6,522 results match your criteria Regional Anesthesia for Postoperative Pain Control


Randomized Comparative Study Between Bilateral Erector Spinae Plane Block and Transversus Abdominis Plane Block Under Ultrasound Guidance for Postoperative Analgesia After Total Abdominal Hysterectomy.

Cureus 2022 May 22;14(5):e25227. Epub 2022 May 22.

Anaesthesiology, Uttar Pradesh University of Medical Sciences, Etawah, IND.

Introduction: Ultrasound-guided erector spinae plane (ESP) block has emerged as an effective and safe analgesic regional technique and it also provides visceral pain relief. Our aim was to compare the analgesic efficacy of ESP block over transversus abdominis plane (TAP) block under ultrasound guidance following a total abdominal hysterectomy.

Methods: This was a prospective, randomized, comparative study. Read More

View Article and Full-Text PDF

Magnesium Sulfate and Cerebral Oxygen Saturation in Mild Traumatic Brain Injury: A Randomized, Double-Blind, Controlled Trial.

J Clin Med 2022 Jun 13;11(12). Epub 2022 Jun 13.

Department of Trauma Nursing, Ajou University School of Medicine, Ajou University Hospital, Suwon 16499, Korea.

Perioperative cerebral hypoperfusion/ischemia is considered to play a pivotal role in the development of secondary traumatic brain injury (TBI). This prospective randomized, double-blind, controlled study investigated whether magnesium sulfate (MgSO) infusion was associated with neuroprotection in maintaining regional cerebral oxygen saturation (rSO) values in patients with mild TBI undergoing general anesthesia. Immediately after intubation, we randomly assigned patients with TBI to receive either intravenous MgSO (30 mg/kg for 10 min, followed by a continuous infusion of 15 mg/kg/h) or a placebo (saline) during surgery. Read More

View Article and Full-Text PDF

[Ultrasound Guided Regional Anesthesia in Thoracic Surgery].

Anasthesiol Intensivmed Notfallmed Schmerzther 2022 Jun 21;57(6):417-427. Epub 2022 Jun 21.

Perioperative analgesia plays an important role in thoracic surgery, regarding not only patient satisfaction, but also in preventing postoperative complications such as pneumonia. Ultrasound-guided thoracic wall blocks close the gap between opiate based and neuraxial pain management concepts.The following article explores the different ultrasound-guided approaches to anesthetize the thoracic wall, ranging from the ventral blocks such as parasternal or PECS I/II, followed by the lateral blocks (i. Read More

View Article and Full-Text PDF

Robotic Vs. Ultrasound TAP Block Vs. Local Anesthetic in Urology: Results of UROTAP Randomized Trial.

BJU Int 2022 Jun 21. Epub 2022 Jun 21.

Department of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Objectives: To prospectively compare robotically administered transperitoneal transversus abdominis plane to ultrasound-guided TAP (UTAP) to local anesthesia (LA) for pain control and narcotic use in robotic prostatectomy (RP) and robotic partial nephrectomy (RPN) patients.

Subjects/patients And Methods: Patients undergoing RP or RPN were randomized in a single blind 2:2:1 fashion to RTAP:UTAP:LA, with the study powered to evaluate superiority of UTAP to LA and non-inferiority of RTAP to UTAP. We compared time to deliver the block, operating room time, postoperative pain scores using the visual analog scale (VAS), and intraoperative and postoperative analgesia consumption. Read More

View Article and Full-Text PDF

Parasternal After Cardiac Surgery (PACS): a prospective, randomised, double-blinded, placebo-controlled trial study protocol for evaluating a continuous bilateral parasternal block with lidocaine after open cardiac surgery through sternotomy.

Trials 2022 Jun 20;23(1):516. Epub 2022 Jun 20.

Institution for Clinical Sciences, Karolinska Institutet at Danderyds Hospital, Stockholm, Sweden.

Background: Multimodal analgesia that provides optimal pain treatment with minimal side effects is important for optimal recovery after open cardiac surgery. Regional anaesthesia can be used to block noxious nerve signals. Because sternotomy causes considerable pain that lasts several days, a continuous nerve block is advantageous. Read More

View Article and Full-Text PDF

[Balloon catheter inflation with alkalinized lidocaine reduces post-operative laryngeal pain: a prospective, randomized controlled clinical trial].

Pan Afr Med J 2022 21;41:230. Epub 2022 Mar 21.

Service d'Anesthésie-Réanimation Chirurgicale, Centre Hospitalier Universitaire Habib Bourguiba Sfax, Sfax, Tunisie.

Introduction: post-operative laryngeal pain (POLP) is frequent and embarrassing. The purpose of this study is to assess the efficacy of endotracheal tube balloon (ETB) inflation with alkalinized lidocaine in the prevention of the POLP.

Methods: we conducted a prospective, single-center, double-blind, randomized study including patients undergoing general anesthesia with tracheal intubation (OTI) with an expected duration of less than 240 min. Read More

View Article and Full-Text PDF

Comparison between erector spinae plane block and paravertebral block regarding postoperative analgesic consumption following breast surgery: a randomized controlled study.

BMC Anesthesiol 2022 Jun 18;22(1):189. Epub 2022 Jun 18.

Department of anaesthesia, critical care and pain management, Faculty of Medicine, Suez Canal University, Ard Elgameiat, Ismailia, Egypt.

Background: Pain control following breast surgery is of utmost importance in order to reduce the chance of chronic pain development, and facilitate early rehabilitation. The erector spinae plane block (ESPB) is a recently developed regional anaesthesia procedure successfully used for different types of surgical procedures including thoracic and abdominal surgeries.

Methods: A double-blind, randomized, controlled trial was conducted on 90 patients who were scheduled for modified radical mastectomy (MRM). Read More

View Article and Full-Text PDF

Spiral Computed Tomography Imaging Analysis of Positioning of Lumbar Spinal Nerve Anesthesia under the Concept of Enhanced Recovery after Surgery.

Contrast Media Mol Imaging 2022 3;2022:1703250. Epub 2022 Jun 3.

Department of Outpatient, Harbin Red Cross Central Hospital, Harbin 150076, Heilongjiang, China.

The objective of this research was to explore the effect of perioperative anesthesia management for patients based on the concept of enhanced recovery after surgery (ERAS) and the application value of the computed tomography (CT) localization method in lumbar spinal nerve anesthesia, reducing the damage caused by anesthesia. One hundred and twenty patients who underwent the lumbar spinal anesthesia in lower limb surgery were selected as the research subjects. According to puncture positioning and nursing intention, the patients were classified into the control group with 30 patients (method of anatomical landmarks), CT group with 50 patients (the CT localization), and ERAS group with 40 patients (the CT localization and the ERAS management). Read More

View Article and Full-Text PDF

Effect of Transversus Abdominis Plane Block for Laparoscopic Cholecystectomy.

Anesth Analg 2022 Jul 16;135(1):e7-e8. Epub 2022 Jun 16.

Department of Anesthesiology, The Third Affiliated Hospital of Anhui Medical University (The First People's Hospital of Hefei), Hefei, Anhui, China,

View Article and Full-Text PDF

Femoral 3-in-1 Nerve Block for Total Knee Replacement, an Analgesic Approach Not to Be Neglected. Single Center Experience and Literature Review.

Acta Med Acad 2022 Apr;51(1):14-20

Department of Orthopedic Surgery, University Hospital of Heraklion, Greece.

Objectives: Total Knee Replacement Surgery (TKR) is one of the most common elective orthopedic operations. Postoperative pain after total knee replacement, remains a challenge. In this retrospective observational study, we evaluated the effectiveness of 3-in-1 nerve block in patients after total knee arthroplasty compared to standard opioid treatment, and we state the reasons why this approach should still be considered. Read More

View Article and Full-Text PDF

Ultrasound-guided erector spinae plane block improve opioid-sparing perioperative analgesia in pediatric patients undergoing thoracoscopic lung lesion resection: a prospective randomized controlled trial.

Transl Pediatr 2022 May;11(5):706-714

Department of Anesthesiology, Tianjin Children's Hospital, Tianjin, China.

Background: Pediatric patients often experience severe pain after thoracic surgery, especially in the early postoperative period. Recently, the focus has been on regional analgesia with the introduction of ultrasound-guided erector spinae plane blocks. We assumed that preoperative erector spinae plane block (ESPB) in children undergoing video-assisted thoracoscopic surgery (VATS) would reduce the consumption of perioperative opioids. Read More

View Article and Full-Text PDF

Effects of general anesthesia with and without thoracic epidural block on length of stay after open spine surgery: A single-blinded randomized controlled trial.

Spine J 2022 Jun 4. Epub 2022 Jun 4.

Pain Management Research Unit, Department of Anesthesiology, Faculty of Medicine, King Chulalongkorn Memorial Hospital, Chulalongkorn University.

Background Context: Length of hospital stay (LOS) is an important concern in all types of surgery, and the enhanced recovery after surgery (ERAS) protocol has been developed to improve perioperative management and outcomes, which require multidisciplinary management. In terms of pain control, intraoperative regional anesthesia and postoperative opioid-sparing analgesia are recommended. For open spine surgery, we aimed to combine thoracic epidural analgesia to reduce pain and opioid-related side effects, thereby hastening recovery. Read More

View Article and Full-Text PDF

The effect of continuous adductor canal block combined with distal interspace between the popliteal artery and capsule of the posterior knee block for total knee arthroplasty: a randomized, double-blind, controlled trial.

BMC Anesthesiol 2022 Jun 6;22(1):175. Epub 2022 Jun 6.

Department of Anesthesiology, The First Central Hospital of Baoding, Northern Greatwall Street 320#, Baoding, 071000, Hebei, China.

Background: The optimal analgesia for total knee arthroplasty (TKA) requires excellent analgesia while preserving muscle strength. This study aimed to determine the hypothesis that continuous adductor canal block (CACB) combined with the distal interspace between the popliteal artery and the posterior capsule of the knee (IPACK) block could effectively alleviate the pain of the posterior knee, decrease opioids consumption, and promote early recovery and discharge.

Methods: Patients undergoing unilateral, primary TKA were allocated into group CACB+SHAM (receiving CACB plus sham block) or group CACB+IPACK (receiving CACB plus IPACK block). Read More

View Article and Full-Text PDF

Ultrasound-guided erector spinae plane block for postoperative analgesia in patients after liver surgery: A systematic review and meta-analysis on randomized comparative studies.

Int J Surg 2022 Jul 1;103:106689. Epub 2022 Jun 1.

Department of Cardio-Thoracic Surgery, Chengdu Second People's Hospital, Chengdu, Sichuan, 610017, China. Electronic address:

Objective: To compare the analgesic efficacy and feasibility of erector spinae plane block (ESPB) with non-block care or other blocks in patients undergoing liver surgery.

Method: A meta-analysis of randomized controlled trials (RCTs) that compared ESPB to non-block care or local infiltration analgesia (LIA), intrathecal morphine (ITM) and quadratus lumborum block (QLB) for postoperative analgesia in liver surgery patients.

Results: Six RCTs containing 392 patients were included. Read More

View Article and Full-Text PDF

A commentary on "Ultrasound-guided versus laparoscopic-guided subcostal transversus abdominis plane (TAP) block versus No TAP block in laparoscopic cholecystectomy; a randomized double-blind controlled trial" (Int. J. Surg. 2022;101:106639).

Int J Surg 2022 06 26;102:106683. Epub 2022 May 26.

Department of Anesthesiology, Beijing Friendship Hospital, Capital Medical University, Beijing, People's Republic of China. Electronic address:

View Article and Full-Text PDF

Effect of Ultrasound-Guided Fascia Iliac Compartment Block on Serum NLRP3 and Inflammatory Factors in Patients with Femoral Intertrochanteric Fracture.

Comput Math Methods Med 2022 17;2022:1944659. Epub 2022 May 17.

Department of Anesthesiology, Lishui Municipal Central Hospital, Lishui, Zhejiang 323000, China.

Objective: To investigate the effects of ultrasound-guided fascia iliac compartment block (FICB) on patients' postoperative pain and inflammatory factors as well as nucleotide-binding domain and leucine-rich repeat (NLR) family, pyrin domain-containing 3 (NLRP3) in femoral intertrochanteric fracture.

Methods: This single-blind randomized controlled study included 231 patients with femoral intertrochanteric fracture treated in our hospital from January 2017 to December 2020. All patients were randomized into two groups, the FICB group ( = 116) and the general anesthesia group (control group, = 115). Read More

View Article and Full-Text PDF

Impact of self-coiling catheters for continuous popliteal sciatic block on postoperative pain level and dislocation rate: a randomized controlled trial.

BMC Anesthesiol 2022 May 24;22(1):159. Epub 2022 May 24.

Department of Anesthesiology and Critical Care Medicine, University Hospital Carl Gustav Carus Dresden, Technische Universität Dresden, Fetscherstr 74, 01307, Dresden, Germany.

Background: Dislocation of catheters within the tissue is a challenge in continuous regional anesthesia. A novel self-coiling catheter design is available and has demonstrated a lower dislocation rate in a cadaver model. The dislocation rate and effect on postoperative pain of these catheters in vivo has yet to be determined and were the subjects of this investigation. Read More

View Article and Full-Text PDF

The Anesthetic Effect and Safety of Dexmedetomidine in Cesarean Section: A Meta-Analysis.

Biomed Res Int 2022 14;2022:1681803. Epub 2022 May 14.

Department of Anesthesiology, Chongqing University Jiangjin Hospital, School of Medicine, Chongqing University, Chongqing, China.

Objective: To evaluate the anesthetic effect and safety of dexmedetomidine in cesarean section.

Methods: The Cochrane Library, EMBASE, and PubMed databases (established until September 2020) were searched by computer. Two authors independently screened and extracted literature related to the application of dexmedetomidine in the cesarean section according to inclusion and exclusion criteria. Read More

View Article and Full-Text PDF

Bilateral Erector Spinae Plane Block for Quality of Recovery Following Posterior Lumbar Interbody Fusion: A Randomized Controlled Trial.

Pain Ther 2022 May 23. Epub 2022 May 23.

Department of Anesthesiology, Shengli Clinical Medical College of Fujian Medical University, No. 134, Dongjie, Fuzhou, 350001, Fujian, China.

Background: Erector spinae plane block, a novel ultrasound-guided fascial plane block, has become popular for perioperative pain management. This randomized controlled trial tested the hypothesis that preoperative bilateral erector spinae plane block improves the quality of recovery in patients undergoing posterior lumbar interbody fusion.

Methods: Eighty-four patients scheduled for elective posterior lumbar interbody fusion were enrolled. Read More

View Article and Full-Text PDF

Postoperative analgesic effectiveness of quadratus lumborum block: systematic review and meta-analysis for adult patients undergoing hip surgery.

J Orthop Surg Res 2022 May 19;17(1):282. Epub 2022 May 19.

Department of Orthopedics, Chongqing General Hospital, Chongqing, No.118, Xingguang Avenue, Liangjiang New Area, Chongqing, 401147, People's Republic of China.

Background: Quadratus lumborum block is a truncal block with several technique variations. It has been reported as providing effective analgesia for postoperative pain. The aim of this study is to determine the efficacy of the QL block in providing postoperative analgesia for hip surgery when compared with placebo or no block or other analgesic techniques. Read More

View Article and Full-Text PDF

Adductor canal block combined with local infiltration analgesia with morphine and betamethasone show superior analgesic effect than local infiltration analgesia alone for total knee arthroplasty: a prospective randomized controlled trial.

BMC Musculoskelet Disord 2022 May 19;23(1):468. Epub 2022 May 19.

Department of Orthopedics, West China Hospital/West China School of Medicine, Sichuan University, 37# Wuhou Guoxue road, Chengdu, 610041, China.

Background: Local infiltration analgesia (LIA) and adductor canal block (ACB) provide postoperative analgesia for total knee arthroplasty (TKA). ACB blocks the saphenous nerve and has smaller impacts on quadriceps muscle weakness. ACB theoretically does not have enough analgesic effects on posterior sensory nerves. Read More

View Article and Full-Text PDF

The Feasibility and Efficacy of erector spinae plane block versus Transversus Abdominis Plane Block In Laparoscopic Bariatric Surgery : A Randomized Comparative Trial.

Korean J Anesthesiol 2022 May 18. Epub 2022 May 18.

Department of anesthesia, surgical ICU, and pain management, faculty of medicine, Cairo University, Cairo, Egypt.

Background: Overweight and obesity present a rising public health problem. Bariatric surgeries are one modality of weight reduction. Pain after surgery can increase the length of hospital stay, with all the associated consequences especially in such vulnerable population. Read More

View Article and Full-Text PDF

Decreased Opioid Consumption in Bone Marrow Harvest Patients Using Quadratus Lumborum Blocks in a Standardized Protocol.

Front Med (Lausanne) 2022 26;9:862309. Epub 2022 Apr 26.

Pediatric Hematology/Oncology, Medical University of South Carolina, Charleston, SC, United States.

Purpose: Bone marrow harvesting is associated with significant postoperative pain that may have potential negative consequences for the patient and health care system. In the current absence of uniform guidelines, there exists considerable variability amongst providers with respect to perioperative analgesia, especially opioid administration. In this initiative, we explored the potential for preoperative bilateral quadratus lumborum blocks in combination with a standardized perioperative analgesic protocol to manage pain with the goal of reducing perioperative narcotic usage and thereby improving opioid stewardship. Read More

View Article and Full-Text PDF

Erector spinae plane block vs interscalene brachial plexus block for postoperative analgesia management in patients who underwent shoulder arthroscopy.

BMC Anesthesiol 2022 May 12;22(1):142. Epub 2022 May 12.

Department of Anesthesiology and Reanimation, School of Medicine, Istanbul Medipol University, Istanbul, Turkey.

Background: Interscalene brachial plexus block (ISB) is the gold standard method used for postoperative analgesia after arthroscopic shoulder surgery. Ultrasound guided erector spinae plane block (ESPB) is an interfascial plane block. The aim of this study is to compare the analgesic efficacy of ESPB and ISB after shoulder arthroscopy. Read More

View Article and Full-Text PDF

Utility of the transversus abdominis plane and rectus sheath blocks in patients undergoing anterior lumbar interbody fusions.

Spine J 2022 May 6. Epub 2022 May 6.

Integrated Anesthesia Associates, Hartford, CT, USA.

Background Context: Anterior lumbar interbody fusion (ALIF) is a well-established technique to address numerous pathological conditions of the spine and to restore sagittal spine balance. Improving patient comfort and reducing opioid consumption following lumbar fusions is a significant goal for spine surgeons. Therefore, there is a growing need to explore multimodal options for pain management post-surgery. Read More

View Article and Full-Text PDF

Bilateral erector spinae plane blocks in children undergoing cardiac surgery: A randomized, controlled study.

J Clin Anesth 2022 09 28;80:110797. Epub 2022 Apr 28.

Department of Anesthesiology and Reanimation, Çukurova University, Adana, Turkey.

Study Objective: We aimed to test the hypothesis that erector spinae plane block (ESPB) provides efficient analgesia and reduces postoperative morphine consumption in children undergoing cardiac surgery with median sternotomy.

Design: A prospective, blinded, randomized, controlled study.

Setting: A tertiary university hospital, operating room and intensive care unit. Read More

View Article and Full-Text PDF
September 2022

Evaluation of a Precision Approach to Intraoperative Ropivacaine Nerve Block to Improve Postoperative Analgesia in 120 Patients Undergoing Thyroid Surgery.

Med Sci Monit 2022 Apr 29;28:e935563. Epub 2022 Apr 29.

Department of General Surgery, Ruijin Hospital Lu Wan Branch, Shanghai Jiaotong University School of Medicine, Shanghai, China (mainland).

BACKGROUND This study aimed to compare a precision approach to intraoperative nerve block with traditional analgesia to reduce postoperative pain in 120 patients during thyroid surgery. The precision intraoperative technique used 0.3% ropivacaine to block the lower branch of the transverse cervical nerve and the inner branches of the supraclavicular nerve. Read More

View Article and Full-Text PDF

Interscalene Block with Liposomal Bupivacaine versus Continuous Interscalene Catheter in Primary Total Shoulder Arthroplasty.

J Shoulder Elbow Surg 2022 Apr 23. Epub 2022 Apr 23.

Department of Orthopaedic Surgery, Duke University, Durham, NC, USA. Electronic address:

Background: Multimodal pain regimens in total shoulder arthroplasty (TSA) now include regional anesthetic techniques. Historically, regional anesthesia for extended postoperative pain control in TSA was administered using a continuous interscalene catheter (CIC). Liposomal bupivacaine is used for its potential for similar pain control and fewer complications compared to indwelling catheters. Read More

View Article and Full-Text PDF