51,043 results match your criteria local anesthesia

Analgesic efficacy of ultrasound-guided transversus abdominis plane block after cesarean delivery: A systematic review and meta-analysis.

J Obstet Gynaecol Res 2021 Jun 15. Epub 2021 Jun 15.

Obstetrics Department, Tianjin Central Hospital of Obstetrics and Gynecology, Tianjin, China.

Purpose: The meta-analysis is aimed to further access the analgesic efficacy of ultrasound-guided transversus abdominis plane (USG-TAP) block after cesarean section (CS).

Methods: Electronic databases were searched for eligible studies. Primary objectives were pain-related outcomes. Read More

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Microtia Reconstruction and Erector Spinae Block in Children: A Case Series With Chart Review.

Otolaryngol Head Neck Surg 2021 Jun 15:1945998211018382. Epub 2021 Jun 15.

Division of Anesthesia and Critical Care Medicine, Children's Hospital Los Angeles, Los Angeles, California, USA.

Objectives: Autologous reconstruction of microtia is advantageous due to its inherent biocompatibility and long-term stability, but postoperative pain associated with costal harvest is a significant issue. A well-planned pain management approach is imperative. Our objective is to introduce the novel application of erector spinae block anesthesia in pediatric microtia reconstruction and evaluate its impact on pain scores, use of opioids, and hospital length of stay. Read More

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Mechanical Complications of Acute Myocardial Infarction: A Scientific Statement From the American Heart Association.

Circulation 2021 Jun 15:CIR0000000000000985. Epub 2021 Jun 15.

Over the past few decades, advances in pharmacological, catheter-based, and surgical reperfusion have improved outcomes for patients with acute myocardial infarctions. However, patients with large infarcts or those who do not receive timely revascularization remain at risk for mechanical complications of acute myocardial infarction. The most commonly encountered mechanical complications are acute mitral regurgitation secondary to papillary muscle rupture, ventricular septal defect, pseudoaneurysm, and free wall rupture; each complication is associated with a significant risk of morbidity, mortality, and hospital resource utilization. Read More

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Defining an Ultrasound-guided Regional Anesthesia Curriculum for Emergency Medicine.

AEM Educ Train 2021 Jul 11;5(3):e10557. Epub 2020 Dec 11.

Department of Emergency Medicine Michigan Medicine Ann Arbor MI USA.

Objectives: Ultrasound-guided regional anesthesia (UGRA) can be a powerful tool in the treatment of painful conditions commonly encountered in emergency medicine (EM) practice. UGRA can benefit patients while avoiding the risks of procedural sedation and opioid-based systemic analgesia. Despite these advantages, many EM trainees do not receive focused education in UGRA and there is no published curriculum specifically for EM physicians. Read More

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Stumbling block for inferior alveolar nerve block in predoctoral students: An analytical observational study and review of literature of mandibular nerve block techniques.

J Family Med Prim Care 2021 Apr 29;10(4):1633-1638. Epub 2021 Apr 29.

General Dentist, Ministry of Health, Kingdom of Saudi Arabia.

Introduction: Dentists earnestly try to practice painless treatment. Conventional inferior alveolar nerve block technique is preferred by most of the dentists despite its various modifications.However its failure rate as per literature is quite high. Read More

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Precision Breast-Conserving Surgery With Microwave Ablation Guidance: A Pilot Single-Center, Prospective Cohort Study.

Front Oncol 2021 26;11:680091. Epub 2021 May 26.

Department of Breast Surgery, The First Affiliated Hospital with Nanjing Medical University, Nanjing, China.

Introduction: Negative margins in breast-conserving surgery (BCS) are essential for preventing recurrence. The aim of this study was to determine the use of preoperative microwave ablation (MWA) in the guidance of BCS for early-stage breast cancer and access whether MWA could influence the rates of positive resection margins.

Methods: From 2016 to 2018, 22 women with T1/T2 invasive breast cancer were enrolled for MWA prospectively in the guidance of BCS. Read More

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Application of a Halo Fixator for the Treatment of Pediatric Spinal Deformity.

JBJS Essent Surg Tech 2021 Jan-Mar;11(1). Epub 2021 Feb 17.

Children's Healthcare of Atlanta, Atlanta, Georgia.

Background: In spine surgery, the halo fixator was initially utilized to stabilize cervical fusions in patients with poliomyelitis. More recently, the indications for halo fixation have evolved to include stabilization and definitive treatment for upper cervical spine injuries (Jefferson fractures, atlanto-occipital dissociations, odontoid fractures, etc.), treatment of atlantoaxial rotatory subluxation, stabilization of long cervical fusions, and preoperative traction. Read More

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February 2021

Clinical Observation of Intraosseous Anesthesia in Percutaneous Kyphoplasty.

J Healthc Eng 2021 1;2021:5528073. Epub 2021 Jun 1.

The First Affiliated Hospital of Dalian Medical University, Dalian 116000, China.

Objective: Percutaneous kyphoplasty (PKP) is an effective minimally invasive technique in spine surgery in recent years. General anesthesia and local anesthesia are the main ways of anesthesia in PKP, and epidural anesthesia is also applied to PKP to some extent. However, all these three anesthetic methods have their respective advantages and disadvantages. Read More

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Ultrasound-guided transrectal implantation of fiducial markers for image-guided radiotherapy of prostate cancer without local anesthesia: Patient-reported gastrointestinal-genitourinary system complications and pain.

Cenk Ahmet Sen

J Cancer Res Ther 2021 Apr-Jun;17(2):353-357

Department of Radiation Oncology, Izmir Medical Park Hospital, Izmir, Turkey.

Purpose: The present study evaluates procedure-associated pain and side effects in the gastrointestinal-genitourinary system in patients with early-stage prostate cancer who were treated with image-guided radiotherapy (IGRT), accompanied by an ultrasound-guided transrectal implantation of fiducial markers, without local anesthesia.

Materials And Methods: A total of 46 patients who referred to our clinics between 2012 and 2017 with a diagnosis of early-stage prostate cancer were included in the study. Before undergoing radiotherapy, all patients were implanted with three intraprostatic fiducial markers through the ultrasound-guided transrectal approach without local anesthesia. Read More

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Comparison of preemptive ibuprofen, acetaminophen, and placebo administration in reducing peri- and postoperative pain in primary tooth extraction: A randomized clinical trial.

Clin Exp Dent Res 2021 Jun 13. Epub 2021 Jun 13.

Department of Paediatric Dentistry, Tishreen University, Lattakia, Syria.

Background: The management of pain resulting from anesthesia injection, tooth extraction and in the period after extraction is of great importance in pediatric dentistry.

Objective: The aim of this study was to compare the efficacy of the preemptive administration of ibuprofen or acetaminophen with placebo in reducing the pain during injection, extraction and postoperatively in children undergoing primary tooth extraction.

Material And Methods: A randomized, placebo-controlled, triple-blinded clinical trial of cooperative children who needed primary molar extraction by local anesthesia. Read More

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Successful Reposition of Prolapsed Silicone Tube Using Hole and Lacrimal Probe Method.

Korean J Ophthalmol 2021 Jun 4;35(3):231-234. Epub 2021 Jun 4.

HanGil Eye Hospital, Incheon, Korea.

Purpose: Silicone tube intubation is the most common method for treatment of nasolacrimal drainage disorder or repair of lacerated canaliculus. However, some cases are prolapsed earlier than expected, subsequently affecting the success rate of silicone tube intubation. The author introduced a successful reposition of the prolapsed silicone tube. Read More

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Early mobilization after total hip or knee arthroplasty: a substudy of the POWER.2 study.

Braz J Anesthesiol 2021 Jun 10. Epub 2021 Jun 10.

Infanta Leonor University Hospital, Department of Anesthesia and Perioperative Medicine, Madrid, Spain; Spanish Perioperative Audit and Research Network (REDGERM), Zaragoza, Spain; Grupo Español de Rehabilitación Multimodal (GERM), Zaragoza, Spain; Río Hortega University Hospital, Department of Anesthesia and Critical Care, Valladolid, Spain.

Background: Early mobilization after surgery is a cornerstone of the Enhanced Recovery After Surgery (ERAS) programs in total hip arthroplasty (THA) or total knee arthroplasty (TKA). Our goal was to determine the time to mobilization after this surgery and the factors associated with early mobilization.

Methods: This was a predefined substudy of the POWER. Read More

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Intravenous lidocaine, regional blockade, or both: considerations for multiple interventions involving local anaesthetics.

Br J Anaesth 2021 Jun 9. Epub 2021 Jun 9.

Department of Anesthesiology, University of Illinois at Chicago, Jesse Brown VA Medical Center, Chicago, IL, USA.

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Insight into the use of tympanic temperature during target temperature management in emergency and critical care: a scoping review.

J Intensive Care 2021 Jun 12;9(1):43. Epub 2021 Jun 12.

Institute of Mountain Emergency Medicine, Eurac Research, Drususallee/Viale Druso 1, I-39100, Bolzano, Italy.

Background: Target temperature management (TTM) is suggested to reduce brain damage in the presence of global or local ischemia. Prompt TTM application may help to improve outcomes, but it is often hindered by technical problems, mainly related to the portability of cooling devices and temperature monitoring systems. Tympanic temperature (T) measurement may represent a practical, non-invasive approach for core temperature monitoring in emergency settings, but its accuracy under different TTM protocols is poorly characterized. Read More

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Giant chondroid syringoma on the upper lip: a case report.

Dermatol Online J 2021 May 15;27(5). Epub 2021 May 15.

Hospital de Especialidades, CMN SXXI, IMSS, Ciudad de México.

Chondroid syringoma is a benign, rare, asymptomatic, slow-growing mixed tumor. Tumors larger than 3cm are considered giant and may be malignant. We present a 65-year-old man with a chronic, indolent, subcutaneous tumor with upper lip deformity. Read More

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Treatment of juvenile recurrent parotitis with irrigation therapy without anesthesia.

Eur Arch Otorhinolaryngol 2021 Jun 12. Epub 2021 Jun 12.

Department of Otolaryngology, Head and Neck Surgery, Philipps-University, Marburg, 35043, Baldingerstraße, Germany.

Purpose: No standardized treatment regimen exists for juvenile recurrent parotitis (JRP). The investigators hypothesized that irrigation with saline only without local anesthesia will be an effective and beneficial option.

Methods: Using a retrospective study design, a series of children with typical symptoms of JRP who were treated with at least one irrigation therapy were evaluated. Read More

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Percutaneous exposure injuries among dental staff and students at a university dental clinic in Australia: A 6-year retrospective study.

Eur J Dent Educ 2021 Jun 12. Epub 2021 Jun 12.

School of Dentistry and Oral Health, Griffith University, Southport, QLD, Australia.

Purpose/objectives: Dental care providers are at risk of percutaneous exposure injuries (PEIs) due to the intimate nature of the patient-dentist environment and the routine use of sharp instruments. They are the most vulnerable to accidental exposure of blood borne viruses. The aim of this study was to determine the types of PEIs sustained by staff and students at the Griffith University Dental Clinic over a six-year period. Read More

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Gastrostomy for infants with severe epidermolysis bullosa simplex in neonatal intensive care.

Orphanet J Rare Dis 2021 Jun 11;16(1):271. Epub 2021 Jun 11.

Department of Dermatology, CRMRPM-Sud, Université Côte d'Azur, Centre Hospitalier Universitaire de Nice, 06200, Nice, France.

Introduction: Severe epidermolysis bullosa simplex (EBS sev) is a rare genodermatosis characterized by congenital generalized blistering and mucosal involvement. Increased needs and decreased intake quickly lead to nutritional imbalance. Enteral nutrition support is proposed, but classical nasogastric tubes are not well tolerated in these patients and gastrostomy is preferred. Read More

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Suprascapular nerve block is a clinically attractive alternative to interscalene nerve block during arthroscopic shoulder surgery: a meta-analysis of randomized controlled trials.

J Orthop Surg Res 2021 Jun 11;16(1):376. Epub 2021 Jun 11.

Department of Orthopedic, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, No. 168 Litang Road, Dongxiaokou Town, Changping District, Beijing, 102218, China.

Background: The interscalene brachial plexus block (ISB) is a commonly used nerve block technique for postoperative analgesia in patients undergoing shoulder arthroscopy surgery; however, it is associated with potentially serious complications. The use of suprascapular nerve block (SSNB) has been described as an alternative strategy with fewer reported side effects for shoulder arthroscopy. This review aimed to compare the impact of SSNB and ISB during shoulder arthroscopy surgery. Read More

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Facile design of lidocaine-loaded polymeric hydrogel to persuade effects of local anesthesia drug delivery system: complete and toxicity analyses.

Drug Deliv 2021 Dec;28(1):1080-1092

Department of Anesthesiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.

The principal goal of the present investigation was to enterprise new and effective drug delivery vesicle for the sustained delivery of local anesthetic lidocaine hydrochloride (LDC), using a novel combination of copolymeric hydrogel with tetrahydroxyborate (COP-THB) to improve bioactivity and therapeutic potential. To support this contention, the physical and mechanical properties, rheological characteristics, and component release of candidate formulations were investigated. An optimized formulation of COP-THB containing LDC to an upper maximum concentration of 1. Read More

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December 2021

Local field potentials identify features of cortico-hippocampal communication impacted by stroke and environmental enrichment therapy.

J Neural Eng 2021 Jun 10. Epub 2021 Jun 10.

University of Washington, 3720 15th Ave NE, Seattle, 98195-0005, UNITED STATES.

Objective Cognitive and memory impairments are common sequelae after stroke, yet how middle cerebral artery (MCA) stroke chronically affects the neural activity of the hippocampus, a brain region critical for memory but remote from the stroke epicenter, is poorly understood. Environmental enrichment (EE) improves cognition following stroke; however, the electrophysiology that underlies this behavioral intervention is still elusive.

Approach: We recorded extracellular local field potentials simultaneously from sensorimotor cortex and hippocampus in rats during urethane anesthesia following MCA occlusion and subsequent EE treatment. Read More

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Imaging evaluation of continuous extrapleural intercostal nerve block for minimally invasive cardiac surgery: a case report.

JA Clin Rep 2021 Jun 9;7(1):48. Epub 2021 Jun 9.

Department of Anesthesiology and Pain Medicine, Hyogo College of Medicine, 1-1, Mukogawa-cho, Nishinomiya, Hyogo, 6638501, Japan.

Background: Spinal nerve block is difficult with minimally invasive cardiac surgery (MICS), because of the risk of serious bleeding complications due to full heparinization. Continuous extrapleural intercostal nerve block (CEINB) is a postoperative pain treatment for intercostal thoracotomy, with fewer complications. Here, we report a case in which imaging evaluation of CEINB with contrast medium was conducted to anatomically confirm the spread of local anesthetics after MICS. Read More

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Anesthesia for Obstetric Disasters.

Adv Anesth 2020 Dec;38:229-250

Department of Anesthesiology, Yale School of Medicine, 333 Cedar Street, PO Box 208051, New Haven, CT 06520-8051, USA.

Over the past 30 years, maternal mortality has increased in the United States to 18 deaths per 100,000 live births. Obstetric emergencies, including hemorrhage, hypertensive disorders in pregnancy, HELLP syndrome, and amniotic fluid embolism, and anesthesia complications, including high neuraxial blockade, local anesthetic systemic toxicity, and the difficult obstetric airway, contribute to maternal cardiac arrest and maternal and fetal morbidity and mortality. Expeditious intervention by the obstetric anesthesiologist is critical in these emergent scenarios, and knowledge of best practices is essential to improve maternal and fetal outcomes. Read More

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December 2020

Emergency Anesthesia in Resource-Limited Areas.

Adv Anesth 2020 Dec;38:209-227

Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Armstrong Institute for Patient Safety and Quality, Johns Hopkins Medicine, 600 North Wolfe Street, Meyer 297A, Baltimore, MD 21287, USA. Electronic address:

Anesthesia providers play a critical role in the gap between unmet surgical need and access to safe surgical care. Providers from high-income countries can help fill this gap, particularly during crises, but it is critical to provide care responsibly and ethically. Most unmet surgical need is in low-income and middle-income countries where limited infrastructural, human, and material resources pose significant challenges. Read More

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December 2020

Comparison of direct costs of percutaneous full-endoscopic interlaminar lumbar discectomy and microdiscectomy: Results from Turkey.

Ideggyogy Sz 2021 May;74(5-6):197-205

Department of Neurosurgery, Memorial Bahcelievler Hospital, Istanbul, Turkey.

Background And Purpose: Microdiscectomy (MD) is a stan-dard technique for the surgical treatment of lumbar disc herniation (LDH). Uniportal percutaneous full-endoscopic in-terlaminar lumbar discectomy (PELD) is another surgical op-tion that has become popular owing to reports of shorter hos-pitalization and earlier functional recovery. There are very few articles analyzing the total costs of these two techniques. Read More

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Peripheral neural blockade for pain control in patients undergoing percutaneous angioplasty for complex infrapopliteal disease.

Turk Kardiyol Dern Ars 2021 Jun;49(4):321-327

Department of Cardiology, Vm Medical Park Pendik Hospital, İstanbul, Turkey.

In recent years, percutaneous transluminal angioplasty has become the preferred revascularization option for chronic limb-threatening ischemia (CLTI) and infrapopliteal (IP) arterial disease. CLTI and IP disease require complex and lengthy procedures that necessitate multiple balloon inflations and frequent contrast injections. It will lead to severe discomfort if periprocedural pain control is inadequate. Read More

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A Single Center Study of ProGlide Used for Closure of Large-Bore Puncture Holes After EVAR for AAA.

Vasc Endovascular Surg 2021 Jun 9:15385744211022654. Epub 2021 Jun 9.

Department of Cardiothoracic and Vascular Surgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.

Purpose: The objective of this study was to evaluate the primary and assisted secondary percutaneous and non-invasive technical success of the ProGlide device on all-comers in a consecutive case series of percutaneous endovascular aortic aneurysm repair (P-EVAR).

Method: A single-center consecutive case series where 434 elective and acute P-EVAR procedures were registered prospectively between May 2011 and July 2017. The mean age was 74. Read More

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The Efficacy and Safety of Local Anesthetic Techniques for Postoperative Analgesia After Cesarean Section: A Bayesian Network Meta-Analysis of Randomized Controlled Trials.

J Pain Res 2021 2;14:1559-1572. Epub 2021 Jun 2.

Department of Obstetrics, The First Affiliated Hospital of China Medical University, Shenyang, People's Republic of China.

Objective: Cesarean section (CS) is one of the most frequently performed major surgical interventions. Local anesthetic techniques, a universal component of perioperative multimodal analgesia, are reportedly effective in reducing pain scores and opioid requirements. However, the optimal local anesthetic technique for postoperative CS pain remains unclear. Read More

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Anesthetic management and outcomes of patients with Steven-Johnson Syndrome-A retrospective review study.

J Anaesthesiol Clin Pharmacol 2021 Jan-Mar;37(1):119-123. Epub 2021 Apr 10.

Department of Anaesthesia, MRNMSH and MRMCW, Hyderabad, Telangana, India.

Background And Aims: Steven-Johnson Syndrome (SJS) is a rare and severe form of erythema exudative multiforme. Multisystem involvement in SJS and the suspicion of precipitation of the disease with exposure to anesthetic drugs makes anesthesia a challenging task. The concerns during anesthesia are the mucosal lesions and special care that is required to prevent injury to the oropharynx and larynx during airway management and also the drugs used for anesthesia. Read More

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