keyword
https://read.qxmd.com/read/38542011/the-impact-of-regional-anesthesia-in-masking-acute-compartment-syndrome-after-limb-trauma
#1
REVIEW
Nicole Hilber, Anna Dodi, Stephan Blumenthal, Heinz Bruppacher, Alain Borgeat, José Aguirre
Regional anesthesia has shown to be successful in controlling major pain in trauma patients. However, the possibility of masking acute compartment syndrome (ACS) after peripheral nerve blocks for limb injuries is still controversially discussed. Therefore, we aimed to summarize the current literature regarding this topic to shed light on the impact of peripheral regional anesthesia on the diagnosis of ACS in trauma patients. We searched Pubmed, Google Scholar and the Cochrane Library for literature following the PRISMA (preferred reporting items for systematic reviews and meta-analyses) guidelines...
March 20, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38539065/thoracolumbar-interfascial-plane-tlip-block-verses-other-paraspinal-fascial-plane-blocks-and-local-infiltration-for-enhanced-pain-control-after-spine-surgery-a-systematic-review
#2
Tarika D Patel, Meagan N McNicholas, Peyton A Paschell, Paul M Arnold, Cheng-Ting Lee
Spinal surgeries are accompanied by excessive pain due to extensive dissection and muscle retraction during the procedure. Thoracolumbar interfascial plane (TLIP) blocks for spinal surgeries are a recent addition to regional anesthesia to improve postoperative pain management. When performing a classical TLIP (cTLIP) block, anesthetics are injected between the muscle (m.) multifidus and m. longissimus. During a modified TLIP (mTLIP) block, anesthetics are injected between the m. longissimus and m. iliocostalis instead...
March 28, 2024: BMC Anesthesiology
https://read.qxmd.com/read/38521215/fluoroscopic-guided-lumbar-erector-spinae-esp-field-blocks-a-new-technique-and-radiographic-analysis
#3
JOURNAL ARTICLE
Scott C Robertson, Christine Kamm, Mason Ashley
INTRODUCTION: Lumbar Erector Spinae (ESP) field blocks have become a common postoperative treatment for surgical pain. The use of long-acting medications like liposomal bupivacaine (Exparel) has become a major component of multi-modal postsurgical pain control. Traditionally ESP injections have been performed using ultrasound (U/S) guidance by an anesthesiologist. Spine surgeons have begun to utilize these liposomal injections in their procedures for post-operative pain management. Our study describes a fluoroscopic guided ESP field block technique which provides reproducible muscular coverage and pain control for spine surgery...
March 21, 2024: World Neurosurgery
https://read.qxmd.com/read/38514357/ultrasound-guided-erector-spinae-nerve-block-for-relief-of-endometriosis-pain-in-the-emergency-department
#4
Robert Stenberg, Kristen Septaric, Erin L Simon
Endometriosis is a debilitating chronic condition often accompanied by severe pelvic pain and infertility issues. When outpatient medical management is not adequate, controlling pain can be challenging for providers in the acute setting. We report the case of a 23-year-old female with a past medical history of endometriosis who presented to a freestanding emergency department with a chief complaint of 10/10 pelvic pain on a numeric rating scale. She had tried non-steroidal inflammatory medications and heat with no success...
March 15, 2024: American Journal of Emergency Medicine
https://read.qxmd.com/read/38468350/fascial-plane-blocks-for-cardiothoracic-surgery-a-narrative-review
#5
REVIEW
Paolo Capuano, Giuseppe Sepolvere, Antonio Toscano, Paolo Scimia, Simona Silvetti, Mario Tedesco, Luca Gentili, Gennaro Martucci, Gaetano Burgio
In recent years, there has been a growing awareness of the limitations and risks associated with the overreliance on opioids in various surgical procedures, including cardiothoracic surgery.This shift on pain management toward reducing reliance on opioids, together with need to improve patient outcomes, alleviate suffering, gain early mobilization after surgery, reduce hospital stay, and improve patient satisfaction and functional recovery, has led to the development and widespread implementation of enhanced recovery after surgery (ERAS) protocols...
March 11, 2024: J Anesth Analg Crit Care
https://read.qxmd.com/read/38459608/ultrasound-guided-quadro-iliac-plane-block-another-novel-fascial-plane-block
#6
JOURNAL ARTICLE
Serkan Tulgar, Bahadir Ciftci, Ali Ahiskalioglu, Bora Bilal, Bayram Ufuk Sakul, Melike Girit, Tugce Akin, Madan Narayanan, Haci Ahmet Alici
STUDY OBJECTIVE: We report a novel block technique aimed to provide lumbosacral, abdominal and hip analgesia: The Quadro-iliac plane (QIP) block. DESIGN: A cadaveric examination that evaluates the spread of QIP block. SETTING: Cadaver laboratory. PATIENTS: One unembalmed cadaver. INTERVENTIONS: Bilateral ultrasound-guided QIP blocks on cadavers with 40 mL of methylene blue %0.5 each side...
March 8, 2024: Pain Medicine
https://read.qxmd.com/read/38448346/analgesia-nociception-index-accurately-predicts-inadequate-pectoralis-muscle-fascia-block-pecs-in-patients-undergoing-breast-surgery-a-prospective-observational-study
#7
JOURNAL ARTICLE
Wei-Nung Teng, Yen-Shu Lin, Chun-Sung Sung, Ling-Ming Tseng, Wen-Kuei Chang, Chien-Kun Ting
BACKGROUND: Postoperative opioid administration has been largely replaced by regional anesthesia techniques. We aimed to determine whether intraoperative Analgesia-Nociception Index (ANI) can aid in early evaluation of the effectiveness of regional blocks such as the pectoralis muscle fascia block (PECS, pectoserratus and interpectoral plane blocks) and predicting the need for analgesics postoperatively. METHODS: This prospective observational study enrolled 30 women (age: 20-80 years) undergoing unilateral, non-intubated, breast tumor excision alone or in conjunction with sentinel lymph node biopsy...
March 5, 2024: Journal of the Formosan Medical Association
https://read.qxmd.com/read/38398441/continuous-erector-spinae-plane-block-for-pain-management-in-a-pediatric-kidney-transplant-recipient-a-case-report-and-review-of-the-current-literature
#8
Paolo Capuano, Gaetano Burgio, Serena Abbate, Giusy Ranucci, Kejd Bici, Davide Cintorino, Antonio Arcadipane, Gennaro Martucci
Pain management in patients undergoing kidney transplantation requires careful consideration due to their altered physiology, and potential risks associated with certain analgesic options. In recent years, personalized and multimodal approaches have proven to be pivotal in perioperative pain management, as well as in children. Implementing regional analgesia methods offers a valuable solution in many pediatric surgical settings and the erector spinae plane block (ESPB) could represent a possible analgesic strategy in pediatric patients undergoing renal transplantation...
February 17, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38344575/anatomical-variant-of-the-lateral-circumflex-femoral-artery-a-cadaveric-case-report
#9
Mason P Granger, Megan E Gremillion, Driskell R Greene, Tristan M Halbrook, Sanjeev S Gummandi, Adegbenro O Fakoya
The lateral circumflex femoral artery (LCFA), a branch of the deep femoral artery (DFA), supplies the muscular and fascial anatomy of the anterior thigh. An undocumented variation of the LCFA was discovered during a dissection of the lower extremities. The LCFA is a vital vessel that can be used in coronary artery bypass grafts (CABGs) and reconstructive and bypass surgical procedures. On the other hand, the LCFA is susceptible to iatrogenic damage during surgeries involving the hip joint and procedures such as femoral nerve blocks...
January 2024: Curēus
https://read.qxmd.com/read/38341525/comparison-of-the-effects-of-transversus-thoracic-muscle-plane-block-and-pecto-intercostal-fascial-block-on-postoperative-opioid-consumption-in-patients-undergoing-open-cardiac-surgery-a-prospective-randomized-study
#10
RANDOMIZED CONTROLLED TRIAL
Mariana AbdElSayed Mansour, Hatem ElMoutaz Mahmoud, Dina Mahmoud Fakhry, Dina Yehia Kassim
BACKGROUND: There is an association exists between cardiac surgery, performed through median sternotomy, and a considerable postoperative pain. OBJECTIVES: The aim of the current study is to compare the effects of transversus thoracic muscle plane block (TTMPB) and pecto-intercostal fascial plane block (PIFB) upon postoperative opioid consumption among the patients who underwent open cardiac surgery. METHODS: The present prospective, randomized, comparative study was conducted among 80 patients who underwent elective on-pump cardiac surgery with sternotomy...
February 10, 2024: BMC Anesthesiology
https://read.qxmd.com/read/38336519/craniocaudal-spread-and-clinical-translation-for-combined-erector-spinae-plane-block-and-retrolaminar-block-in-soft-embalmed-cadavers-a-randomised-controlled-equivalence-study
#11
JOURNAL ARTICLE
Graeme McLeod, Razan Sartawi, Chloe Chang, Ayman Mustafa, Pavan Raju, Clare Lamb
BACKGROUND: Erector spinae plane (ESP) block spread can be unpredictable. We previously improved the spread of ESP injection by addition of retrolaminar (RL) injection. However, it is not clear whether spread at high thoracic levels is similar to spread at midthoracic levels. Our primary objective was to demonstrate that craniocaudal dye spread was equivalent after combined ESP and RL injection using a 19 G Tuohy needle at the third (T3) and sixth (T6) vertebrae in soft embalmed Thiel cadavers...
February 8, 2024: British Journal of Anaesthesia
https://read.qxmd.com/read/38313701/the-effect-of-pectointercostal-fascial-block-on-stress-response-in-open-heart-surgery
#12
JOURNAL ARTICLE
Ahmad Feza Fadhlurrahman, Philia Setiawan, Christijogo Sumartono, Fajar Perdhana, Teuku Aswin Husain
BACKGROUND: Activation of the hypothalamus-pituitary-adrenal (HPA) axis and inflammatory processes are common forms of stress response. The increased stress response is associated with a higher chance of complications. Open hearth surgery is one of the procedures with a high-stress response. Pectointercostal fascial block (PIFB), as a new pain management option in sternotomy, has the potential to modulate the stress response. OBJECTIVE: To determine the effect of PIFB on stress response in open heart surgery...
2024: Saudi Journal of Anaesthesia
https://read.qxmd.com/read/38276112/the-efficacy-of-continuous-serratus-anterior-and-erector-spinae-plane-blocks-vs-intercostal-nerve-block-in-uniportal-vats-surgery-a-propensity-matched-prospective-trial
#13
JOURNAL ARTICLE
Dania Nachira, Giovanni Punzo, Giuseppe Calabrese, Flaminio Sessa, Maria Teresa Congedo, Giovanna Beccia, Paola Aceto, Khrystyna Kuzmych, Chiara Cambise, Carolina Sassorossi, Adriana Nocera, Alessia Senatore, Maria Letizia Vita, Elisa Meacci, Liliana Sollazzi, Stefano Margaritora
BACKGROUND: To evaluate the analgesic efficacy of continuous erector spinae plane block(c-ESPB) and serratus anterior plane block(c-SAPB) versus the intercostal nerve block (ICNB) in Uniportal-VATS in terms of pain control, drug consumption, and complications. METHODS: Ninety-three consecutive patients, undergone one of the three peripheral nerve blocks after Uniportal-VATS, were prospectively enrolled. A 1:1 propensity score matching was used to minimize bias. RESULTS: C-ESPB and c-SAPB groups had no difference in morphine request upon awakening compared to ICNB...
January 21, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38268183/use-and-clinical-relevancy-of-pericapsular-nerve-block-peng-in-total-hip-arthroplasty-a-systematic-review-and-meta-analysis
#14
JOURNAL ARTICLE
Poonam Pai, Daniel Amor, Yan H Lai, Ghislaine C Echevarria
BACKGROUND: Ultrasound-guided pericapsular nerve group (PENG) block is an emerging regional anesthesia technique that may provide analgesia for patients undergoing total hip arthroplasties (THA). There are clinical studies comparing this fascial plane block to other established methods, however, evidence on the actual efficacy of this block for THA continues to evolve. OBJECTIVE: Available clinical studies conducted over the past 4 years, were reviewed to evaluate the analgesic efficacy and effectiveness of PENG block in patients undergoing THAs...
January 25, 2024: Clinical Journal of Pain
https://read.qxmd.com/read/38266505/the-role-of-tap-rs-block-in-minor-gynecologic-laparoscopic-surgery-a-randomized-clinical-trial
#15
JOURNAL ARTICLE
Corrado Terranova, Lorenzo Schiavoni, Fernando Ficarola, Francesco Plotti, Carlo De Cicco Nardone, Roberto Montera, Michela Lotierzo, Martina Bartolone, Giuseppe Pascarella, Alessia Mattei, Fabio Costa, Felice Eugenio Agrò, Roberto Angioli
OBJECTIVES: The aim of the study is to compare, in patients undergoing minor gynecological laparoscopic procedures, the effects of Ultra Sound (US) guided Transversus Abdominis Plane (TAP) + Rectus Sheath (RS) block versus no TAP/RS-block in terms of post-surgical pain control using the Numeric pain Rating Scale (NRS) and the degree of patient satisfaction, according to the main goals of Early Recovery After Surgery (ERAS) programmes. The primary outcome is to value the postoperative abdominal pain using NRS in both groups...
January 24, 2024: Gynecologic and Obstetric Investigation
https://read.qxmd.com/read/38259135/diagnostic-and-therapeutic-ilioinguinal-and-iliohypogastric-nerve-blocks-a-case-report
#16
JOURNAL ARTICLE
Jay Kellegrew, Anne Hicks, Lydia Gill, Isaac Chemmanam, Ryan Mountjoy
We present a case report of a consult for a gynecologic patient who presented with unrelenting postsurgical pain and previously underwent laparoscopic surgery. Given the pain distribution, we hypothesized the patient had an ilioinguinal or iliohypogastric nerve entrapment injury. We performed a diagnostic and therapeutic ilioinguinal and iliohypogastric nerve block, alleviating the patient's pain. The patient returned to the operating room to release a fascial stitch, permanently relieving the pain. This is a reminder that anesthesiologists can use regional anesthesia for both diagnosis and treatment...
January 1, 2024: A&A Practice
https://read.qxmd.com/read/38256522/analgesic-strategies-for-urologic-videolaparoscopic-or-robotic-surgery-in-the-context-of-an-enhanced-recovery-after-surgery-protocol-a-prospective-study-comparing-erector-spinae-plane-block-versus-transversus-abdominis-plane-block
#17
JOURNAL ARTICLE
Marco Micali, Giada Cucciolini, Giulia Bertoni, Michela Gandini, Marco Lattuada, Gregorio Santori, Carlo Introini, Francesco Corradi, Claudia Brusasco
Regional anesthesia in postoperative pain management has developed in recent years, especially with the advent of fascial plane blocks. This study aims to compare the ultrasound-guided bilateral erector spinae plane block (ESPB) versus the ultrasound-guided bilateral transversus abdominis plane block (TAPB) on postoperative analgesia after laparoscopic or robotic urologic surgery. This was a prospective observational study; 97 patients (ESPB-group) received bilateral ultrasound-guided ESPB with 20 mL of ropivacaine 0...
January 10, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38243276/efficacy-of-ultrasound-guided-erector-spinae-plane-block-on-analgesia-and-quality-of-recovery-after-minimally-invasive-direct-coronary-artery-bypass-surgery-protocol-for-a-randomized-controlled-trial
#18
JOURNAL ARTICLE
Ling Xin, Lu Wang, Yi Feng
BACKGROUND: Minimally invasive direct coronary artery bypass (MIDCAB) surgery offers an effective option for coronary artery disease (CAD) patients with the avoidance of median sternotomy and fast postoperative recovery. However, MIDCAB is still associated with significant postoperative pain which may lead to delayed recovery. The erector spinae plane block (ESPB) is a superficial fascial plane block. There have not been randomized controlled trials evaluating the effects of ESPB on analgesia and patient recovery following MIDCAB surgery...
January 19, 2024: Trials
https://read.qxmd.com/read/38242803/regional-anaesthesia-truncal-blocks-for-acute-postoperative-pain-and-recovery-a-narrative-review
#19
REVIEW
Aisling Ní Eochagáin, Seán Carolan, Donal J Buggy
Significant acute postoperative pain remains prevalent among patients who undergo truncal surgery and is associated with increased morbidity, prolonged patient recovery, and increased healthcare costs. The provision of high-quality postoperative analgesia is an important component of postoperative care, particularly within enhanced recovery programmes. Regional anaesthetic techniques have become increasingly prevalent within multimodal analgesic regimens and the widespread adoption of ultrasonography has facilitated the development of novel fascial plane blocks...
January 18, 2024: British Journal of Anaesthesia
https://read.qxmd.com/read/38239123/perioperative-use-of-fascial-plane-blocks-anesthesiology-and-reanimation-physicians-approach-in-t%C3%A3-rkiye-a-national-survey-study
#20
JOURNAL ARTICLE
Onur Balaban, Ali Eman
OBJECTIVES: Our aim was to assess the approach of Turkish Anesthesiology and Reanimation Specialists to the perioperative use of truncal/fascial plane blocks (FPB) in various surgeries. A survey was designed to evaluate the perioperative management of FPBs. METHODS: Anesthesiology and Reanimation specialists and residents in various hospitals in Türkiye were surveyed on a voluntary basis. We contacted them between June 1 and September 10, 2022, using email and smartphone messenger applications...
January 2024: Journal of the Turkish Society of Algology
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