Read by QxMD icon Read

Regional AND Anesthesia

Dazhi Yin, Zhao Zhang, Zhiwei Wang, Kristina Zeljic, Qian Lv, Danchao Cai, Yingwei Wang, Zheng Wang
Emerging neuroimaging studies emphasize the dynamic organization of spontaneous brain activity in both human and non-human primates, even under anesthesia. In a recent study, we were able to characterize the heterogeneous architecture of intrinsic functional flexibility in the awake, resting human brain using time-resolved analysis and a probabilistic model. However, it is unknown whether this organizational principle is preserved in the anesthetized monkey brain, and how anesthesia affects dynamic and static measurements of spontaneous brain activity...
2019: Frontiers in Neuroscience
Scott R Coleman, Ming Chen, Srikant Patel, Hong Yan, Alan D Kaye, Marcus Zebrower, Julie A Gayle, Henry Liu, Richard D Urman
PURPOSE OF REVIEW: Enhanced recovery after surgery (ERAS) has become a widespread topic in perioperative medicine over the past 20 years. The goals of ERAS are to improve patient outcomes and perioperative experience, reduce length of hospital stay, minimize complications, and reduce cost. Interventions and factors before, during, and after surgery all potentially play a role with the cumulative effect being superior quality of patient care. RECENT FINDINGS: Preoperatively, patient and family education, optimization of nutritional status, and antibiotic prophylaxis all improve outcomes...
March 14, 2019: Current Pain and Headache Reports
Serkan Tulgar, Onur Selvi, Ozgur Senturk, Talat E Serifsoy, David T Thomas
INTRODUCTION: Erector spinae plane block (ESPB) is a novel regional anesthesia technique used in postoperative pain and chronic neuropathic pain of the thoracoabdominal region. There are no previously published large case series. This retrospective review aimed to report the indications, levels of block, success of block and complications, and also to evaluate the effect of ESPB on postoperative/chronic pain. METHODS: We retrospectively evaluated the charts and medical records of 182 patients who had ESPB in the last one year...
January 2, 2019: Curēus
Herman Sehmbi, Marjorie Johnson, Shalini Dhir
BACKGROUNDS AND OBJECTIVES: The anterior approach to the subomohyoid suprascapular (SOS) nerve is a new, technically easy and reliable regional anesthesia technique for postoperative shoulder analgesia. However, due to its proximity, the injectate may spread to the brachial plexus and phrenic nerve. The goal of this anatomic study with dye injection in the subomohyoid space and subsequent cadaver dissection was to establish the likely spread of local anesthesia and the extent of brachial plexus and phrenic nerve involvement resulting from ultrasound-guided SOS nerve block...
March 13, 2019: Regional Anesthesia and Pain Medicine
Timothy J Schoenfeld, Diane Rhee, Laura Martin, Jesse A Smith, Anup N Sonti, Varun Padmanaban, Heather A Cameron
Post-traumatic stress disorder (PTSD) has been associated with anxiety, memory impairments, enhanced fear, and hippocampal volume loss, although the relationship between these changes remain unknown. Single-prolonged stress (SPS) is a model for PTSD combining three forms of stress (restraint, swim, and anesthesia) in a single session that results in prolonged behavioral effects. Using pharmacogenetic ablation of adult neurogenesis in rats, we investigated the role of new neurons in the hippocampus in the long-lasting structural and behavioral effects of SPS...
March 13, 2019: Hippocampus
Janett Kreutziger, Desmond Hirschi, Sven Fischer, Richard F Herzog, Stefan Zbinden, Philipp Honigmann
PURPOSE: Shoulder dislocation is often associated with intense pain, and requires urgent pain therapy and reduction. Interscalene block, general anesthesia, or intravenous analgesia alone are applied procedures that facilitate shoulder reduction by the surgeon and ease patients' pain. This study was conducted to compare procedure times, patient satisfaction, side-effects, and clinical outcome of these clinical procedures. METHODS: Retrospective chart analysis was performed for all patients treated at the Emergency Department of a primary care hospital...
March 12, 2019: Journal of Anesthesia
Pamela E Smith, Erinn M Hade, Yubo Tan, Lopa K Pandya, Andrew F Hundley, Catherine O Hudson
INTRODUCTION AND HYPOTHESIS: The primary aim was to compare the incidence of major perioperative complications in women undergoing vaginal reconstructive surgery with general, regional, and monitored anesthesia care using a national database. The secondary aim was to compare length of hospital stay, 30-day readmission rates, urinary tract infections, and reoperation rates between anesthesia types. MATERIALS AND METHODS: The National Surgical Quality Improvement Program database was used to study women undergoing vaginal surgery for pelvic floor disorders from 2006 to 2015 via Current Procedural Terminology codes...
March 12, 2019: International Urogynecology Journal
R Galeiras, M Mourelo, S Pértega, M E López, I Esmorís
Procedural sedation and analgesia (PSA) is a widely used strategy in various fields to carry out numerous diagnostic and therapeutic procedures. However, there is limited information on its efficacy and safety during enzymatic debridement of burn patients with Nexobrid®. The aim of our study was to describe the U-type PSA procedure in a series of patients requiring enzymatic debridement. We carried out a retrospective, descriptive study involving 28 patients requiring enzymatic debridement of a limb, trunk or multiple locations, who had been admitted to the Burn Unit of the University Hospital Complex of A Coruña (Spain)...
September 30, 2018: Annals of Burns and Fire Disasters
George L Caldwell, Michael A Selepec
Background: Pain management after anterior cruciate ligament reconstruction (ACLR) may pose a risk of prolonged opioid use. Questions/Purposes: The purposes of this study in ACLR were to investigate the efficacy of a surgeon-administered local-regional block of specific genicular nerves on post-operative analgesia following ACLR and to quantify the outpatient opioid consumption and duration through the complete post-operative course. Methods: Prospectively, all patients undergoing primary ACLR by a single surgeon were studied over a 10-month period...
February 2019: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
E Carlos Rodriguez-Merchan, Alfonso Vaquero-Picado, Juan S Ruiz-Perez
Opioids have been widely used in the USA for pain control after total knee arthroplasty (TKA). However, adverse effects, especially the possibility of addiction, have increased interest in opioid-free pain management after surgery. We therefore sought to review current pain management protocols after TKA, focusing especially on opioid-free alternatives. We reviewed the literature on pain management after TKA using Medline (PubMed), through June 30, 2018, using the keywords "TKA" and "analgesia...
February 2019: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
Magdolna Barra, Edit Remák, Dong Dong Liu, Li Xie, Lucy Abraham, Alesia B Sadosky
Purpose: The use of parecoxib plus opioids for postoperative analgesia in noncardiac surgical patients seems to be cost-saving in Europe due to a reduction in opioid use and opioid-related adverse events. Given the lack of information on postoperative analgesic use in Asia, this study assessed the economic consequences of the addition of parecoxib to opioids vs opioids alone to treat postsurgical pain in China. Methods: A cost-consequence economic evaluation assessed direct medical costs related to opioid-related clinically meaningful events (CMEs) utilizing dosing information and reported frequency of events from a Phase III, randomized, double-blind, global clinical trial (PARA-0505-069) of parecoxib plus opioids vs opioids alone for 3 days following major orthopedic, abdominal, gynecologic, or noncardiac thoracic surgery requiring general or regional anesthesia...
2019: ClinicoEconomics and Outcomes Research: CEOR
Naveen Raj
Systemic opioids have been the main stay for the management of perioperative pain in children undergoing cardiac surgery with sternotomy. The location, distribution and duration of pain in these children has not been studied as extensively as in adults. Currently there is no consensus to the dose of opioids required to provide optimum analgesia and attenuate the stress response whilst minimising their unwanted side effects. At present there is a tendency to use lower dose aiming for early extubation and minimise opioid related side effects, but this may not obtund the stress response in all children...
March 12, 2019: Paediatric Anaesthesia
Pablo Bascuñana, James T Thackeray, M Bankstahl, Frank M Bengel, Jens P Bankstahl
PURPOSE: 2-Deoxy-2-[18 F]fluoro-D-glucose ([18 F]FDG) has been widely used for imaging brain metabolism. Tracer injection in anesthetized animals is a prerequisite for performing dynamic positron emission tomography (PET) scanning. Since preconditioning, as well as anesthesia, has been described to potentially influence brain [18 F] FDG levels, this study evaluated how these variables globally and regionally affect both [18 F] FDG uptake and kinetics in murine brain. PROCEDURES: Sixty-minute dynamic [18 F] FDG PET scans were performed in adult male C57BL/6 mice anesthetized with isoflurane [control (in 100 % O2 ), in medical air, in 100 % O2  + insulin pre-treatment, and in 100 % O2 after 18 h fasting], ketamine/xylazine, sevoflurane, and chloral hydrate...
March 11, 2019: Molecular Imaging and Biology: MIB: the Official Publication of the Academy of Molecular Imaging
Carmen L Mueller, Robert Lisbona, Rafik Sorial, Aya Siblini, Lorenzo E Ferri
INTRODUCTION: Although endoscopic resection for early gastric cancer is well established, anatomical resection with regional lymphadenectomy is recommended for lesions at high risk for occult lymph node metastasis (e.g., lymphovascular invasion, poor grade, and deep submucosal invasion). However, 75-95% high-risk early gastric cancer (HR-EGC) patients ultimately have node-negative disease and could potentially have undergone organ-sparing resection. Due to the inadequacy of standard modalities to reliably rule out nodal metastases in HR-EGC patients, sentinel lymph node (SLN) sampling was developed in Asia with promising results...
March 11, 2019: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
Mehmet İlhan Şahin, Alperen Vural, Aynur Akın, İbrahim Ketenci, Yaşar Ünlü
Background and Objectives: Knowing the ototoxic potential of the agents used in medical treatments is important for the protection of hearing. Although we have knowledge regarding some effects of dexmedetomidine, which is an anesthetic-sparing drug, its influence over the hearing system has never been studied and is obscure yet. The aim of this study is to determine the effects of intravenous dexmedetomidine application during sevoflurane anesthesia on otoacoustic emissions (OAEs). Subjects and Methods: This prospective randomized study was performed on 60 patients (34 male, 26 female, mean age: 30...
March 13, 2019: Journal of Audiology & Otology
Sung Min Han, Hee Sung Chae, Ha Neul Lee, Hyun Jong Jeon, Jeong Pyo Bong, Ji Hoon Kim
RATIONALE: Deep neck infections (DNIs) in the head and neck area are difficult to treat due to the anatomical complexity of the cervical region. Since inflammation causes changes in anatomy, it is often difficult to find the exact location of the abscess, which leads to failed surgical drainage. PATIENT CONCERN: A 76-year-old female patient was referred to our clinic with trismus and right-side facial swelling. After extraction of her lower third molar 2 weeks ago, due to chronic periodontitis, her trismus had aggravated and her maximal mouth opening was 20 mm...
March 2019: Medicine (Baltimore)
Beverley A Orser, C Ruth Wilson, Alexandra J Rotstein, Stuart J Iglesias, Brian T Spain, Pavithra Ranganathan, William A MacDonald, Victor Ng, Susan O'Leary, Alika Lafontaine
Inadequate access to anesthesia and surgical services is often considered to be a problem of low- and middle-income countries. However, affluent nations, including Canada, Australia, and the United States, also face shortages of anesthesia and surgical care in rural and remote communities. Inadequate services often disproportionately affect indigenous populations. A lack of anesthesia care providers has been identified as a major contributing factor to the shortfall of surgical and obstetrical care in rural and remote areas of these countries...
March 4, 2019: Anesthesia and Analgesia
Massimo Candiani, Stefano Maria Ferrari, Elena Marotta, Iacopo Tandoi, Jessica Ottolina, Stefano Salvatore
OBJECTIVES: To describe our technique for transvaginal treatment of isthmocele. DESIGN: Surgical video article. Local Institutional Review Board approval for the video reproduction was obtained. SETTING: A scientific institute. PATIENT(S): A 26-year-old patient complaining of abnormal uterine bleeding and pelvic pain was referred to our gynecological clinic for secondary infertility. At transvaginal ultrasound examination, a cesarean scar defect of 22 × 11 mm was identified, with a residual myometrial thickness over the defect of 2 mm...
March 7, 2019: Fertility and Sterility
Pierre Laumonerie, Laurent Blasco, Meagan E Tibbo, Yohann Renard, Panagiotis Kerezoudis, Patrick Chaynes, Nicolas Bonnevialle, Pierre Mansat
BACKGROUND: A bone landmark-based approach (LBA) to the distal suprascapular nerve (dSSN) block is an attractive "low-tech" method available to physicians with no advanced training in regional anesthesia or ultrasound guidance. The primary aim of this study was to validate the feasibility of an LBA to blockade of the dSSN by orthopedic surgeons using anatomic analysis. The secondary aim was to describe the anatomic features of the sensory branches of the dSSN. MATERIALS AND METHODS: An LBA was performed in 15 cadaver shoulders by an orthopedic resident...
March 4, 2019: Journal of Shoulder and Elbow Surgery
Miguel A Reina, Xavier Sala-Blanch, Enrique Monzó, Olga C Nin, Paul E Bigeleisen, André P Boezaart
WHAT WE ALREADY KNOW ABOUT THIS TOPIC: The intraneural injection of local anesthetics is an accepted cause of nerve injury related to regional anesthesiaThe intrafascicular versus extrafascicular spread of local anesthetics is hypothesized to be necessary for nerve damage to occur WHAT THIS ARTICLE TELLS US THAT IS NEW: Using the ultrasound-guided injection of heparinized blood into the nerves of cadavers, the extrafascicular spread of injectate was observedIntrafascicular spread of injectate was rarely observed, making this an unlikely route of nerve damage after accidental intraneural injection BACKGROUND:: There is confusion regarding the spread of intraneurally injected local anesthetic agents during regional anesthesia...
March 4, 2019: Anesthesiology
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"