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Regional Anesthesia and Pain Medicine

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https://read.qxmd.com/read/30770421/ultrasound-guided-percutaneous-peripheral-nerve-stimulation-neuromodulation-of-the-suprascapular-nerve-and-brachial-plexus-for-postoperative-analgesia-following-ambulatory-rotator-cuff-repair-a-proof-of-concept-study
#1
Brian M Ilfeld, John J Finneran, Rodney A Gabriel, Engy T Said, Patrick L Nguyen, Wendy B Abramson, Bahareh Khatibi, Jacklynn F Sztain, Matthew W Swisher, Pia Jaeger, Dana C Covey, Matthew J Meunier, Eric R Hentzen, Catherine M Robertson
BACKGROUND AND OBJECTIVES: Percutaneous peripheral nerve stimulation (PNS) is an analgesic modality involving the insertion of a lead through an introducing needle followed by the delivery of electric current. This modality has been reported to treat chronic pain as well as postoperative pain following knee and foot surgery. However, it remains unknown if this analgesic technique may be used in ambulatory patients following upper extremity surgery. The purpose of this proof-of-concept study was to investigate various lead implantation locations and evaluate the feasibility of using percutaneous brachial plexus PNS to treat surgical pain following ambulatory rotator cuff repair in the immediate postoperative period...
February 15, 2019: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/30770420/acute-postoperative-pain-is-an-independent-predictor-of-chronic-postsurgical-pain-following-total-knee-arthroplasty-at-6-months-a-prospective-cohort-study
#2
Asokumar Buvanendran, Craig J Della Valle, Jeffrey S Kroin, Mahendra Shah, Mario Moric, Kenneth J Tuman, Robert J McCarthy
BACKGROUND: Approximately 15% of patients report persistent knee pain despite surgical success following total knee arthroplasty (TKA). The purpose of this study was to determine the association of acute-postsurgical pain (APSP) with chronic postsurgical pain (CPSP) 6 months after TKA controlling for patient, surgical and psychological confounding factors. METHODS: Adult patients with osteoarthritis undergoing primary elective tricompartmental TKA, with the operated knee the primary source of preoperative pain, were studied between March 2011 and February 2017...
February 15, 2019: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/30770419/ct-angiography-depicted-lumbar-spinal-artery-anatomic-course-defining-a-safer-zone-for-lumbar-sympathetic-and-splanchnic-blocks
#3
Richard Zhu, Kathryn Dean, Neel Mehta, Ajay Gupta, Jesse Gruber, Amitabh Gulati
INTRODUCTION: Determining safer techniques for lumbar injections is an important goal in pain medicine. This study aims to characterize the location of the T10-L5 spinal arteries using CT angiogram scans to define a safer approach for sympathetic and splanchnic blocks that minimizes intra-arterial injection. METHODS: CT angiograms of 68 patients were included this study. The path of the spinal arteries from the aorta origin along the vertebral body to the neural foramina was traced on axial CT images...
February 15, 2019: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/30770418/novel-lateral-approach-for-erector-spinae-plane-block-a-convenient-and-safe-method
#4
LETTER
Woojin Kwon, Kyudon Jung, Seunguk Bang
No abstract text is available yet for this article.
February 15, 2019: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/30760507/medical-education-research-methodology-accuracy-and-design
#5
Amanda H Kumar, Edward R Mariano, Ankeet D Udani
No abstract text is available yet for this article.
February 13, 2019: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/30760506/role-of-regional-anesthesia-and-analgesia-in-the-opioid-epidemic
#6
Bradley H Lee, Kanupriya K Kumar, Emily C Wu, Christopher L Wu
No abstract text is available yet for this article.
February 13, 2019: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/30760505/transverse-approach-to-the-erector-spinae-block-is-there-more
#7
Madan Narayanan, Arun Venkataraju
No abstract text is available yet for this article.
February 13, 2019: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/30760504/serratus-plane-blocks-not-quite-plane-and-simple
#8
Renuka M George, Sylvia H Wilson
No abstract text is available yet for this article.
February 13, 2019: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/30737316/evidence-review-conducted-for-the-ahrq-safety-program-for-improving-surgical-care-and-recovery-focus-on-anesthesiology-for-gynecologic-surgery
#9
Michael Conrad Grant, Melinda M Gibbons, Clifford Y Ko, Elizabeth C Wick, Maxime Cannesson, Michael J Scott, Christopher L Wu
Enhanced recovery after surgery (ERAS) protocols for gynecologic (GYN) surgery are increasingly being reported and may be associated with superior outcomes, reduced length of hospital stay, and cost savings. The Agency for Healthcare Research and Quality, in partnership with the American College of Surgeons and the Johns Hopkins Medicine Armstrong Institute for Patient Safety and Quality, has developed the Safety Program for Improving Surgical Care and Recovery, which is a nationwide initiative to disseminate best practices in perioperative care to more than 750 hospitals across five major surgical service lines in a 5-year period...
February 7, 2019: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/30737315/intravenous-meloxicam-for-the-treatment-of-moderate-to-severe-acute-pain-a-pooled-analysis-of-safety-and-opioid-reducing-effects
#10
Eugene R Viscusi, Tong J Gan, Sergio Bergese, Neil Singla, Randall J Mack, Stewart W McCallum, Wei Du, Sue Hobson
BACKGROUND AND OBJECTIVES: To describe the safety and tolerability of intravenous meloxicam compared with placebo across all phase II/III clinical trials. METHODS: Safety data and opioid use from subjects with moderate to severe postoperative pain who received ≥1 dose of intravenous meloxicam (5-60 mg) or placebo in 1 of 7 studies (4 phase II; 3 phase III) were pooled. Data from intravenous meloxicam 5 mg, 7.5 mg and 15 mg groups were combined (low-dose subset)...
February 7, 2019: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/30728200/retraction-pericapsular-nerve-group-block-an-ethical-and-academic-etiquette-perspective
#11
(no author information available yet)
No abstract text is available yet for this article.
February 6, 2019: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/30728199/could-the-combination-of-peng-block-and-lia-be-a-useful-analgesic-strategy-in-the-treatment-of-postoperative-pain-for-hip-replacement-surgery
#12
LETTER
Pierfrancesco Fusco, Stefano Di Carlo, Giuseppe Paladini, Paolo Scimia, Eugenio Di Martino, Franco Marinangeli, Emiliano Petrucci
No abstract text is available yet for this article.
February 6, 2019: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/30728198/plane-but-not-so-simple-ultrasound-guided-plane-block-of-the-medial-brachial-cutaneous-and-intercostal-brachial-nerves
#13
LETTER
Hai Chuan Yu, Adam O Spencer, Ryan Vincent William Endersby
No abstract text is available yet for this article.
February 6, 2019: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/30679338/ultrasound-guided-maxillary-nerve-block-via-the-pterygopalatine-fossa-anterior-versus-posterior-infrazygomatic-approach
#14
Patricia Alfaro-de la Torre, Sergi Boada Pie, Mario Fajardo Perez, Emilio González-Arnay
No abstract text is available yet for this article.
January 23, 2019: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/30679337/an-obturator-nerve-block-does-not-alleviate-postoperative-pain-after-total-hip-arthroplasty-a-randomized-clinical-trial
#15
Niels Dalsgaard Nielsen, Charlotte Runge, Louise Clemmesen, Jens Børglum, Lone Ramer Mikkelsen, Jens Rolighed Larsen, Thomas Dahl Nielsen, Kjeld Søballe, Thomas Fichtner Bendtsen
BACKGROUND AND OBJECTIVES: A substantial group of patients suffer from moderate to severe pain following elective total hip arthroplasty (THA). Due to the complex innervation of the hip, peripheral nerve block techniques can be challenging and are not widely used. Since the obturator nerve innervates both the anteromedial part of the joint capsule as well as intra-articular nociceptors, we hypothesized that an obturator nerve block (ONB) would decrease the opioid consumption after THA...
January 23, 2019: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/30679336/comparison-of-bupivacaine-plus-intrathecal-fentanyl-and-bupivacaine-alone-for-spinal-anesthesia-with-intravenous-dexmedetomidine-sedation-a-randomized-double-blind-noninferiority-trial
#16
Sun-Kyung Park, Joon Hee Lee, Seokha Yoo, Won Ho Kim, Young-Jin Lim, Jae-Hyon Bahk, Jin-Tae Kim
BACKGROUND AND OBJECTIVES: Fentanyl is widely used as an intrathecal adjuvant to local anesthetics to enhance the duration of spinal anesthesia. Recent evidence suggests that intravenous dexmedetomidine prolongs the duration of spinal anesthesia. This noninferiority study evaluated whether bupivacaine alone could provide a noninferior duration of block compared with bupivacaine and fentanyl when intravenous dexmedetomidine was administered intraoperatively. METHODS: Fifty-six patients scheduled for total knee arthroplasty under spinal anesthesia were randomly allocated to receive either bupivacaine 13 mg with intrathecal fentanyl 20 µg (Group BF) or bupivacaine 13 mg (Group B)...
January 23, 2019: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/30679335/retrospective-cohort-study-of-healthcare-utilization-and-opioid-use-following-radiofrequency-ablation-for-chronic-axial-spine-pain-in-ontario-canada
#17
Eldon Loh, Jennifer N Reid, Fatimah Alibrahim, Blayne Welk
BACKGROUND AND OBJECTIVES: Radiofrequency ablation (RFA) is a common treatment modality for chronic axial spine pain. Controversy exists over its effectiveness, and outcomes in a real-world setting have not been evaluated despite increasing use of RFA. This study examined changes in healthcare utilization and opioid use after RFA in Ontario, Canada. METHODS: This retrospective cohort study was conducted in Ontario using administrative data. Ontario residents receiving their initial RFA between 1 January 2009 and 31 March 2015 were included...
January 23, 2019: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/30679334/reply-to-dr-yu-et-al
#18
Joseph M Neal
No abstract text is available yet for this article.
January 23, 2019: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/30679333/randomized-controlled-trial-of-a-simplified-adductor-canal-block-performed-for-analgesia-following-total-knee-arthroplasty
#19
Jeffrey D Swenson, Jacob E Pollard, Christopher L Peters, Mike B Anderson, Nathan L Pace
BACKGROUND AND OBJECTIVES: The objective of the study was to determine if injection of local anesthetic into the vastus medialis and sartorius muscles adjacent to the adductor canal produces sensory changes comparable with adductor canal block (ACB). This could result in a technically easier and potentially safer alternative to ACB. METHODS: In this randomized controlled trial, patients received either ACB (n=20) or a simplified adductor canal (SAC) block performed using a new fenestrated nerve block needle (n=20)...
January 23, 2019: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/30679332/systemic-dexmedetomidine-is-not-as-efficient-as-perineural-dexmedetomidine-in-prolonging-an-ulnar-nerve-block
#20
Jakob Hessel Andersen, Pia Jaeger, Ulrik Grevstad, Stine Estrup, Anja Geisler, Frederik Vilhelmsen, Jorgen B Dahl, Gunnar Hellmund Laier, Brian M Ilfeld, Ole Mathiesen
BACKGROUND: We tested the joint hypotheses that both perineural and systemic dexmedetomidine prolong the duration of an ulnar nerve block (UNB) compared with ropivacaine alone and that systemic dexmedetomidine is noninferior compared with perineural dexmedetomidine in block prolongation. METHODS: We performed bilateral UNBs in 22 healthy volunteers on two separate days. On the first day, each arm was randomized to either 4 mL ropivacaine 5 mg/mL+1 mL dexmedetomidine 100 µg/mL (Perineural) or 4 mL ropivacaine 5 mg/mL+1 mL saline (Systemic)...
January 23, 2019: Regional Anesthesia and Pain Medicine
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