesiology, Canisius Wilhelmina Ziekenhuis, Nijmegen, the Netherlands.

Performance of neuraxial blockade using a midline approach can be technically difficult. It is therefore important to optimize factors that are under the influence of the clinician performing the procedure. One of these factors might be the chosen point of insertion of the needle. Read More

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http://dx.doi.org/10.2147/LRA.S111569DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4986907PMC
August 2016
3 Reads

Successful treatment of Raynaud's syndrome in a lupus patient with continuous bilateral popliteal sciatic nerve blocks: a case report.

Local Reg Anesth 2016 15;9:35-7. Epub 2016 Jun 15.

Department of Anesthesiology, The University of Texas Health Science Center at Houston, Houston, TX, USA.

Raynaud's syndrome has been treated medically and invasively, sometimes with regional anesthesia leading up to sympathectomy. We demonstrate that regional anesthesia was in this case a useful technique that can allow some patients to find temporary but significant relief from symptoms of Raynaud's syndrome exacerbation. We present a 43-year-old woman with Raynaud's syndrome secondary to lupus who was treated with bilateral popliteal nerve block catheters for ischemic pain and necrosis of her feet; this led to almost immediate resolution of her pain and return of color and function of her feet. Read More

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http://dx.doi.org/10.2147/LRA.S97111DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4913978PMC
July 2016
4 Reads

Postoperative epidural analgesia for patients undergoing pectus excavatum corrective surgery: a 10-year retrospective analysis.

Local Reg Anesth 2016 25;9:25-33. Epub 2016 May 25.

Canterbury Anesthetic Services, Victoria, Australia.

Introduction: Managing postoperative pain in patients undergoing minimally invasive pectus excavatum repair (Nuss procedure) is challenging but essential in facilitating ambulation and minimizing the length of stay. Although multiple epidural regimens with varying opioids are presently used for pain management, there is currently no clinical consensus regarding which epidural regimen provides the best analgesia outcomes with the fewest side effects. This 10-year retrospective cohort study was performed to compare the quality of analgesia and the incidence of side effects associated with the three most common epidural regimens used at a tertiary care children's hospital, in patients undergoing the Nuss procedure. Read More

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http://dx.doi.org/10.2147/LRA.S80710DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4889096PMC
June 2016
2 Reads

Epinephrine Affects Pharmacokinetics of Ropivacaine Infiltrated Into Palate.

Anesth Prog 2016 ;63(2):71-9

The Nippon Dental University, School of Life Dentistry at Tokyo, Department of Dental Anesthesiology, Tokyo, Japan, and.

Pulpal anesthesia success rates for ropivacaine following maxillary infiltration anesthesia seem to be low. We investigated the hypothesis that the addition of epinephrine would affect the pharmacokinetics of ropivacaine by retaining ropivacaine in the mucosa of the injected area through the time-dependent distribution of ropivacaine in the rat maxilla and serum following maxillary infiltration anesthesia using (3)H-labeled ropivacaine. We then examined the vasoactivity of ropivacaine with or without epinephrine on local peripheral blood flow. Read More

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http://dx.doi.org/10.2344/0003-3006-63.2.71DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4896045PMC
September 2016
4 Reads

A double-blind randomized controlled trial comparing dexamethasone and clonidine as adjuvants to a ropivacaine sciatic popliteal block for foot surgery.

Local Reg Anesth 2016 5;9:17-24. Epub 2016 May 5.

Department of Cardiovascular Sciences and Anesthesiology, Catholic University Hospitals, Louvain, Belgium.

Background And Aims: A popliteal block is effective in managing postoperative pain for foot surgery, but since the duration of analgesia is limited following a single-shot popliteal fossa block technique, methods to prolong effective postoperative analgesia are mandatory. The aim of this study was to assess the effect of adjuvants to ropivacaine on the duration of sensory and motor block.

Methods: In this double-blind randomized placebo-controlled study, we evaluated the analgesic effect of clonidine or dexamethasone (DXM) when added to ropivacaine for hallux valgus surgery. Read More

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http://dx.doi.org/10.2147/LRA.S96073DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4863693PMC
May 2016
23 Reads

Not everything that can be done should be done.

Authors:
Cor Slagt

Local Reg Anesth 2016 24;9:13-5. Epub 2016 Feb 24.

Radboud University Medical Center, Department Anaesthesia, Pain and Palliative Medicine, Nijmegen, the Netherlands.

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http://dx.doi.org/10.2147/LRA.S102366DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4771410PMC
March 2016
4 Reads

Efficacy of ultrasound-guided transversus abdominis plane block for postoperative analgesia in patients undergoing inguinal hernia repair.

Local Reg Anesth 2016 18;9:7-12. Epub 2016 Jan 18.

Department of Anaesthesia, SRM Medical College Hospital, and Research Centre, Chennai, Tamil Nadu, India.

Background And Aim: Transversus abdominis plane block (TAP block) is a novel procedure to provide postoperative analgesia following inguinal hernia surgery. The utilization of ultrasound has greatly augmented the success rate of this block and additionally avoiding complications. The aim of our study was to gauge the analgesic efficacy of ultrasound-guided TAP block in patients undergoing unilateral inguinal hernia repair. Read More

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https://www.dovepress.com/efficacy-of-ultrasound-guided-tran
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http://dx.doi.org/10.2147/LRA.S93673DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4723021PMC
February 2016
10 Reads