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Regional Anesthesia and Pain Medicine

journal
https://www.readbyqxmd.com/read/28178092/a-randomized-comparison-between-ultrasound-and-fluoroscopy-guided-sacral-lateral-branch-blocks
#1
Roderick J Finlayson, John-Paul B Etheridge, Maria Francisca Elgueta, Atikun Thonnagith, Frederick De Villiers, Bill Nelems, De Q Tran
BACKGROUND AND OBJECTIVES: This randomized trial compared ultrasound (US)- and fluoroscopy-guided sacral lateral branch (SLB) blocks. We hypothesized that US would require a shorter performance time. METHODS: Forty patients who required unilateral sacral lateral branch blocks for chronic low back pain were randomized to US or fluoroscopy guidance. Before the performance of the assigned block, an investigator who was not involved in patient care carried out baseline analgesic testing...
February 6, 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/28157791/addition-of-liposome-bupivacaine-to-bupivacaine-hcl-versus-bupivacaine-hcl-alone-for-interscalene-brachial-plexus-block-in-patients-having-major-shoulder-surgery
#2
Catherine Vandepitte, Max Kuroda, Richard Witvrouw, Ludwig Anne, Johan Bellemans, Kristoff Corten, Pascal Vanelderen, Dieter Mesotten, Ine Leunen, Micheline Heylen, Sam Van Boxstael, Monika Golebiewski, Marc Van de Velde, Nebojsa Nick Knezevic, Admir Hadzic
BACKGROUND AND OBJECTIVES: We examined whether liposome bupivacaine (Exparel) given in the interscalene brachial plexus block lowers pain in the setting of multimodal postoperative pain management for major shoulder surgery. METHODS: Fifty-two adult patients were randomized to receive either 5 mL of 0.25% bupivacaine HCl immediately followed by 10 mL of liposome bupivacaine 133 mg (n = 26) or 15 mL of 0.25% standard bupivacaine alone (n = 26) in interscalene brachial plexus block...
February 3, 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/28092318/opening-injection-pressure-is-higher-in-intraneural-compared-with-perineural-injections-during-simulated-nerve-blocks-of-the-lower-limb-in-fresh-human-cadavers
#3
Kris Vermeylen, Marlies Hermans, Filiep Soetens, Evie Vereecke, Thorsten Steinfeldt, Gerbrand Groen, Admir Hadzic, Marc Van de Velde
BACKGROUND AND OBJECTIVES: Needle-induced nerve trauma and intraneural injection can lead to neurologic injury during peripheral nerve blocks. In this study, we assessed the utility of opening injection pressure (OIP), time to OIP, and rate of rise to OIP in detecting needle-nerve contact and intraneural injection. METHODS: Five common ultrasound-guided blocks of the femoral, saphenous, subgluteal sciatic, tibial, and common peroneal nerves were simulated in 10 fresh cadavers...
January 13, 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/28085789/reporting-of-design-features-and-analysis-details-in-randomized-clinical-trials-of-procedural-treatments-for-cancer-pain-an-acttion-systematic-review
#4
Daniel Rothstein, Rachel A Kitt, Shannon M Smith, Salahadin Abdi, Mitchell P Engle, Michael P McDermott, Srinivasa N Raja, Dennis C Turk, Robert H Dworkin, Jennifer S Gewandter
BACKGROUND AND OBJECTIVES: The objective of this study was to assess the reporting of randomized clinical trials investigating procedural treatments (eg, nerve blocks, targeted drug delivery) for cancer pain, with a focus on aspects that are particularly challenging in these trials. METHODS: This article presents results from a systematic review of reporting of randomized clinical trials of procedural interventions for cancer pain. Articles were identified by searching PubMed from 1966 to June 2014...
January 12, 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/28079753/synergistic-effects-of-serotonin-or-dopamine-combined-with-lidocaine-at-producing-nociceptive-block-in-rats
#5
Ching-Hsia Hung, Chong-Chi Chiu, Kuo-Sheng Liu, Yu-Wen Chen, Jhi-Joung Wang
BACKGROUND: The purpose of this experiment was to investigate the interactions of the local anesthetic lidocaine combined with an agent (serotonin or dopamine) as infiltrative anesthetics. METHODS: Cutaneous analgesia was characterized by the blockade of the cutaneous trunci muscle reflex following 6 skin pinpricks on the rat back. Serotonin or dopamine at producing cutaneous analgesia in a dosage-dependent fashion was compared with lidocaine. Drug-drug interactions were calculated using the isobolographic analysis...
January 11, 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/28079735/incidence-of-local-anesthetic-systemic-toxicity-in-orthopedic-patients-receiving-peripheral-nerve-blocks
#6
Eva E Mörwald, Nicole Zubizarreta, Crispiana Cozowicz, Jashvant Poeran, Stavros G Memtsoudis
BACKGROUND AND OBJECTIVES: Peripheral nerve blocks are increasingly used. However, despite low complication rates, concerns regarding local anesthetic systemic toxicity remain. Although recent studies suggest that this severe complication has decreased considerably, there is a paucity of data about it on a national level. We sought to elucidate the incidence of local anesthetic systemic toxicity on a national level and therefore provide guidance toward the need for preparedness in daily anesthetic practice...
January 9, 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/28059870/epinephrine-deteriorates-pulmonary-gas-exchange-in-a-rat-model-of-bupivacaine-induced-cardiotoxicity-a-threshold-dose-of-epinephrine
#7
Quan-Guang Wang, Cong Wu, Yun Xia, Jiao-Jiao Dong, Ting-Ting Lin, Qiao-Yan Liu, Thomas J Papadimos, Xu-Zhong Xu
BACKGROUND AND OBJECTIVE: The study goal was to compare the effect of epinephrine in different doses on pulmonary gas exchange in a rat model of bupivacaine-induced cardiac depression. METHODS: Twenty-four adult male Sprague-Dawley rats were divided into 4 groups (n = 6), and each group received a bupivacaine infusion (2.5 mg/kg per minute, 6 minutes) via the left femoral vein to induce cardiac depression. At the end of the bupivacaine infusion, each group was immediately given either isotonic sodium chloride solution (normal saline; NS group), 5-μg/kg epinephrine (Epi5 group), 10-μg/kg epinephrine (Epi10 group), or 20 μg/kg epinephrine (Epi20 group)...
January 3, 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/28059869/a-longitudinal-supra-inguinal-fascia-iliaca-compartment-block-reduces-morphine-consumption-after-total-hip-arthroplasty
#8
Matthias Desmet, Kris Vermeylen, Imré Van Herreweghe, Laurence Carlier, Filiep Soetens, Stijn Lambrecht, Kathleen Croes, Hans Pottel, Marc Van de Velde
BACKGROUND AND OBJECTIVES: The role of a fascia iliaca compartment block (FICB) for postoperative analgesia after total hip arthroplasty (THA) remains questionable. High-dose local anesthetics and a proximal injection site may be essential for successful analgesia. High-dose local anesthetics may pose a risk for local anesthetic systemic toxicity. We hypothesized that a high-dose longitudinal supra-inguinal FICB is safe and decreases postoperative morphine consumption after anterior approach THA...
January 3, 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/28207652/the-erector-spinae-plane-block
#9
Duncan L Hamilton, Baskar Manickam
No abstract text is available yet for this article.
March 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/28207651/editor-s-note-a-reply-to-drs-yadeau-and-ligouri
#10
Marc A Huntoon
No abstract text is available yet for this article.
March 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/28207650/loaded-dice
#11
Jacques T YaDeau, Gregory A Liguori
No abstract text is available yet for this article.
March 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/28207649/reply-to-marty-et-al
#12
Rakesh V Sondekoppam, Shalini Dhir
No abstract text is available yet for this article.
March 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/28207648/a-comparison-of-combined-suprascapular-and-axillary-nerve-blocks-to-interscalene-block-interpret-with-caution
#13
Philippe Marty, Olivier Rontes, Alain Delbos
No abstract text is available yet for this article.
March 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/28207647/reply-to-dr-williams-et-al
#14
Asokumar Buvanendran, Jeffrey S Kroin
No abstract text is available yet for this article.
March 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/28207646/translational-interpretations-of-combined-bupivacaine-clonidine-buprenorphine-dexamethasone
#15
Brian A Williams, James W Ibinson, Catalin S Ezaru, Hulimangala Rakesh, Michael P Mangione
No abstract text is available yet for this article.
March 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/28207645/hazards-of-standard-epidural-test-dose-in-laboring-parturients
#16
Michael G Richardson
No abstract text is available yet for this article.
March 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/28207644/reply-to-drs-orebaugh-and-bigeleisen
#17
Carlo D Franco
No abstract text is available yet for this article.
March 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/28207643/nerve-roots-trunks-and-the-vagaries-of-ultrasound
#18
Steven L Orebaugh, Paul E Bigeleisen
No abstract text is available yet for this article.
March 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/28207642/the-transversus-abdominis-plane-block-in-healthy-volunteers-a-reply-to-dr-hebbard
#19
Christian Rothe, Kion B Støving, Charlotte V Rosenstock, Eske K Aasvang, Lars H Lundstrøm, Kai H W Lange
No abstract text is available yet for this article.
March 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/28207641/cutaneous-distribution-of-lateral-transversus-abdominis-plane-block
#20
Peter D Hebbard
No abstract text is available yet for this article.
March 2017: Regional Anesthesia and Pain Medicine
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