journal
Journals Regional Anesthesia and Pain M...

Regional Anesthesia and Pain Medicine

https://read.qxmd.com/read/38599787/age-and-pain-are-pain-management-clinicians-keeping-up-with-the-increasing-medicare-population
#1
JOURNAL ARTICLE
Aditya Khurana, Layth Mahdi, Christopher Wie, Natalie H Strand
No abstract text is available yet for this article.
April 10, 2024: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/38580340/incomplete-sensorimotor-paresis-after-upper-abdominal-surgery-with-tea-and-spinal-epidural-lipomatosis-a-case-report
#2
JOURNAL ARTICLE
Marco Richard Zugaj, Oliver Gutzeit, Victoria Louise Mayer, Basem Ishak, Christoph Gumbinger, Markus Alexander Weigand, Jens Keßler
INTRODUCTION: This case report documents a postoperative, incomplete sensorimotor paraparesis from thoracic vertebral body 6 (Th6) after combined anesthesia for upper abdominal surgery in a patient who had a thoracic localization of spinal epidural lipomatosis (SEL). CASE PRESENTATION: The patient was treated in our clinic with a thoracic epidural catheter (TEA) for perioperative analgesia during a partial duodenopancreatectomy. Paraparetic symptoms occurred 20 hours after surgery...
April 5, 2024: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/38580339/fluoroscopy-guided-high-intensity-focused-ultrasound-neurotomy-of-the-lumbar-zygapophyseal-joints-a-prospective-open-label-study
#3
JOURNAL ARTICLE
Michael Gofeld, Kevin J Smith, Anuj Bhatia, Vladimir Djuric, Suzanne Leblang, Niv Rebhun, Ron Aginsky, Eric Miller, Brian Skoglind, Arik Hananel
OBJECTIVE: The objective of this study is to investigate safety and effectiveness of a fluoroscopy-guided high-intensity focused ultrasound (HIFU) system for thermal ablation of the lumbar medial branch nerves. METHODS: This dual center prospective cohort study enrolled 30 participants with lumbar zygapophyseal joint syndrome. Each participant previously had a positive response to either a single diagnostic analgesic block or radiofrequency ablation (RFA). The primary effectiveness outcome was individual responder rate, defined as a reduction of two points or more on the pain intensity numerical rating scale without an increase in opioid intake, or a reduction in opioid intake without an increase in pain at 6 months after the intervention...
April 5, 2024: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/38580338/use-of-natural-language-processing-method-to-identify-regional-anesthesia-from-clinical-notes
#4
JOURNAL ARTICLE
Laura A Graham, Samantha S Illarmo, Sherry M Wren, Michelle C Odden, Seshadri C Mudumbai
INTRODUCTION: Accurate data capture is integral for research and quality improvement efforts. Unfortunately, limited guidance for defining and documenting regional anesthesia has resulted in wide variation in documentation practices, even within individual hospitals, which can lead to missing and inaccurate data. This cross-sectional study sought to evaluate the performance of a natural language processing (NLP)-based algorithm developed to identify regional anesthesia within unstructured clinical notes...
April 4, 2024: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/38580337/beam-me-up-scotty-apple-vision-pro-highlights-how-we-could-teleport-ultrasound-guided-regional-anesthesia-education-into-the-future
#5
LETTER
Rajnish K Gupta, Amit Pawa
No abstract text is available yet for this article.
April 4, 2024: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/38508592/fluoroscopy-guided-high-intensity-focused-ultrasound-ablation-of-the-lumbar-medial-branch-nerves-dose-escalation-study-and-comparison-with-radiofrequency-ablation-in-a-porcine-model
#6
JOURNAL ARTICLE
Michael Gofeld, Thomas Tiennot, Eric Miller, Niv Rebhun, Stephen Mobley, Suzanne Leblang, Ron Aginsky, Arik Hananel, Jean-Francois Aubry
BACKGROUND: Radiofrequency ablation (RFA) is a common method for alleviating chronic back pain by targeting and ablating of facet joint sensory nerves. High-intensity focused ultrasound (HIFU) is an emerging, non-invasive, image-guided technology capable of providing thermal tissue ablation. While HIFU shows promise as a potentially superior option for ablating sensory nerves, its efficacy needs validation and comparison with existing methods. METHODS: Nine adult pigs underwent fluoroscopy-guided HIFU ablation of eight lumbar medial branch nerves, with varying acoustic energy levels: 1000 (N=3), 1500 (N=3), or 2000 (N=3) joules (J)...
March 20, 2024: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/38508591/first-evidence-of-a-biomarker-based-dose-response-relationship-in-chronic-pain-using-physiological-closed-loop-spinal-cord-stimulation
#7
JOURNAL ARTICLE
Leah Muller, Jason Pope, Paul Verrills, Erika Petersen, Jan Willem Kallewaard, Ian Gould, Dean M Karantonis
BACKGROUND AND OBJECTIVES: In spinal cord stimulation (SCS) therapy, electricity is the medication delivered to the spinal cord for pain relief. In contrast to conventional medication where dose is determined by desired therapeutic plasma concentration, there is lack of equivalent means of determining dose delivery in SCS. In open-loop (OL) SCS, due to the dynamic nature of the epidural space, the activating electric field delivered is inconsistent at the level of the dorsal columns. Recent Food and Drug Administration guidance suggests accurate and consistent therapy delivered using physiologic closed-loop control (PCLC) devices can minimize underdosage or overdosage and enhance medical care...
March 19, 2024: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/38508590/finding-diamonds-in-the-rough-evaluating-the-quality-of-meta-analyses-in-chronic-pain-an-infographic
#8
JOURNAL ARTICLE
Nasir Hussain, Ryan S D'Souza
No abstract text is available yet for this article.
March 19, 2024: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/38508589/prospective-evaluation-of-the-safety-of-ultrasound-guided-cervical-medial-branch-blocks-using-the-in-plane-technique
#9
JOURNAL ARTICLE
John-Paul B Etheridge, Roderick J Finlayson, Jan Venter, Frederik De Villiers, Jonathan P Etheridge, Reece Wakefield, Arraya Watanitanon
BACKGROUND: While fluoroscopic guidance is currently the imaging standard for cervical medial branch blocks (CMBBs), ultrasound guidance (USG) offers several potential safety advantages such as real-time needle visualization and the ability to detect and avoid critical soft tissue vascular or neural structures. However, no large-scale trials have examined the safety of USG for CMBB. METHODS: Five hundred patients undergoing 2308 individual block levels were recruited using a prospective cohort design, and blocks were performed in an outpatient office setting using an in-plane USG technique...
March 19, 2024: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/38499359/multimodal-pain-management-and-postoperative-outcomes-in-inpatient-and-outpatient-shoulder-arthroplasties-a-population-based-study
#10
JOURNAL ARTICLE
Helen Liu, Haoyan Zhong, Nicole Zubizarreta, Paul Cagle, Jiabin Liu, Jashvant Poeran, Stavros G Memtsoudis
INTRODUCTION: Multimodal analgesia has been associated with reduced opioid utilization, opioid-related complications, and improved recovery in various orthopedic surgeries; however, large sample size data is lacking for shoulder surgery. METHODS: A retrospective review using the Premier Healthcare Database of patients who underwent inpatient or outpatient (reverse, total, partial) shoulder arthroplasty from 2010 to 2019. Opioid-only analgesia was compared with multimodal analgesia, categorized into 1, 2, or >2 additional analgesic modes, with/without a nerve block...
March 18, 2024: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/38499358/intravenous-versus-oral-acetaminophen-for-pain-and-quality-of-recovery-after-ambulatory-spine-surgery-a-randomized-controlled-trial
#11
JOURNAL ARTICLE
Eric S Schwenk, Polina Ferd, Marc C Torjman, Chris J Li, Alex R Charlton, Vivian Z Yan, Michael A McCurdy, Christopher K Kepler, Gregory D Schroeder, Andrew N Fleischman, Tariq Issa
INTRODUCTION: As ambulatory spine surgery increases, efficient recovery and discharge become essential. Multimodal analgesia is superior to opioids alone. Acetaminophen is a central component of multimodal protocols and both intravenous and oral forms are used. While some advantages for intravenous acetaminophen have been touted, prospective studies with patient-centered outcomes are lacking in ambulatory spine surgery. A substantial cost difference exists. We hypothesized that intravenous acetaminophen would be associated with fewer opioids and better recovery...
March 18, 2024: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/38499357/low-dose-ketamine-infusion-to-facilitate-opioid-tapering-in-chronic-non-cancer-pain-with-opioid-use-disorder-a-historical-cohort-study
#12
JOURNAL ARTICLE
Antoine Elyn, Anne Roussin, Cécile Lestrade, Nicolas Franchitto, Bénédicte Jullian, Nathalie Cantagrel
BACKGROUND: Long-term opioid use is associated with pharmacological tolerance, a risk of misuse and hyperalgesia in patients with chronic pain (CP). Tapering is challenging in this context, particularly with comorbid opioid-use disorder (OUD). The antihyperalgesic effect of ketamine, through N-methyl-D-aspartate (NMDA) antagonism, could be useful. We aimed to describe the changes in the dose of opioids consumed over 1 year after a 5-day hospitalisation with ketamine infusion for CP patients with OUD...
March 18, 2024: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/38490687/neurophysiological-outcomes-that-sustained-clinically-significant-improvements-over-3-years-of-physiologic-ecap-controlled-closed-loop-spinal-cord-stimulation-for-the-treatment-of-chronic-pain
#13
JOURNAL ARTICLE
Nagy A Mekhail, Robert M Levy, Timothy R Deer, Leonardo Kapural, Sean Li, Kasra Amirdelfan, Corey W Hunter, Steven M Rosen, Shrif J Costandi, Steven M Falowski, Abram H Burgher, Jason E Pope, Christopher A Gilmore, Farooq A Qureshi, Peter S Staats, James Scowcroft, Tory McJunkin, Christopher K Kim, Michael I Yang, Thomas Stauss, Richard Rauck, Rui V Duarte, Nicole Soliday, Angela Leitner, Erin Hanson, Zhonghua Ouyang, Dave Mugan, Lawrence Poree
INTRODUCTION: A novel, spinal cord stimulation (SCS) system with a physiologic closed-loop (CL) feedback mechanism controlled by evoked compound action potentials (ECAPs) enables the optimization of physiologic neural dose and the accuracy of the stimulation, not possible with any other commercially available SCS systems. The report of objective spinal cord measurements is essential to increase the transparency and reproducibility of SCS therapy. Here, we report a cohort of the EVOKE double-blind randomized controlled trial treated with CL-SCS for 36 months to evaluate the ECAP dose and accuracy that sustained the durability of clinical improvements...
March 15, 2024: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/38485234/reply-danger-danger-gaston-labat-does-zero-shot-artificial-intelligence-correlate-with-anticoagulation-guideline-recommendations-for-neuraxial-anesthesia
#14
LETTER
Nathan C Hurley, Rajnish K Gupta, Kristopher M Schroeder, Aaron S Hess
No abstract text is available yet for this article.
March 14, 2024: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/38479801/education-guide-to-decision-making-in-neuraxial-pathology-and-regional-anesthesia-the-use-of-ct-mri-scans-to-determine-conus-medullaris-level-and-the-utility-of-preoperative-plain-x-rays
#15
LETTER
Martin Avellanal, Irene Riquelme, Antonio Ferreiro, André P Boezaart, Miguel A Reina
No abstract text is available yet for this article.
March 13, 2024: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/38460963/application-of-restorative-neurostimulation-for-chronic-mechanical-low-back-pain-in-an-older-population-with-2-year-follow-up
#16
JOURNAL ARTICLE
Ardeshir Ardeshiri, Marco Amann, Simon Thomson, Christopher J Gilligan
INTRODUCTION: Data on the Medicare-aged population show that older patients are major consumers of low back pain (LBP) interventions. An effective approach for patients with mechanical LBP that has been refractory to conservative management is restorative neurostimulation. The efficacy of restorative neurostimulation has been demonstrated in multiple prospective studies, with published follow-up over 4 years, showing a consistent durable effect. METHODS: To further examine the effect of restorative neurostimulation in an older demographic, data from three clinical studies were aggregated: ReActiv8-B prospectively followed 204 patients, ReActiv8-C study prospectively followed 87 patients and ReActiv8-PMCF prospectively followed 42 patients...
March 9, 2024: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/38443138/crystallization-of-mixtures-of-local-anesthetics-with-and-without-select-adjuvants-a-semiquantitative-light-microscopy-analysis
#17
JOURNAL ARTICLE
Elisabeth Hoerner, Ottokar Stundner, Anna Seisl, Heidi Fiegl, Lukas Gasteiger
INTRODUCTION: Injecting mixtures of local anesthetics with or without adjuvants is a common practise in regional and particularly obstetric anesthesia to decrease block onset time and/or augment epidural analgesia for cesarean section. While evidence on the efficacy of this practise is equivocal, little is known about its safety in terms of the pharmacologic compatibility of local anesthetics. METHODS: We assessed the grade of crystallization in individual mixtures of seven local anesthetics (bupivacaine, ropivacaine, lidocaine, procaine, chloroprocaine, mepivacaine, prilocaine) with or without four adjuvants (sodium bicarbonate, dexamethasone, clonidine, fentanyl) using a semiquantitative light microscopy scale (ranging from 0 to 5), repeatedly for up to 60 min and performed correlation analysis between grade of crystallization and initial solution pH...
March 5, 2024: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/38431307/perioperative-considerations-for-patients-exposed-to-hallucinogens-an-infographic
#18
JOURNAL ARTICLE
Trent Emerick, Tetyana Marshall, Thomas Jeff Martin, Doug Ririe, Eric S Schwenk
No abstract text is available yet for this article.
March 1, 2024: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/38418409/no-evidence-of-fascicular-injury-following-a-low-volume-intraneural-injection-of-the-median-nerve-a-cadaveric-study
#19
JOURNAL ARTICLE
Jorge Mejia, Pierre Goffin, Miguel A Reina, Xavier Sala-Blanch
BACKGROUND: The test dose or hydrolocation technique allows rapid detection of spread location. Though its primary aim is to enhance safety in peripheral nerve blocks, evidence on the potential risks of an intraneural test aliquot is lacking. We conducted a cadaveric study to evaluate the risk of fascicular injury following a low-volume (<1 mL) intraneural injection of the median nerve. METHODS: Ten upper limbs from fresh unembalmed human cadavers were studied...
February 28, 2024: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/38418408/danger-danger-gaston-labat-does-zero-shot-artificial-intelligence-correlate-with-anticoagulation-guidelines-recommendations-for-neuraxial-anesthesia
#20
LETTER
Andrew D Fisher, Gabrielle Fisher
No abstract text is available yet for this article.
February 28, 2024: Regional Anesthesia and Pain Medicine
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