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Regional Anesthesia and Pain Medicine

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https://www.readbyqxmd.com/read/29140962/anatomic-study-of-innervation-of-the-anterior-hip-capsule-implication-for-image-guided-intervention
#1
Anthony J Short, Jessi Jo G Barnett, Michael Gofeld, Ehtesham Baig, Karen Lam, Anne M R Agur, Philip W H Peng
BACKGROUND AND OBJECTIVES: The purpose of this cadaveric study was to determine the pattern of anterior hip capsule innervation and the associated bony landmarks for image-guided radiofrequency denervation. METHODS: Thirteen hemipelvises were dissected to identify innervation of the anterior hip capsule. The femoral (FN), obturator (ON), and accessory obturator (AON) nerves were traced distally, and branches supplying the anterior capsule documented. The relationships of the branches to bony landmarks potentially visible with ultrasound were identified...
November 14, 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29140961/cervical-foraminal-epidural-blood-patch-for-the-targeted-treatment-of-refractory-cerebrospinal-fluid-leakage-from-a-dural-sleeve
#2
Nuj Tontisirin, Pannawit Benjhawaleemas, Sasikaan Nimmaanrat, Pornchai Sathirapanya, Teeranan Laohawiriyakamol, De Q Tran, Roderick J Finlayson
Epidural blood patches (EBPs) are routinely used to treat symptoms (eg, headaches) associated with spontaneous intracranial hypotension. Although cerebrospinal fluid leakage commonly involves the periforaminal areas of the cervical or thoracic spine, EBPs have been historically performed at the lumbar level. Recent evidence suggests that targeting the causative spinal segment may provide greater clinical benefits. While previous reports have targeted foraminal leaks with segmental thoracic or cervical injections, we present a case report detailing the novel use of a navigable epidural catheter to perform a selective EBP at the C7/T1 foramen...
November 14, 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29140960/radiofrequency-procedures-to-relieve-chronic-hip-pain-an-evidence-based-narrative-review
#3
Anuj Bhatia, Yasmine Hoydonckx, Philip Peng, Steven P Cohen
BACKGROUND AND OBJECTIVES: Chronic hip pain from osteoarthritis and other degenerative conditions is a common problem. A few publications have recently reported analgesic success of radiofrequency (RF) procedures on nerves innervating the hip, but interpretation is hampered by lack of clarity regarding indications, clinical protocols, anatomic targets, and longevity of benefit from RF procedures. METHODS: We reviewed the following medical literature databases for publications on RF procedures on the hip joint for chronic pain: MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, and Google Scholar through February 28, 2017...
November 14, 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29140959/comparison-of-continuous-proximal-versus-distal-adductor-canal-blocks-for-total-knee-arthroplasty-a-randomized-double-blind-noninferiority-trial
#4
Adam W Meier, David B Auyong, Stanley C Yuan, Shin-E Lin, James M Flaherty, Neil A Hanson
BACKGROUND AND OBJECTIVES: Adductor canal blocks (ACBs) are associated with improved analgesia, preserved quadriceps strength, and decreased length of hospitalization after total knee arthroplasty (TKA). However, controversy remains regarding the ideal location of a continuous block within the adductor canal, and it remains unclear whether similar clinical benefits are obtained irrespective of block location. In this randomized, double-blind, noninferiority study, we hypothesized that a continuous proximal ACB provides postoperative analgesia that is no worse than a continuous distal ACB...
November 14, 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29140958/should-hospitals-market-opioid-sparing-analgesia-to-patients
#5
Alexander B Stone, Christopher L Wu, Michael C Grant
No abstract text is available yet for this article.
November 14, 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29135886/interpreting-the-mint-randomized-trials-evaluating-radiofrequency-ablation-for-lumbar-facet-and-sacroiliac-joint-pain-a-call-from-asra-for-better-education-study-design-and-performance
#6
David A Provenzano, Asokumar Buvanendran, Oscar A de León-Casasola, Samer Narouze, Steven P Cohen
No abstract text is available yet for this article.
November 13, 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29099415/analgesic-drug-prescription-after-carpal-tunnel-surgery-a-pharmacoepidemiological-study-investigating-postoperative-pain
#7
Régis Fuzier, Isabelle Serres, Robert Bourrel, Aurore Palmaro, Maryse Lapeyre-Mestre
BACKGROUND AND OBJECTIVES: Carpal tunnel syndrome is a frequent cause of neuropathic pain of the upper limb. Surgery is often proposed in second-line treatment, leading to an expected decrease in analgesic drug consumption. The main objective of this study was to investigate the variations in analgesic drug prescriptions, with a special focus on constant or increasing prescription patterns, before and after surgery for carpal tunnel syndrome. METHODS: We designed a retrospective cohort study of French beneficiaries from the health insurance system in Midi-Pyrénées area...
November 2, 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29099414/transversus-abdominis-plane-catheters-for-analgesia-following-abdominal-surgery-in-adults
#8
Brenton J Sanderson, Matthew A Doane
Transversus abdominis plane (TAP) catheters are increasingly being used as an opioid-sparing analgesic technique following abdominal surgery. The aim of this systematic review is to evaluate the efficacy and safety of TAP catheters for postoperative analgesia following abdominal surgery in adults. The authors searched electronic databases and relevant reference lists for randomized controlled trials published between inception and January 2017. Twelve randomized controlled trials were identified, comprising 661 participants, with several trials showing either an equivalence or superiority in analgesia compared with the alternative modality...
November 2, 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29095751/challenging-conventions-to-make-a-difference-in-patient-care-the-2017-gaston-labat-award-lecture
#9
Nigel E Sharrock
No abstract text is available yet for this article.
November 1, 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29095750/the-use-of-regional-or-neuraxial-anesthesia-for-below-knee-amputations-may-reduce-the-need-for-perioperative-blood-transfusions
#10
Obaid Malik, Ethan Y Brovman, Richard D Urman
BACKGROUND AND OBJECTIVES: Amputations of the lower extremity remain a common procedure in a high-risk population. Perioperative morbidity and mortality reach as high as 14.1% in below-knee amputations. We aimed to determine whether regional, or neuraxial, anesthesia, when compared with general anesthesia (GA), would be associated with reduced perioperative morbidity and mortality. METHODS: We queried the American College of Surgeons National Surgical Quality Improvement Program data set...
November 1, 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29095245/prospective-multicenter-randomized-crossover-clinical-trial-comparing-the-safety-and-effectiveness-of-cooled-radiofrequency-ablation-with-corticosteroid-injection-in-the-management-of-knee-pain-from-osteoarthritis
#11
Tim Davis, Eric Loudermilk, Michael DePalma, Corey Hunter, David Lindley, Nilesh Patel, Daniel Choi, Marc Soloman, Anita Gupta, Mehul Desai, Asokumar Buvanendran, Leonardo Kapural
BACKGROUND AND OBJECTIVES: Osteoarthritis (OA) of the knee affects the aging population and has an associated influence on the health care system. Rigorous studies evaluating radiofrequency ablation for OA-related knee pain are lacking. This study compared long-term clinical safety and effectiveness of cooled radiofrequency ablation (CRFA) with intra-articular steroid (IAS) injection in managing OA-related knee pain. METHODS: This is a prospective, multicenter, randomized trial with 151 subjects with chronic (≥6 months) knee pain that was unresponsive to conservative modalities...
November 1, 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29077589/changes-in-anxiety-and-depression-are-mediated-by-changes-in-pain-severity-in-patients-undergoing-lower-extremity-total-joint-arthroplasty
#12
Afton L Hassett, Elizabeth Marshall, Angela M Bailey, Stephanie Moser, Daniel J Clauw, W Michael Hooten, Andrew Urquhart, Chad M Brummett
BACKGROUND: Depression and anxiety are common comorbidities in chronic pain including osteoarthritis patients undergoing total joint arthroplasty (TJA). What is not clear is whether psychiatric comorbidity precedes the manifestation of painful states or represents a reaction to living with chronic pain and associated functional impairment. The objective of this research was to explore whether decreases in depressive and anxiety symptoms after lower-extremity TJA could be due to postsurgical reductions in pain...
October 26, 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29064863/the-influence-of-collaboration-ralph-waters-friendship-with-john-lundy-and-the-spread-of-regional-anesthesia
#13
Shelly B Borden, Colby L Parks
Ralph Waters, the founder of the anesthesiology department and residency program at the University of Wisconsin-Madison, and John Lundy, the chair at the Mayo Clinic beginning in 1924, collaborated to expand regional anesthetic techniques and knowledge not only at their institutions, but also at institutions around the country through correspondence, meetings, and hosting of other anesthesiologists. The Ralph Waters Collection at the University of Wisconsin Archives was searched for information on Waters' and Lundy's involvement in regional anesthesia...
October 23, 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29035937/ultrasound-detection-of-arteria-comitans-a-novel-technique-to-locate-the-sciatic-nerve
#14
Hesham Elsharkawy, Babak Kateby Kashy, Rovnat Babazade, Andrew T Gray
In the gluteal and thigh region, the arteria comitans accompanies the sciatic nerve for a short distance, then penetrates the nerve and runs to the lower part of the thigh. There is no study that recognizes this artery as a guide to the location of the sciatic nerve. In this report, we describe a series of 6 knee arthroplasty patients in whom ultrasound-guided sciatic nerve block was successfully performed using color Doppler and pulsed wave Doppler to visualize the arteria comitans as a guide to the location of the sciatic nerve...
October 13, 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29053514/-everybody-knows-isms-and-unloading-the-dice-a-reply-to-drs-yadeau-and-liguori
#15
André P Boezaart, Hari K Parvataneni
No abstract text is available yet for this article.
November 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29053513/coming-of-age-for-green-anesthesia-the-leading-role-of-regional-anesthesia
#16
Timur Özelsel, Rakesh V Sondekoppam, Vivian H Y Ip, Ban C H Tsui
No abstract text is available yet for this article.
November 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29053512/incidence-of-clinically-overt-hematoma-formation-following-removal-of-adductor-canal-catheters-during-concomitant-factor-xa-inhibitor-therapy
#17
Arjun K Ramesh, Adam C Young
No abstract text is available yet for this article.
November 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29053511/decreasing-the-incidence-of-tuohy-borst-clamp-connector-disconnections-from-perineural-catheters-a-quality-improvement-study
#18
James K Kim, Amanda Kumar, Neda Sadeghi, Michael Shaughnessy, Jeff Gadsden, Karen Nielsen, Steve Melton, Stephen Klein
No abstract text is available yet for this article.
November 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29053510/reply-to-dr-stimpson-et-al
#19
Andreas Wolfgang Reske, Peter Schwarzkopf, David Petroff, Martin Wiegel
No abstract text is available yet for this article.
November 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29053509/a-good-sos-nb-is-also-good-for-your-oss
#20
James Andrew Stimpson, Ping Chen, Benjamin Fox, Robin Heij, Jane Hermanowski, Laura Perry
No abstract text is available yet for this article.
November 2017: Regional Anesthesia and Pain Medicine
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