2,460 results match your criteria Nerve Block Epidural


Inpatient interventions that may preclude outpatient open pyeloplasty in infants.

Int Braz J Urol 2018 Dec 5;45. Epub 2018 Dec 5.

Department of Pediatric Urology, Children's Hospital Colorado, Denver, CO, United States.

Objective: In the majority of published series, children undergoing open pyeloplasty are admitted for at least one night. We hypothesized that it would be possible in the majority of infants to perform open pyeloplasty as an outpatient procedure.

Materials And Methods: All patients who underwent open pyeloplasty by a single surgeon between 2008 and 2016 were retrospectively reviewed. Read More

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http://dx.doi.org/10.1590/S1677-5538.IBJU.2018.0252DOI Listing
December 2018
1 Read

Bleeding complications following peripheral regional anaesthesia in patients treated with anticoagulants or antiplatelet agents: A systematic review.

Anaesth Crit Care Pain Med 2018 Dec 23. Epub 2018 Dec 23.

Department of anaesthesiology and intensive care, Grenoble Alpes university hospital, 38043 Grenoble, France. Electronic address:

Background: Patients on either antiplatelet or anticoagulant therapy may need procedures performed under peripheral nerve blocks in preference to general anaesthesia techniques. The risk of bleeding associated with peripheral nerve blocks under these circumstances remains unknown. This systematic review evaluates the incidence of bleeding complications following peripheral nerve blocks in patients receiving antiplatelet and/or anticoagulant medication. Read More

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http://dx.doi.org/10.1016/j.accpm.2018.12.009DOI Listing
December 2018
1 Read

Ultrasound-guided continuous femoral nerve block: a randomized trial on the influence of femoral nerve catheter orifice configuration (six-hole versus end-hole) on post-operative analgesia after total knee arthroplasty.

BMC Anesthesiol 2018 Dec 19;18(1):191. Epub 2018 Dec 19.

Department of Anesthesiology, University Hospitals of Geneva, Rue Gabrielle-Perret-Gentil 4, CH-1211, Geneva 14, Switzerland.

Background: Multiorifice catheters have been shown to provide superior analgesia and significantly reduce local anesthetic consumption compared with end-hole catheters in epidural studies. This prospective, blinded, randomized study tested the hypothesis that, in continuous femoral nerve block (CFNB) under ultrasound guidance, multiorifice catheter would reduce local anesthetic consumption at 24 h compared with end-hole catheter.

Methods: Eighty adult patients (aged ≥18 years) scheduled to undergo primary total knee arthroplasty under a combination of CFNB, sciatic nerve block and general anesthesia were randomized to CFNB using either a 3-pair micro-hole (Contiplex, BRAUN®, 20G - 400 mm) or an end-hole (Silverstim VYGON®, 20G - 500 mm) catheter. Read More

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http://dx.doi.org/10.1186/s12871-018-0648-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6300902PMC
December 2018
1 Read

Ultrasound-guided selective nerve root block versus fluoroscopy-guided interlaminar epidural block for the treatment of radicular pain in the lower cervical spine: a retrospective comparative study.

J Ultrasound 2018 Dec 5. Epub 2018 Dec 5.

Department of Physical Medicine and Rehabilitation, Sanggye Paik Hospital, Inje University College of Medicine, Sanggye 7 dong 761-7, Nowon-gu, 139-707, Seoul, South Korea.

Purpose: Recent studies have compared the therapeutic efficacy and safety of the procedure using ultrasound and fluoroscopy. However, there are no published studies comparing the therapeutic efficacy and safety of fluoroscopy (FL)-guided cervical interlaminar epidural steroid injection (CIESI) with that of ultrasound (US)-guided selective nerve root block (SNRB). This study aimed to compare the mid-term effects and advantages of US-guided SNRB with FL-guided CIESI for radicular pain in the lower cervical spine through assessment of pain relief and functional improvement. Read More

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http://dx.doi.org/10.1007/s40477-018-0344-zDOI Listing
December 2018
1 Read

The Analgesic Efficacy of Transverse Abdominis Plane Block versus Epidural Block after Caesarean Delivery: Which One Is Effective? TAP Block? Epidural Block?

Pain Res Manag 2018 17;2018:3562701. Epub 2018 Oct 17.

Ordu University, School of Medicine, Training and Research Hospital, Department of Anesthesia and Reanimation, Ordu, Turkey.

Introduction And Objective: TAP block has gained popularity to provide postoperative analgesia after abdominal surgery but its advantage over epidural analgesia is disputed. For lower abdominal surgeries, epidural analgesia has been the gold standard and time-tested technique for providing postoperative analgesia, but contraindications for the same would warrant need for other equally good analgesic techniques. The objective of this study is to compare the analgesic efficacy of both the techniques. Read More

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http://dx.doi.org/10.1155/2018/3562701DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6207903PMC
December 2018

The cost-effectiveness of epidural, patient-controlled intravenous opioid analgesia, or transversus abdominis plane infiltration with liposomal bupivacaine for postoperative pain management.

J Clin Anesth 2018 Oct 13;53:56-63. Epub 2018 Oct 13.

Department of Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH, USA; Quality Institute, and Neurology Institute Center for Outcomes Research (NICORe), USA.

Study Objective: Intravenous patient-controlled opioid analgesia (IVPCA), epidural analgesia and transversus abdominis plane (TAP) infiltrations are frequently used postoperative pain management modalities. The aim of this study was to conduct a cost-effectiveness analysis comparing the use of epidural, IVPCA, and TAP infiltrations with liposomal bupivacaine for analgesia in the first 72 h postoperatively in patients undergoing major lower abdominal surgery.

Design: Retrospective cost effectiveness analysis. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09528180183062
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http://dx.doi.org/10.1016/j.jclinane.2018.10.003DOI Listing
October 2018
2 Reads

Vocal fold paralysis due to intracranial hypotension following spinal anesthesia.

Anaesthesist 2018 Nov 12;67(11):868-870. Epub 2018 Oct 12.

Department of Otorhinolaryngology, Kocaeli State Hospital, Kocaeli, Turkey.

Cranial nerve palsy is a rare neurological complication of epidural and subarachnoid blocks. Most of these complications are attributed to secondary intracranial hypotension due to cerebrospinal fluid leakage following dural puncture. Vocal fold paralysis (VFP) seems more likely to be overlooked and underreported due to delayed onset of symptoms and lack of attribution of dysphonia to spinal anesthesia. Read More

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http://link.springer.com/10.1007/s00101-018-0501-y
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http://dx.doi.org/10.1007/s00101-018-0501-yDOI Listing
November 2018
2 Reads

Comparing the efficacy of pain managements after total hip arthroplasty: A network meta-analysis.

J Cell Biochem 2019 Mar 9;120(3):4342-4354. Epub 2018 Oct 9.

Second Department of Orthopedics, Affiliated Traditional Chinese Medical of Xinjiang Medical University, Urumqi, Xinjiang, China.

The aim of our current study is to compare efficiency of various interventions implemented for pain management after total hip arthroplasty (THA). PubMed and EMBASE were searched for randomized clinical trials (RCTs) reporting the pain scales for evaluate the efficacy of pain control after THA including at least one pair of direct control groups. Pain scale values and the associated 95% credible interval (CrI) were used to describe efficacy. Read More

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http://doi.wiley.com/10.1002/jcb.27720
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http://dx.doi.org/10.1002/jcb.27720DOI Listing
March 2019
1 Read

Supra-inguinal fascia iliaca block under ultrasound guidance for perioperative analgesia during bipolar hip arthroplasty in a patient with severe cardiovascular compromise: A case report.

Medicine (Baltimore) 2018 Oct;97(40):e12746

Rationale: The relief of selective hip pain may be difficult to attain. Therefore, a deep nerve block such as epidural anesthesia or lumbar plexus nerve block is required. However, deep nerve blocks may not be possible in patients with complications, including severe cardiovascular disease. Read More

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http://Insights.ovid.com/crossref?an=00005792-201810050-0010
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http://dx.doi.org/10.1097/MD.0000000000012746DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6200485PMC
October 2018
3 Reads

Description of an ultrasound-guided thoracic paravertebral block technique and the spread of dye in dog cadavers.

Vet Anaesth Analg 2018 Nov 10;45(6):811-819. Epub 2018 Aug 10.

Department of Anesthesiology, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA.

Objectives: To describe an ultrasound-guided thoracic paravertebral block and determine the distribution after injection of two volumes of methylene blue in dog cadavers.

Study Design: Prospective experimental cadaveric study.

Animals: Twelve dog cadavers weighing 11 ± 3 kg. Read More

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http://dx.doi.org/10.1016/j.vaa.2018.07.004DOI Listing
November 2018
5 Reads

Effect of Ultrasound-Guided Intercostal Nerve Block Versus Fluoroscopy-Guided Epidural Nerve Block in Patients With Thoracic Herpes Zoster: A Comparative Study.

J Ultrasound Med 2018 Sep 23. Epub 2018 Sep 23.

Department of Rehabilitation Medicine, Bundang Jesaeng Hospital, Seongnam-si, Korea.

Objectives: To compare the efficacy of a conventional fluoroscopy-guided epidural nerve block and an ultrasound (US)-guided intercostal nerve block in patients with thoracic herpes zoster (HZ).

Methods: This work was a comparative study of 38 patients with thoracic HZ pain and a chest wall herpetic eruption, aged 18 years or older, with pain intensity of 5 or greater on a numeric rating scale (NRS) for less than a 1-month duration. Patients were consecutively enrolled and assigned to 2 groups in which the intervention was either the US-guided intercostal nerve block or the fluoroscopy-guided epidural nerve block approach with the addition of a 5-mL mix of 2. Read More

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http://dx.doi.org/10.1002/jum.14758DOI Listing
September 2018

Liposomal Bupivacaine Transversus Abdominis Plane Block Versus Epidural Analgesia in a Colon and Rectal Surgery Enhanced Recovery Pathway: A Randomized Clinical Trial.

Dis Colon Rectum 2018 Oct;61(10):1196-1204

Division of Colon and Rectal Surgery, St Joseph Mercy Hospital, Ann Arbor, Michigan.

Background: Multimodal pain management is an integral part of enhanced recovery pathways. The most effective pain management strategies have not been determined.

Objective: The purpose of this study was to compare liposomal bupivacaine transversus abdominis plane block with epidural analgesia in patients undergoing colorectal surgery. Read More

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http://dx.doi.org/10.1097/DCR.0000000000001211DOI Listing
October 2018
5 Reads

Nerve root block versus surgery (NERVES) for the treatment of radicular pain secondary to a prolapsed intervertebral disc herniation: study protocol for a multi-centre randomised controlled trial.

Trials 2018 Sep 5;19(1):475. Epub 2018 Sep 5.

Clinical Trials Research Centre, University of Liverpool, Liverpool, L12 2AP, UK.

Background: Sciatica is a common condition reported to affect over 3% of the UK population at any time and is often caused by a prolapsed intervertebral disc (PID). Although the duration and severity of symptoms can vary, pain persisting beyond 6 weeks is unlikely to recover spontaneously and may require investigation and treatment. Currently, there is no specific care pathway for sciatica in the National Health Service (NHS), and no direct comparison exists between surgical microdiscectomy and transforaminal epidural steroid injection (TFESI). Read More

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https://trialsjournal.biomedcentral.com/articles/10.1186/s13
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http://dx.doi.org/10.1186/s13063-018-2677-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6126032PMC
September 2018
12 Reads

Ultrasound-guided phrenic nerve block for intraoperative persistent hiccups: a case report.

BMC Anesthesiol 2018 Sep 5;18(1):123. Epub 2018 Sep 5.

Department of Anesthesiology, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, 16# Jichang Road, Guangzhou, 510405, China.

Background: Continuous hiccups during surgery not only affect the surgical procedure, they can also cause adverse effects for the patient. Apart from active investigation of the cause of the hiccups, their timely termination is also necessary.

Case Presentation: We reported a case of a 70-year-old woman with continuous intraoperative hiccups that appeared during vaginal hysterectomy under low continuous epidural anesthesia. Read More

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http://dx.doi.org/10.1186/s12871-018-0589-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6123927PMC
September 2018
12 Reads

Rhomboid Intercostal and Subserratus Plane Block: A Cadaveric and Clinical Evaluation.

Reg Anesth Pain Med 2018 Oct;43(7):745-751

Department of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.

Background And Objectives: Fascial plane blocks are rapidly emerging to provide safe, feasible alternatives to epidural analgesia for thoracic and abdominal pain. We define a new option for chest wall and upper abdominal analgesia, termed the rhomboid intercostal and subserratus plane (RISS) block. The RISS tissue plane extends deep to the erector spinae muscle medially and deep to the serratus anterior muscle laterally. Read More

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http://Insights.ovid.com/crossref?an=00115550-900000000-9920
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http://dx.doi.org/10.1097/AAP.0000000000000824DOI Listing
October 2018
18 Reads

Anesthesiologist preference for postoperative analgesia in major surgery patients with obstructive sleep apnea.

Saudi J Anaesth 2018 Jul-Sep;12(3):475-477

Department of Anaesthesia, University of British Columbia, Vancouver, Canada.

Obstructive sleep apnea (OSA) is prevalent and presents perioperative challenges. There are guidelines regarding perioperative care of OSA, but analgesia management of OSA patients is inconsistent or inadequate. This is a study of the United Kingdom anesthesiologists' postoperative analgesia preferences for OSA patients. Read More

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http://dx.doi.org/10.4103/sja.SJA_25_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6044162PMC
August 2018
7 Reads

Continuous psoas sciatic blockade for total knee arthroplasty.

Saudi J Anaesth 2018 Jul-Sep;12(3):426-432

Department of Anaesthesia, Ain Shams University, Cairo, Egypt.

Background: Psoas sciatic block (Pso/Sci) is a modern anesthetic technique for lower extremities surgery. The use of this technique can avoid the adverse effects of the general anesthesia or the central neuroaxial blockade, especially in patients with multiple comorbidities.

Purpose: The purpose of this study is to compare the efficacy of combined Pso/sci as a sole anesthetic technique with conventional combined spinal epidural (CSE) anesthesia for patients undergoing total knee arthroplasty. Read More

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http://www.saudija.org/text.asp?2018/12/3/426/235765
Publisher Site
http://dx.doi.org/10.4103/sja.SJA_713_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6044156PMC
August 2018
10 Reads

Pectointercostal Fascial Block Catheters for Thoracic Injuries: A Case Series.

A A Pract 2018 Dec;11(12):340-343

Department of Anesthesiology, University of Arkansas for Medical Sciences, Little Rock, Arkansas.

Providing analgesia for patients with anterior rib and sternum fracture has been addressed from various types of modalities. Regional anesthesia via epidurals or peripheral nerve blocks, opiates, and other forms of multimodal pain regimens have been used. However, in the polytraumatic injury patient, positioning for an epidural may be problematic, and a predominantly opiate-based treatment plan may compromise respiratory status. Read More

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http://dx.doi.org/10.1213/XAA.0000000000000821DOI Listing
December 2018
1 Read

Effect of different thoracic anesthesia on postoperative cough.

J Thorac Dis 2018 Jun;10(6):3539-3547

Department of Anesthesia, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China.

Background: The objective of the study is to retrospectively analyze the cough status after double lumen tube (DLT) and spontaneous respiration thoracic anesthesia, to compare the degree of influence of anesthesia and surgical factors, and to investigate whether spontaneous respiration anesthesia can reduce the incidence of cough.

Methods: Postoperative follow-ups were performed on 1,162 patients from July 2011 to December 2015 who meet the selected conditions, whose surgical approach is limited to VAST bullectomy, wedge resection, segmentectomy, or lobectomy. Patients' probability of cough in 1st day (T1), 2nd days (T2), 3rd days (T3), 1st month (T4), 3rd months (T5), 6th months (T6) and 12th months (T7) after thoracoscopic surgery were recorded, as well as the Leicester cough questionnaire (LCQ) survey results, visual cough score (VAS), and cough symptom scores. Read More

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http://dx.doi.org/10.21037/jtd.2018.05.126DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6051848PMC
June 2018
2 Reads

Topical Sphenopalatine Ganglion Block Compared With Epidural Blood Patch for Postdural Puncture Headache Management in Postpartum Patients: A Retrospective Review.

Reg Anesth Pain Med 2018 Nov;43(8):880-884

From the Department of Anesthesiology, Rutgers-Robert Wood Johnson Medical School, New Brunswick, NJ.

Background And Objectives: Postdural puncture headache (PDPH) is a severe and debilitating complication of unintentional dural puncture. The criterion-standard treatment for PDPH has been epidural blood patch (EBP), but it is an invasive intervention with the potential for severe complications, such as meningitis and paralysis. We believe this is the first ever 17-year retrospective chart review in which we compare the effectiveness of sphenopalatine ganglion block (SPGB) to EBP for PDPH treatment in postpartum patients. Read More

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http://dx.doi.org/10.1097/AAP.0000000000000840DOI Listing
November 2018
3.089 Impact Factor

Postoperative Regional Analgesia Is Effective in Preserving Perforin-Expressing Lymphocytes in Patients After Total Knee Replacement.

Med Sci Monit 2018 Jul 31;24:5320-5328. Epub 2018 Jul 31.

Department of Anesthesiology, Reanimatology and Intensive Care Medicine, Faculty of Medicine, University of Rijeka, Rijeka, Croatia.

BACKGROUND Pain and surgical stress cause a pro-inflammatory response followed by downregulation of the immune response, which can increase the incidence of postoperative complications, such as infections or prolonged wound healing. T lymphocytes and natural killer (NK) cells have cytotoxic potential and are crucial components of cellular immunity, which is important for maintenance of immune balance. The aim of this study was to analyze the effects of 3 types of postoperative analgesia on the preservation and cytotoxic potential of T lymphocytes, NK cells, and their subpopulations, as well as NKT cells, in patients after total knee replacement (TKR) to find the most effective analgesic technique for mitigating immune suppression. Read More

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http://dx.doi.org/10.12659/MSM.909385DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6083937PMC
July 2018
1 Read

Investigation of single-dose thoracic paravertebral analgesia for postoperative pain control after thoracoscopic lobectomy - A randomized controlled trial.

Int J Surg 2018 Sep 26;57:8-14. Epub 2018 Jul 26.

Department of Anaesthesiology, Second Hospital of Harbin Medical University, 246 Xuefu Road, Harbin 150001, Heilongjiang, China. Electronic address:

Background: Thoracoscopic lobectomy is less painful than normal thoracotomy, but pain management is still an issue in the postoperative period. Thoracic epidural analgesia (TEA) is considered as the gold standard for post-thoracotomy pain control, but is associated with numerous risks.

Methods: A total of 114 patients undergoing thoracoscopic lobectomy were randomly divided into three groups. Read More

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http://dx.doi.org/10.1016/j.ijsu.2018.07.006DOI Listing
September 2018
1 Read

Efficacy of bilateral pectoralis nerve block for ultrafast tracking and postoperative pain management in cardiac surgery.

Ann Card Anaesth 2018 Jul-Sep;21(3):333-338

Department of Cardiac Anaesthesiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India.

Background: Good postoperative analgesia in cardiac surgical patients helps in early recovery and ambulation. An alternative to parenteral, paravertebral, and thoracic epidural analgesia can be pectoralis nerve (Pecs) block, which is novel, less invasive regional analgesic technique.

Aims: We hypothesized that Pecs block would provide superior postoperative analgesia for patients undergoing cardiac surgery through midline sternotomy compared to parenteral analgesia. Read More

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http://dx.doi.org/10.4103/aca.ACA_15_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6078028PMC
July 2018
1 Read

Effect of local infiltration analgesia, peripheral nerve blocks, general and spinal anesthesia on early functional recovery and pain control in unicompartmental knee arthroplasty.

BMC Musculoskelet Disord 2018 Jul 24;19(1):249. Epub 2018 Jul 24.

endogap, Joint Replacement Institute, Garmisch-Partenkirchen Medical Center, Auenstr. 6, 82467, Garmisch-Partenkirchen, Germany.

Background: The aim of the study was to analyze the effect of local infiltration analgesia (LIA), peripheral nerve blocks, general and spinal anesthesia on early functional recovery and pain control in primary unicompartmental knee arthroplasty (UKA).

Methods: Between January 2016 until August 2016, 134 patients underwent primary UKA and were subdivided into four groups according to their concomitant pain and anesthetic procedure with catheter-based techniques of femoral and sciatic nerve block (group GA&FNB, n = 38) or epidural catheter (group SP&EPI, n = 20) in combination with general anesthesia or spinal anesthesia, respectively, and LIA combined with general anesthesia (group GA&LIA, n = 46) or spinal anesthesia (group SP&LIA, n = 30). Outcome parameters focused on the evaluation of pain (NRS scores), mobilization, muscle strength and range of motion up to 7 days postoperatively. Read More

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http://dx.doi.org/10.1186/s12891-018-2165-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6056928PMC
July 2018
5 Reads

Effect of local infiltration analgesia, peripheral nerve blocks, general and spinal anesthesia on early functional recovery and pain control in total knee arthroplasty.

BMC Musculoskelet Disord 2018 Jul 18;19(1):232. Epub 2018 Jul 18.

endogap, Joint Replacement Institute, Garmisch-Partenkirchen Medical Center, Auenstr. 6, 82467, Garmisch-Partenkirchen, Germany.

Background: Postoperative pain control and enhanced mobilization, muscle strength and range of motion following total knee arthroplasty (TKA) are pivotal requisites to optimize rehabilitation and early recovery. The aim of the study was to analyze the effect of local infiltration analgesia (LIA), peripheral nerve blocks, general and spinal anesthesia on early functional recovery and pain control in primary total knee arthroplasty.

Methods: Between January 2016 until August 2016, 280 patients underwent primary TKA and were subdivided into four groups according to their concomitant pain and anesthetic procedure with catheter-based techniques of femoral and sciatic nerve block (group GA&FNB, n = 81) or epidural catheter (group SP&EPI, n = 51) in combination with general anesthesia or spinal anesthesia, respectively, and LIA combined with general anesthesia (group GA&LIA, n = 86) or spinal anesthesia (group SP&LIA, n = 61). Read More

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http://dx.doi.org/10.1186/s12891-018-2154-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6052689PMC
July 2018
9 Reads

Analgesic Effect of Double-Level Retrolaminar Paravertebral Block for Breast Cancer Surgery in the Early Postoperative Period: A Placebo-Controlled, Randomized Clinical Trial.

Tohoku J Exp Med 2018 07;245(3):179-185

Department of Anesthesiology, Tohoku University Hospital.

Thoracic epidural anesthesia (TEA) and paravertebral block (PVB) have been performed for perioperative regional anesthesia in the trunk. However, TEA and PVB are associated with a risk of serious complications, such as pneumothorax, hypotension, or nerve damage. Retrolaminar paravertebral block (RLB) was introduced as a new alternative to PVB. Read More

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https://www.jstage.jst.go.jp/article/tjem/245/3/245_179/_art
Publisher Site
http://dx.doi.org/10.1620/tjem.245.179DOI Listing
July 2018
9 Reads

Epidural approach to paravertebral thoracic sympathetic block as an alternative to stellate ganglion block: A case report.

Medicine (Baltimore) 2018 Jul;97(28):e11492

Rationale: Evidence from cadaveric studies note that the sympathetic nerves from the second and third thoracic ganglia bypass the stellate ganglion in 20% of the population. We present a novel alternative technique for sympathetic blockade of upper extremity via thoracic epidural approach.

Patient Concerns: The patient-reported anxiety about "the placement of the needle in the front of the neck" and severe pain secondary to complex regional pain syndrome. Read More

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http://dx.doi.org/10.1097/MD.0000000000011492DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6076206PMC
July 2018
18 Reads
5.723 Impact Factor

Continuous Fascia Iliaca Compartment Block for Post Operative Analgesia in Fracture Femur.

J Nepal Health Res Counc 2018 Jul 4;16(2):248-250. Epub 2018 Jul 4.

Department of Anaesthesiology, Tribhuvan university Teaching hospital, Maharajgunj, Kathmandu, Nepal.

The postoperative pain management in the elderly is challenging due to comorbidities and change in physiology due to age itself. This limit the use of medication which include pain medication also. The fascia iliaca compartment block has been described in the literature for fracture of femur. Read More

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July 2018
1 Read

The analgesic efficacy of transverse abdominis plane block versus epidural analgesia: A systematic review with meta-analysis.

Medicine (Baltimore) 2018 Jun;97(26):e11261

Department of Anesthesia, Lausanne University Hospital, Lausanne, Switzerland.

Background: The aim of the study was to compare the analgesic efficacy of epidural analgesia and transverse abdominis plane (TAP) block. TAP block has gained popularity to provide postoperative analgesia after abdominal surgery but its advantage over epidural analgesia is disputed.

Methods: We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement guidelines. Read More

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http://dx.doi.org/10.1097/MD.0000000000011261DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6039642PMC
June 2018
16 Reads

Assessment of skin temperature during regional anaesthesia-What the anaesthesiologist should know.

Acta Anaesthesiol Scand 2018 Oct 25;62(9):1280-1289. Epub 2018 Jun 25.

Department of Anaesthesiology, Academic Medical Center, Amsterdam, The Netherlands.

Body temperature homeostasis is accurately regulated by complex feedback-driven neuronal mechanisms, which involve a multitude of thermoregulatory pathways. Thus, core temperature is constantly maintained within a narrow range. As one of the most effective regulatory systems skin temperature is dependent on skin blood flow. Read More

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http://dx.doi.org/10.1111/aas.13176DOI Listing
October 2018

Risk factors for the development of Horner's syndrome following interscalene brachial plexus block using ropivacaine for shoulder arthroscopy: a randomised trial.

Anaesthesiol Intensive Ther 2018 22;50(3):215-220. Epub 2018 Jun 22.

Department of Anaesthesiology and Intensive Care, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia, Katowice, Poland, St. Barbara's Memorial Hospital WSS no. 5 Trauma Centre, Sosnowiec, Poland.

Background: Horner's syndrome is comprised of a set of symptoms caused by a permanent or transient ipsilateral sympathetic trunk lesion or paralysis. It may occur after numerous pathologies in the cervical region, epidural, spinal anaesthesia, and interscalene, transscalene, supraclavicular, or infraclavicular brachial plexus block. The aim of this randomised, prospective clinical study was to evaluate the effect of the interscalene brachial plexus block (IBPB) technique on the occurrence rate of Horner's syndrome and identify contributing risk factors. Read More

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http://dx.doi.org/10.5603/AIT.a2018.0013DOI Listing
June 2018
15 Reads

Local anaesthetics and regional anaesthesia versus conventional analgesia for preventing persistent postoperative pain in adults and children.

Cochrane Database Syst Rev 2018 06 20;6:CD007105. Epub 2018 Jun 20.

Albert Einstein College of Medicine of Yeshiva University, 1300 Morris Park Ave, Bronx, NY, USA, 10461.

Background: Regional anaesthesia may reduce the rate of persistent postoperative pain (PPP), a frequent and debilitating condition. This review was originally published in 2012 and updated in 2017.

Objectives: To compare local anaesthetics and regional anaesthesia versus conventional analgesia for the prevention of PPP beyond three months in adults and children undergoing elective surgery. Read More

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http://dx.doi.org/10.1002/14651858.CD007105.pub4DOI Listing
June 2018
5 Reads

Influence of Regional Anesthesia on the Rate of Chronic Postthoracotomy Pain Syndrome in Lung Cancer Patients.

Ann Thorac Cardiovasc Surg 2018 Aug 20;24(4):180-186. Epub 2018 Jun 20.

P.A. Herzen Moscow Cancer Research Institute, Moscow, Russia.

Purpose: Our study aimed to assess whether the type of regional anesthesia influenced the incidence of chronic postthoracotomy pain syndrome (CPTPS).

Methods: This was a prospective, randomized study that included 300 patients undergoing lung cancer resection using thoracotomy. They were randomized into three groups: paravertebral nerve block (PVB), thoracic epidural anesthesia (TEA), and intercostal nerve block (INB). Read More

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http://dx.doi.org/10.5761/atcs.oa.18-00044DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6102606PMC
August 2018
20 Reads

Is a Retrolaminar Approach to the Thoracic Paravertebral Space Possible?: A Human Cadaveric Study.

Reg Anesth Pain Med 2018 Nov;43(8):864-868

Department of Anesthesiology, Pain, and Perioperative Medicine, Stanford University School of Medicine, Stanford, CA.

Background And Objectives: The retrolaminar block (RB) is used for truncal analgesia, but its mechanism of neural blockade remains obscure. We sought to learn the pattern of local anesthetic spread after thoracic RB using cadaveric models.

Methods: In 8 fresh cadavers, an ultrasound-guided T4 RB was performed with 20 mL of methylene blue 1% and bupivacaine 0. Read More

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http://dx.doi.org/10.1097/AAP.0000000000000828DOI Listing
November 2018
2 Reads

A systematic review of comparative studies indicates that paravertebral block is neither superior nor safer than epidural analgesia for pain after thoracotomy.

Scand J Pain 2010 Jan 1;1(1):12-23. Epub 2010 Jan 1.

Division of Anaesthesia and Intensive Care Medicine, Medical Faculty, Rikshospitalet, 0027 Oslo, Norway.

Background The "gold standard" for pain relief after thoracotomy has been thoracic epidural analgesia (TEA). The studies comparing TEA with paravertebral block (PVB) and recent reviews recommend PVB as a novel, safer method than TEA. Methods A systematic search of the Cochrane and PubMed databases for prospective, randomized trials (RCTs) comparing TEA and PVB for post-thoracotomy analgesia was done. Read More

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http://dx.doi.org/10.1016/j.sjpain.2009.10.003DOI Listing
January 2010
18 Reads

Managing post-thoracotomy pain: Epidural or systemic analgesia and extended care - A randomized study with an "as usual" control group.

Scand J Pain 2014 Oct 1;5(4):240-247. Epub 2014 Oct 1.

Helsinki University Central Hospital, Department of Anaesthesia, Intensive Care Medicine, Emergency Medicine and Pain Medicine, Helsinki, Finland.

Background and aims Thoracotomies can cause severe pain, which persists in 21-67% of patients. We investigated whether NSAID + intravenous patient-controlled analgesia (IV-PCA) with morphine is an efficacious alternative to thoracic epidural analgesia (TEA). We also wanted to find out whether an extended controlled pain management protocol within a clinical study can decrease the incidence of persistent post-thoracotomy pain. Read More

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http://dx.doi.org/10.1016/j.sjpain.2014.07.001DOI Listing
October 2014
13 Reads

Examining the association of body mass index and the depth of epidural space, radiation dose exposure and fluoroscopic screening time during transforaminal nerve block injection: a retrospective cohort study.

Ir J Med Sci 2018 Jun 17. Epub 2018 Jun 17.

Bon Secours Hospital, Renmore, Galway, Ireland.

Objective: The primary objective of this study was to examine the association between body mass index (BMI) and the depth of tissue overlying the epidural space. Secondary objectives examined the association between BMI and (1) radiation dose exposure and (2) fluoroscopic screening time during transforaminal nerve block (TFNB) injections.

Methodology: This is a retrospective cohort study including patients aged ≥ 16 years who underwent unilateral single-level TFNB in a single centre over a 28-month period, by a single spinal orthopaedic surgeon. Read More

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http://dx.doi.org/10.1007/s11845-018-1845-7DOI Listing
June 2018
6 Reads

[Anesthesia, ventilation and pain treatment in thoracic trauma].

Unfallchirurg 2018 Aug;121(8):634-641

Klinik für Anästhesiologie, Intensiv- und Schmerzmedizin, BG Klinikum Unfallkrankenhaus Berlin gGmbH, Warener Str. 7, 12683, Berlin, Deutschland.

The management of anesthesia plays a central role in the treatment of thoracic trauma, both in the initial phase when safeguarding the difficult airway and in the intensive care unit. A rapid transfer to a trauma center should be considered in order to recognize and treat organ dysfunction in time. Development of atelectasis, pneumonia and acute lung failure are common pulmonary complications. Read More

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http://dx.doi.org/10.1007/s00113-018-0523-6DOI Listing
August 2018
18 Reads

The preliminary results of a new CT-guided periradicular cervical steroid injection technique: safety and feasibility of the lateral peri-isthmic approach in 28 patients.

Skeletal Radiol 2018 Jun 7. Epub 2018 Jun 7.

Department of Radiology, Istanbul Florence Nightingale Hospital, Istanbul, Turkey.

Background: Computed tomography (CT)-guided cervical nerve injections are broadly being used in the treatment of cervical radiculopathy; however, catastrophic complications have been reported. Herein, we aimed to evaluate the efficacy, feasibility, and safety of a novel CT-guided cervical injection technique.

Materials And Methods: We prospectively performed cervical injections in 28 patients with cervical radiculopathies using a novel CT-guided cervical transforaminal injection technique; lateral peri-isthmic approach in which the tip of the needle advanced to the lateral cortex of the isthmus instead of the foraminal area. Read More

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http://dx.doi.org/10.1007/s00256-018-2986-5DOI Listing
June 2018
7 Reads

Comparison of the Efficacy of Different Analgesia Treatments for Total Knee Arthroplasty: A Network Meta-Analysis.

Clin J Pain 2018 Nov;34(11):1047-1060

Department of Orthopedics, Jianhu People's Hospital of Jiangsu Province, Yancheng, Jiangsu, China.

Background And Aim: The severe pain after total knee arthroplasty (TKA) brings many patients more suffering, longer hospital stay, and higher expenses. This study was designed to assess the relative efficacy of several clinical treatments for postoperative analgesia of TKA through network meta-analysis based on multiple published randomized controlled trials.

Methods: Embase and PubMed were utilized to conduct this network meta-analysis from inception until 2016. Read More

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http://dx.doi.org/10.1097/AJP.0000000000000631DOI Listing
November 2018
13 Reads

Use of Serratus Plane Block for Repair of Coarctation of Aorta: A Report of 3 Cases.

Reg Anesth Pain Med 2018 Aug;43(6):641-643

Department of Anesthesia and Pain Medicine, The Hospital for Sick Children, Toronto, Ontario, Canada.

Objectives: The practice of regional anesthesia techniques (thoracic, epidural, paravertebral) in pediatric cardiac surgery enhances perioperative outcomes such as improved perioperative analgesia, decreased stress response, early extubation, and shortened hospital stay. However, these blocks can be technically challenging and can be associated with unacceptable failure rate and complications in infants. For these reasons, regional anesthesia is sometimes avoided in pediatric cardiac surgery. Read More

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http://dx.doi.org/10.1097/AAP.0000000000000801DOI Listing

Erector Spinae Plane Block Versus Retrolaminar Block: A Magnetic Resonance Imaging and Anatomical Study.

Reg Anesth Pain Med 2018 Oct;43(7):756-762

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

Background And Objectives: The erector spinae plane (ESP) and retrolaminar blocks are ultrasound-guided techniques for thoracoabdominal wall analgesia involving injection into the musculofascial plane between the paraspinal back muscles and underlying thoracic vertebrae. The ESP block targets the tips of the transverse processes, whereas the retrolaminar block targets the laminae. We investigated if there were differences in injectate spread between the 2 techniques that would have implications for their clinical effect. Read More

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http://Insights.ovid.com/crossref?an=00115550-900000000-9923
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http://dx.doi.org/10.1097/AAP.0000000000000798DOI Listing
October 2018
69 Reads

Epidural versus non-epidural or no analgesia for pain management in labour.

Cochrane Database Syst Rev 2018 05 21;5:CD000331. Epub 2018 May 21.

Tameside Hospital NHS Foundation Trust, Fountain Street, Ashton-under-Lyne, UK, OL6 9RW.

Background: Epidural analgesia is a central nerve block technique achieved by injection of a local anaesthetic close to the nerves that transmit pain, and is widely used as a form of pain relief in labour. However, there are concerns about unintended adverse effects on the mother and infant. This is an update of an existing Cochrane Review (Epidural versus non-epidural or no analgesia in labour), last published in 2011. Read More

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http://dx.doi.org/10.1002/14651858.CD000331.pub4DOI Listing
May 2018
25 Reads

Thoracic paravertebral block versus thoracic epidural analgesia for post-operative pain control in open pancreatic surgery: A randomized controlled trial.

J Clin Anesth 2018 Aug 3;48:41-45. Epub 2018 May 3.

Department of Surgery, University of Minnesota, Minneapolis, MN, USA. Electronic address:

Study Objective: The purpose of this study was to compare the efficacy of bilateral ultrasound guided thoracic paravertebral catheters to a thoracic epidural after open pancreatic surgery.

Design: This was a prospective non-blinded randomized controlled trial.

Setting: Academic hospital operating room, postoperative recovery area, and ward. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09528180183028
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http://dx.doi.org/10.1016/j.jclinane.2018.04.013DOI Listing
August 2018
4 Reads

Acute cauda equina syndrome following orthopedic procedures as a result of epidural anesthesia.

Surg Neurol Int 2018 10;9:81. Epub 2018 Apr 10.

Norton Neuroscience Institute, Norton Healthcare, Louisville, Kentucky, USA.

Background: Cauda equina syndrome (CES) is a rare complication of spinal or epidural anesthesia. It is attributed to direct mechanical injury to the spinal roots of the cauda equina that may result in saddle anesthesia and paraplegia with bowel and bladder dysfunction.

Case Description: The first patient underwent a hip replacement and received 5 mL of 1% lidocaine epidural anesthesia. Read More

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http://dx.doi.org/10.4103/sni.sni_492_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5909088PMC
April 2018
2 Reads

Device-Related Error in Patient-Controlled Analgesia: Analysis of 82,698 Patients in a Tertiary Hospital.

Anesth Analg 2018 Apr 23. Epub 2018 Apr 23.

Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.

Background: Patient-controlled analgesia (PCA) is one of the most popular and effective methods for managing postoperative pain. Various types of continuous infusion pumps are available for the safe and accurate administration of analgesic drugs. Here we report the causes and clinical outcomes of device-related errors in PCA. Read More

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http://dx.doi.org/10.1213/ANE.0000000000003397DOI Listing

Local anaesthetics and regional anaesthesia versus conventional analgesia for preventing persistent postoperative pain in adults and children.

Cochrane Database Syst Rev 2018 04 25;4:CD007105. Epub 2018 Apr 25.

Albert Einstein College of Medicine of Yeshiva University, 1300 Morris Park Ave, Bronx, NY, USA, 10461.

Background: Regional anaesthesia may reduce the rate of persistent postoperative pain (PPP), a frequent and debilitating condition. This review was originally published in 2012 and updated in 2017.

Objectives: To compare local anaesthetics and regional anaesthesia versus conventional analgesia for the prevention of PPP beyond three months in adults and children undergoing elective surgery. Read More

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http://dx.doi.org/10.1002/14651858.CD007105.pub3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6080861PMC
April 2018
13 Reads