keyword
https://read.qxmd.com/read/38481337/the-association-of-regional-block-with-intraoperative-opioid-consumption-in-patients-undergoing-video-assisted-thoracoscopic-surgery-a-single-center-retrospective-study
#21
JOURNAL ARTICLE
Yan Xiang, Liang Chen, Jiang Jia, Fu Yili, Wei Changwei
BACKGROUND: Regional block, such as thoracic epidural analgesia (TEA), thoracic paravertebral block (TPVB), or serratus anterior plane block (SAPB) has been recommended to reduce postoperative opioid use in recent guidelines, but the optimal options for intraoperative opioid minimization remain unclear. The aim of this study was to evaluate the intraoperative opioids-sparing effects of three regional blocks (TEA, TPVB, and SAPB) in patients undergoing video-assisted thoracoscopic surgery (VATs)...
March 13, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38479065/global-prevalence-and-risk-factors-of-emergence-delirium-in-pediatric-patients-undergoing-general-anesthesia-a-systemic-review-and-meta-analysis
#22
JOURNAL ARTICLE
Yi-Chen Chen, Jann Foster, Man-Ling Wang, Iftitakhur Rohmah, Yu-Hsin Tseng, Hsiao-Yean Chiu
PROBLEM: Emergence delirium (ED) in children post-general anesthesia has been persistently underestimated, impacting the well-being of children, nurses, and even parents. This study employs integrated analysis to establish a comprehensive understanding of ED, including its occurrence and related risk factors, emphasizing the imperative for enhanced awareness and comprehension among pediatric nursing care providers. ELIGIBILITY CRITERIA: A systematic review and meta-analysis were conducted using four electronic databases, namely PubMed, CINAHL via EBSCOhost, Embase via Elsevier, and ProQuest Dissertations and Theses...
March 12, 2024: Journal of Pediatric Nursing
https://read.qxmd.com/read/38469014/regional-anesthesia-for-arthroscopic-knee-repair-in-a-patient-with-hypertrophic-obstructive-cardiomyopathy-hocm-under-monitored-anesthesia-care-with-dexmedetomidine-infusion
#23
Julie J Cunningham, Andrew S Braun, Patrick Hussey, Amit Momaya, Promil Kukreja
Patients with hypertrophic obstructive cardiomyopathy (HOCM) who are scheduled for elective, noncardiac surgery present a distinctive challenge for perioperative healthcare providers. The use of general anesthesia and neuraxial anesthesia carries the risk of unpredictable hemodynamic changes and potential complications. Regional anesthesia (RA) emerges as a prudent and effective option for HOCM patients. RA provides advantages such as minimizing hemodynamic fluctuations, avoiding intubation, reducing pharmacologic side effects, facilitating enhanced recovery after surgery, and contributing to greater patient satisfaction...
February 2024: Curēus
https://read.qxmd.com/read/38462910/pediatric-anesthesia-in-north-america
#24
REVIEW
Ilavajady Srinivasan, Simon Whyte, Katherine Bailey, Tiffany Antrobus, Karisha Hinkson-LaCorbinière, Timothy W Martin, Joseph P Cravero, Linda J Mason
BACKGROUND AND OBJECTIVES: This educational review outlines the current landscape of pediatric anesthesia training, care delivery, and challenges across Canada, Barbados, and the United States. DESCRIPTIONS AND CONCLUSIONS: Approximately 5% of Canadian children undergo general anesthesia annually, administered by fellowship-trained pediatric anesthesiologists in children's hospitals, general anesthesiologists in community hospitals, or family practice anesthesiologists in underserved regions...
March 11, 2024: Paediatric Anaesthesia
https://read.qxmd.com/read/38455799/pectoralis-major-pyomyositis-in-a-patient-with-diabetes-a-case-report-and-literature-review
#25
Aya Tsunoda, Hideharu Nakamura, Takaya Makiguchi, Nana Tomaru, Satoshi Yokoo
Pyogenic myositis is a bacterial infection of skeletal muscle that is usually caused by Staphylococcus aureus and is common in tropical regions. Recently, this infection has also been reported in immunocompromised patients in temperate regions. The lower extremities and trunk are most affected, while involvement of the chest wall is rare. We report a case of pectoralis major pyomyositis caused by Morganella morganii in an 82-year-old Japanese man with type 2 diabetes mellitus who had undergone stenting for myocardial infarction...
February 2024: Curēus
https://read.qxmd.com/read/38450003/combined-supra-inguinal-fascia-iliaca-sciatic-nerve-and-posterior-femoral-cutaneous-nerve-blocks-in-austere-settings-for-hemodynamically-unstable-patients-with-vascular-injuries-from-weapon-wounds-a-case-series
#26
Majaliwa Shabani, Seydina Alioune Beye, Abdoulaye Traore, Xavier Raingeval, Daouda Coulibaly, Sophie Crespo
PURPOSE: The management of unstable patients with weapon-wounded lower limb vascular injuries presents significant anesthetic challenges. Regional anesthesia blocks, which combine lumbar and sacral plexus blocks, or their respective branches, minimize systemic effects and are deemed appropriate for high-risk patients requiring lower limb surgery. This case series aims to share our preliminary experiences with a combined anesthetic technique-sciatic nerve (SN), posterior femoral cutaneous nerve (PFCN), and supra-inguinal fascia iliaca (SIFI) blocks -in patients sustaining weapon wounds and undergoing lower limb vascular injury repair in austere environments...
2024: Local and Regional Anesthesia
https://read.qxmd.com/read/38440480/schwannoma-of-nasopharynx-a-rare-case-with-a-complex-presentation
#27
JOURNAL ARTICLE
Dharanya Gopalakrishnan Srinivasan, Sunil Kumar Saxena, Devi Anu Kuppusamy, Sreerekha Jinkala
Nasopharyngeal tumors are rare, and schwannomas originating from this location are extremely uncommon. Schwannomas are tumors arising from the Schwann cells of peripheral nerve sheath which are neuroectodermal in origin. These are benign, slow growing, well-encapsulated tumors and are mostly seen in the head and neck region. We present a rare case of schwannoma with nasopharynx as its epicenter in an elderly female patient who presented with complaints of hematemesis, bilateral nasal obstruction and stertorous breathing...
February 2024: Indian Journal of Otolaryngology and Head and Neck Surgery
https://read.qxmd.com/read/38440377/feasibility-of-awake-craniotomy-for-brain-arteriovenous-malformations-a-scoping-review
#28
REVIEW
Rabeet Tariq, Umar Ahmed Siddiqui, Mohammad Hamza Bajwa, Ahmer Nasir Baig, Saad Akhtar Khan, Areeba Tariq, Saqib Kamran Bakhshi
BACKGROUND: Brain Arteriovenous Malformations (AVMs) located in proximity to eloquent brain regions are associated with poor surgical outcomes, which may be due to higher rates of postoperative neurological deterioration. Current treatment protocols include stereotactic radiosurgery, transarterial embolization, and surgical resection under general anesthesia. Awake Craniotomy (AC) allows intraoperative mapping of eloquent areas to improve post-operative neurologic outcomes. OBJECTIVES: We reviewed the current literature reporting surgical outcomes and assessed the feasibility of AC for AVM resection...
April 2024: World neurosurgery: X
https://read.qxmd.com/read/38436173/efficacy-and-safety-of-general-anesthesia-with-caudal-block-for-inguinal-hernioplasty-in-children-a-randomized-controlled-trial
#29
RANDOMIZED CONTROLLED TRIAL
M Pandurov, I Fabri Galambos, R Zdravkovic, A Uram Benka, G Rakic, N Boskovic, S Vickovic, M Tatic, M Lukic Sarkanovic, T Tubic, M Preveden, N Dračina, N Videnovic, D Krtinic, A Jakovljevic, N Djokovic, A Jakovljevic, B Draskovic
OBJECTIVE: Caudal block is a type of regional anesthesia suitable for inguinal hernia surgery in children. Our goal was to determine the effectiveness of caudal block combined with general anesthesia in providing intra- and postoperative analgesia and its effect on hemodynamic stability and drug consumption. PATIENTS AND METHODS: Prospective, randomized controlled study included 78 boys, 3-5 years, with an indication for inguinal herniorrhaphy, divided into groups G (general anesthesia, n=39) and G+C (general anesthesia + caudal block, n=39)...
February 2024: European Review for Medical and Pharmacological Sciences
https://read.qxmd.com/read/38428574/anatomical-distribution-of-sentinel-lymph-nodes-harvested-by-retroperitoneal-vnotes-in-34-consecutive-patients-with-early-stage-endometrial-cancer-analysis-of-124-lymph-nodes
#30
JOURNAL ARTICLE
Daniela Huber, Yannick Hurni
STUDY OBJECTIVE: To determine the anatomical distribution of sentinel lymph nodes (SLNs), the overall, unilateral, and bilateral detection rates, and the bilateral SLN concordance in patients with endometrial cancer (EC) mapped through a retroperitoneal transvaginal natural orifice transluminal endoscopic surgery (vNOTES) approach. DESIGN: Prospective single-center observational study. SETTING: Swiss teaching hospital. PATIENTS: Patients with EC or endometrial complex atypical hyperplasia who had undergone surgical staging with SLN mapping by a retroperitoneal vNOTES approach between October 2021 and November 2023...
February 28, 2024: Journal of Minimally Invasive Gynecology
https://read.qxmd.com/read/38422242/contamination-of-equipment-and-surfaces-in-the-operating-room-anesthesia-workspace-a-cross-sectional-study
#31
JOURNAL ARTICLE
Carlos Eduardo Macedo, Adriano Menis Ferreira, Larissa da Silva Barcelos, André Luiz Silva Alvim, Liliane Moretti Carneiro, Sandro Rogério Martins, Denise de Andrade, Marcelo Alessandro Rigotti, Ruberval Peres Gasques, Vanderlei Amaro da Silva Junior, Layze Braz de Oliveira, Herica Emilia Félix de Carvalho, Alvaro Francisco Lopes de Sousa
BACKGROUND: Contamination of the breathing circuit and medication preparation surface of an anesthesia machine can increase the risk of cross-infection. OBJECTIVE: To evaluate the contamination of the anesthetic medication preparation surface, respiratory circuits, and devices used in general anesthesia with assisted mechanical ventilation. DESIGN AND SETTING: Cross-sectional, quantitative study conducted at the surgical center of a philanthropic hospital, of medium complexity located in the municipality of Três Lagoas, in the eastern region of the State of Mato Grosso do Sul...
2024: São Paulo Medical Journal
https://read.qxmd.com/read/38420357/efficacy-of-erector-spine-plane-block-in-two-different-approaches-to-lumbar-spinal-fusion-surgery-a-retrospective-pilot-study
#32
JOURNAL ARTICLE
Jānis Verners Birnbaums, Agnese Ozoliņa, Leonids Solovjovs, Zane Glāzniece-Kagane, Jānis Nemme, Ināra Logina
BACKGROUND: Erector spine plane block (ESPB) has been widely used in spinal surgery, although there are variable data about its efficacy. OBJECTIVES: This study aimed to evaluate the efficacy of ESPB in elective lumbar spinal fusion surgery patients with two different surgical approaches. MATERIALS AND METHODS: Retrospectively, 45 elective lumbar transpedicular fusion (TPF) surgery patients undergoing open surgery with different approaches [posterior transforaminal fusion approach (TLIF) or combined posterior and anterior approach (TLIF+ALIF)] were divided into 2 groups: general anesthesia (GA, n  = 24) and general anesthesia combined with ESPB (GA + ESPB, n  = 21)...
2024: Frontiers in Medicine
https://read.qxmd.com/read/38419671/successful-use-of-ultrasound-guided-quadratus-lumborum-block-without-general-anesthesia-for-open-appendectomy-in-a-patient-with-heart-failure-with-reduced-ejection-fraction-a-case-report-and-literature-review
#33
Muhammad Jaffar Khan, Yasir Eltayeb, Arunabha Karmakar, Rohma Malik, Tarig Elsafi
BACKGROUND: Patients diagnosed with Heart Failure with Reduced Ejection Fraction (HFrEF) are at high risk of perioperative cardiovascular complications. While it is important to focus on optimizing their cardiac function, it is also crucial to address and optimize any other modifiable risk factors that could potentially impact postoperative outcome. This also includes careful consideration of anesthetic techniques to suit the patient and facilitate the surgery. However, there is a scarcity of evidence regarding the safety of specific anesthetic approaches for heart failure patients...
2024: Local and Regional Anesthesia
https://read.qxmd.com/read/38418761/comparing-perioperative-outcomes-between-regional-anesthesia-and-general-anesthesia-in-patients-undergoing-hip-fracture-surgery-a-systematic-review-and-meta-analysis
#34
REVIEW
Song Liu, Jianan Chen, Huihong Shi, Jianhong Li, Gang Zeng, Wenzhou Liu, Wenjun Hu, Shaoguang Li, Wenjie Gao, Weidong Song, Anjing Liang, Yanbo Chen
PURPOSE: Nearly all patients with hip fractures undergo surgical treatment. The use of different anesthesia techniques during surgery may influence the clinical outcomes. The optimal anesthetic technique for patients undergoing hip fracture surgery is still controversial. We performed this updated systematic review and meta-analysis to compare clinical outcomes of patients undergoing hip fracture surgery with different anesthesia techniques. SOURCE: Articles published from 2000 to May 2023 were included from MEDLINE, Embase, Web of Science, and the Cochrane Library...
February 28, 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38418274/a-single-center-s-experience-with-spinal-anesthesia-for-pediatric-patients-undergoing-surgical-procedures
#35
JOURNAL ARTICLE
Grant Heydinger, Catherine Roth, Rachel Kidwell, Joseph D Tobias, Giorgio Veneziano, Venkata R Jayanthi, Emmett E Whitaker, Arlyne K Thung
PURPOSE: To perform a single institution review of spinal instead of general anesthesia for pediatric patients undergoing surgical procedures. Spinal success rate, intraoperative complications, and postoperative outcomes including unplanned hospital admission and emergency department visits within seven days are reported. METHODS: Retrospective chart review of pediatric patients who underwent spinal anesthesia for surgical procedures from 2016 until 2022. Data collected included patient demographics, procedure and anesthetic characteristics, intraoperative complications, unplanned admissions, and emergency department returns...
February 10, 2024: Journal of Pediatric Surgery
https://read.qxmd.com/read/38416104/assessing-the-quality-of-postoperative-recovery-a-guide-for-making-adjustments-in-anesthesia-delivery
#36
JOURNAL ARTICLE
Tatsiana Siniakova, Christopher Lombardi, Kenneth Wofford, John Maye
PURPOSE: The purpose of this project was to develop a plan and then implement a process for improving anesthesia delivery at a surgery center in the Southeast United States over a 2-month period. DESIGN: The design of the project was based on utilization of the instrument QoR-15 (Quality of recovery - 15 item questionnaire). This tool is a valid and reliable instrument for the measurement of postoperative outcomes. The QoR-15 includes 15 questions that can each be scored on a 10-point scale...
February 26, 2024: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://read.qxmd.com/read/38413849/influence-of-a-chronic-beta-blocker-therapy-on-perioperative-opioid-consumption-a-post-hoc-secondary-analysis
#37
MULTICENTER STUDY
Ralf F Trauzeddel, Luisa M Rothe, Michael Nordine, Lukas Dehé, Kathrin Scholtz, Claudia Spies, Daniel Hadzidiakos, Georg Winterer, Friedrich Borchers, Jochen Kruppa, Sascha Treskatsch
BACKGROUND: Beta-blocker (BB) therapy plays a central role in the treatment of cardiovascular diseases. An increasing number of patients with cardiovascular diseases undergoe noncardiac surgery, where opioids are an integral part of the anesthesiological management. There is evidence to suggest that short-term intravenous BB therapy may influence perioperative opioid requirements due to an assumed cross-talk between G-protein coupled beta-adrenergic and opioid receptors. Whether chronic BB therapy could also have an influence on perioperative opioid requirements is unclear...
February 27, 2024: BMC Anesthesiology
https://read.qxmd.com/read/38406148/efficacy-of-infraclavicular-brachial-plexus-block-alone-versus-combination-with-suprascapular-nerve-block-in-patients-undergoing-shoulder-surgeries-a-single-blind-randomized-trial
#38
JOURNAL ARTICLE
Parul Saxena, Manish K Singh, Manoj K Chaurasia, Sarita Singh
Background and aim The regional anesthesia technique is commonly used for upper extremity surgery as an alternative to general anesthesia. The study aimed to compare the efficacy of infraclavicular brachial plexus block (BPB) and a combination of infraclavicular brachial plexus block with suprascapular nerve block for postoperative analgesia in patients undergoing shoulder surgeries. Method A total of 62 patients of both sexes with the American Society of Anaesthesiologists (ASA) physical status I/II/III, aged between 18 and 65 years, and undergoing shoulder surgery, were included in this prospective, single-blinded, randomized controlled trial...
January 2024: Curēus
https://read.qxmd.com/read/38402395/a-novel-extraoral-ultrasound-guided-approach-for-mandibular-nerve-block-in-rahmani-sheep
#39
JOURNAL ARTICLE
Mohamed Wefky El-Sherif, Mohamed Ahmed Nazih
BACKGROUND: Regional anesthesia is the favored choice in ruminant animals compared to general anesthesia, primarily due to its high safety margin and reduced demand for cost-intensive equipment in addition to its field applicability. Ultrasound-guided nerve block has gained significant attention in the field of veterinary medicine. This study utilized twenty-seven sheep of the native Rahmani breed to both demonstrate and evaluate the effectiveness of the ultrasound guided inferior alveolar nerve block technique...
February 24, 2024: BMC Veterinary Research
https://read.qxmd.com/read/38394922/efficacy-and-safety-of-ketamine-as-an-adjuvant-to-regional-anesthesia-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#40
REVIEW
Jiajia Xiang, Chunyan Cao, Jiayu Chen, Fanyi Kong, Sunqi Nian, Zhigui Li, Na Li
STUDY OBJECTIVE: To identify whether adding ketamine to the local anesthetics (LA) in the regional anesthesia could prolong the duration of analgesia. DESIGN: A Systematic review and meta-analysis of randomized controlled trials. SETTING: The major dates were obtained in the operating room and the postoperative recovery ward. PATIENTS: A total of 1011 patients at ASA physical status I and II were included in the analysis...
June 2024: Journal of Clinical Anesthesia
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