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Keywords intraoperative analgesia and p...

intraoperative analgesia and post operative pain

https://read.qxmd.com/read/38476544/retrolaminar-block-for-opioid-free-anaesthesia-and-enhanced-recovery-after-posterior-lumbar-discectomy-a-randomised-controlled-study
#1
JOURNAL ARTICLE
Alshaimaa A F Kamel, Ahmed M Fahmy, Marwa M Medhat, Wael A E Ali Elmesallamy, Dina A E Salem
BACKGROUND AND AIMS: Intraoperative regional analgesia and enhanced recovery are standard care models aimed at reducing perioperative opioid use following spine surgeries. This study aimed to examine the analgesic effect of retrolaminar block in promoting recovery and pain relief after posterior lumbar discectomy. METHODS: The patients undergoing elective posterior lumbar discectomy were randomised into the retrolaminar group (n = 36) (received an intra-operative bilateral retrolaminar block with 15 mL of bupivacaine 0...
March 2024: Indian Journal of Anaesthesia
https://read.qxmd.com/read/38462497/postoperative-pain-at-landspitali-a-prospective-study
#2
JOURNAL ARTICLE
Andri M Tomasson, Hilma Jakobsdóttir, Haraldur M Gudnason, Sigurbergur Karason, Martin I Sigurdsson
BACKGROUND: Moderate or severe postoperative pain is common despite advances in surgical technique and perioperative analgesia. This study aimed to assess the prevalence and severity of postoperative pain following procedures requiring anaesthesia and identify factors associated with increased risk of postoperative pain. METHODS: Surgical patients ≥18 years of age were prospectively questioned on level of current pain on a numerical rating scale (NRS) from 0 to 10 in the post-anaesthesia care unit (PACU) and on resting, active and worst pain experienced in the first 24 h postoperatively...
March 10, 2024: Acta Anaesthesiologica Scandinavica
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
#3
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/38438671/initial-experience-with-enhanced-recovery-after-surgery-eras-and-early-discharge-protocols-after-robotic-extended-totally-extraperitoneal-etep-hernia-surgery
#4
JOURNAL ARTICLE
Yao Z Liu, Andrew Luhrs, Elizabeth Tindal, Stephanie Chan, Nicholas Gabinet, Marcoandrea Giorgi
BACKGROUND: Though robotic adoption for eTEP surgery has decreased technical barriers to minimally invasive repairs of large ventral hernias, relatively few studies have examined outcomes of robotic-specific eTEP surgery. This study evaluates safety, feasibility, and early outcomes of ERAS/same-day discharge protocols for robotic eTEP ventral hernia repairs. METHODS: A retrospective chart review was performed for all robotic eTEP hernia surgeries at a single institution between 2019 and 2022...
March 4, 2024: Surgical Endoscopy
https://read.qxmd.com/read/38426799/suprazygomatic-maxillary-nerve-block-in-palatoplasty-a-retrospective-cohort-study-of-perioperative-outcomes-in-syndromic-and-non-syndromic-children
#5
JOURNAL ARTICLE
Krystof Stanek, Walid Alrayashi, Lisa Nussbaum, Ingrid M Ganske, Carolyn R Rogers-Vizena
OBJECTIVE: This study compares the impact of surgical site infiltration of local anesthesia alone to surgical site infiltration plus suprazygomatic maxillary nerve block (SMB) in non-syndromic and syndromic children undergoing primary palatoplasty. DESIGN: Retrospective cohort study of intra- and post-operative outcomes and opioid utilization in children undergoing palatoplasty by a single surgeon. SETTING: Urban, academic, tertiary care children's hospital...
March 1, 2024: Cleft Palate-craniofacial Journal
https://read.qxmd.com/read/38389718/machines-mathematics-and-modules-the-potential-to-provide-real-time-metrics-for-pain-under-anesthesia
#6
JOURNAL ARTICLE
Ke Peng, Keerthana Deepti Karunakaran, Stephen Green, David Borsook
The brain-based assessments under anesthesia have provided the ability to evaluate pain/nociception during surgery and the potential to prevent long-term evolution of chronic pain. Prior studies have shown that the functional near-infrared spectroscopy (fNIRS)-measured changes in cortical regions such as the primary somatosensory and the polar frontal cortices show consistent response to evoked and ongoing pain in awake, sedated, and anesthetized patients. We take this basic approach and integrate it into a potential framework that could provide real-time measures of pain/nociception during the peri-surgical period...
January 2024: Neurophotonics
https://read.qxmd.com/read/38380215/efficacy-of-intraoperative-periarticular-local-infiltration-for-pain-control-and-ambulation-in-total-knee-arthroplasty-a-randomized-case-control-study
#7
JOURNAL ARTICLE
Gopalakrishna Kg, Rakshit J
INTRODUCTION: Total knee arthroplasty (TKA) is a leading operative procedure for late-stage knee osteoarthritis. The cornerstone of a successful TKA is swift and effective rehabilitation to achieve a pain-free and good range of motion. Pain post-replacement hinders an effective rehabilitation protocol. Reported preoperative, perioperative, and postoperative analgesia modes have undesirable side effects. The purpose of this study is to assess the effect of a unique cocktail injection on immediate postoperative pain using the visual analog score, the need for additional analgesics during the initial period, and the ambulation time between the case and control groups...
January 2024: Curēus
https://read.qxmd.com/read/38341659/impact-of-cryoablation-on-operative-outcomes-in-thoracotomy-patients
#8
JOURNAL ARTICLE
Kian Pourak, Rachel Kubiak, Kumaran Arivoli, Kiran Lagisetty, William Lynch, Jules Lin, Andrew Chang, Rishindra M Reddy
OBJECTIVES: Cryoablation is increasingly being utilized as an alternative to epidurals for patients undergoing thoracotomies. Current evidence suggests cryoablation may decrease post-operative analgesia utilization, but could increase operative times. We hypothesized that the adoption of intraoperative cryoablation to manage post-thoracotomy pain would result in reduced length of stay and reduced perioperative analgesia compared to routine epidural use. METHODS: A retrospective analysis was performed from a single, quaternary referral center, prospective database on patients receiving thoracotomies between 01/2020-03/2022...
February 10, 2024: Interdiscip Cardiovasc Thorac Surg
https://read.qxmd.com/read/38336575/effectiveness-of-erector-spinae-plane-block-in-reducing-opioid-consumption-after-colorectal-surgery-a-comprehensive-meta-analysis
#9
REVIEW
Syed Muhammad Muneeb Akhtar, Areeba Fareed, Urwah Afzal, Muhammad Sohaib Asghar, Munazza Mumtaz, Fatima Faraz, Huda Naeem, Rayyan Vaid
Despite the life-saving nature of colorectal surgeries, patients often experience intra and post-operative problems, especially pain and discomfort. This meta-analysis aimed to evaluate the effectiveness of erector spinae plane block (ESP block) in postoperative pain management for patients undergoing colorectal surgeries. A comprehensive systematic literature search was conducted in PubMed and Cochrane Library databases from inception until December 2023. Eight studies were deemed appropriate for inclusion...
February 2, 2024: American Journal of Surgery
https://read.qxmd.com/read/38326498/comparing-the-analgesic-effects-between-the-pre-and-post-costal-cartilage-harvest-cohorts-using-ultrasound-guided-deep-serratus-anterior-plane-block-in-children-with-microtia-undergoing-auricular-reconstruction-a-randomized-clinical-trial
#10
JOURNAL ARTICLE
Guihua Xiang, Chunmei Chen, Keyu Chen, Quanle Liu, Xiaole Sun, Yan Huang, Lan Huang, Jing Jin, Jiantao Shang, Dong Yang
PURPOSE: Pain following costal cartilage harvest surgery is the most common complaint of auricular reconstruction (AR). Anesthesiologists are continuously searching for an effective postoperative pain control method. METHODS: This study was conducted from 10 April 2022 to 10 June 2022. Sixty children undergoing AR using costal cartilage were randomly assigned to either a serratus anterior plane block performed before costal cartilage harvest (SAPB-pre-cohort; n = 30) or the SAPB-post-cohort (Post-costal cartilage Harvest Cohort: n = 30)...
February 7, 2024: Aesthetic Plastic Surgery
https://read.qxmd.com/read/38238877/analgesic-efficacy-of-ropivacaine-infiltration-on-early-post-tonsillectomy-pain-in-pediatrics
#11
REVIEW
Ebraheem Albazee, Omar A Abdelwahab, Ahmed Abdelaziz, Duha Magzoub, Ahmed Abu-Zaid
OBJECTIVE: To assess the analgesic efficacy of ropivacaine infiltration in the tonsillar fossa among pediatric patients undergoing tonsillectomy. DATA SOURCES: PubMed, Scopus, Web of Science, and CENTRAL. REVIEW METHODS: Eligible randomized controlled trials (RCTs) were assessed for bias using Cochrane's risk of bias tool (version 2). Our primary outcome was postoperative pain within 24 h, and secondary outcomes included operative time, intraoperative blood loss, time to first analgesia, bleeding, and nausea/vomiting...
January 18, 2024: Laryngoscope
https://read.qxmd.com/read/38214681/a-randomized-controlled-trial-using-epidural-analgesia-for-pain-relief-after-lumbar-interlaminar-decompressive-spine-surgery-the-rapid-trial
#12
JOURNAL ARTICLE
Sem M M Hermans, Aniek A G Lantinga-Zee, Ruud Droeghaag, Henk van Santbrink, Wouter L W van Hemert, Mattheus K Reinders, Daisy M N Hoofwijk, Sander M J van Kuijk, Kim Rijkers, Inez Curfs
STUDY DESIGN: Prospective, double blind randomized controlled trial. OBJECTIVE: If an intraoperative single bolus of epidural bupivacaine can result in less postoperative pain following lumbar spinal decompression surgery. SUMMARY OF BACKGROUND DATA: Adequate postoperative pain management following lumbar spinal decompression surgery is important as it will lead to early mobilization, less complications and shorter hospital stay. Opioid consumption should be limited due to their frequently accompanied side effects and their addictive nature...
January 15, 2024: Spine
https://read.qxmd.com/read/38039631/effects-of-intraoperative-sodium-oxybate-infusion-on-post-operative-sleep-quality-in-patients-undergoing-gynecological-laparoscopic-surgery-a-randomized-clinical-trial
#13
JOURNAL ARTICLE
Meiying Cui, Tianyi Xing, Anqi Zhao, Lanlan Zheng, Xinping Zhang, Hang Xue, Ziyi Wu, Fang Wang, Ping Zhao
STUDY OBJECTIVE: Post-operative sleep quality is an important factor that influences post-operative recovery. Sodium oxybate has been used to treat sleep disturbances associated with various pathological conditions. However, whether intraoperative intravenous infusion of sodium oxybate improves post-operative sleep quality is unknown. This study aimed to examine the effects of sodium oxybate on the post-operative sleep quality of patients who underwent gynecological laparoscopic surgery...
November 30, 2023: Journal of Clinical Anesthesia
https://read.qxmd.com/read/38021995/quadratus-lumborum-blocks-for-pediatric-bone-marrow-harvesting-a-case-report
#14
Nicole C McCoy, Brittany P DePriest
Bone marrow harvesting is a means to obtain stem cells to treat certain hematologic conditions in related or unrelated individuals. The most cited complication after bone marrow harvesting is surgical site pain. We developed a protocol incorporating regional anesthesia to improve pain control and reduce opioid use. A retrospective chart review was performed on three pediatric patients who underwent bone marrow harvesting for a sibling recipient and were managed via a standardized regional pain protocol...
October 2023: Curēus
https://read.qxmd.com/read/37901148/optimized-method-of-unilateral-spinal-anesthesia-a-double-blind-randomized-clinical-study
#15
JOURNAL ARTICLE
Yernar Dauletovich Mamyrov, Daulet Urazovich Mamyrov, Gulzhanat Ertaevna Jakova, Yoshihiro Noso, Marat Kelisovich Syzdykbayev
BACKGROUND: Unilateral spinal anesthesia is often accompanied by technical difficulties in implementation, multiple puncture attempts, unsuccessful punctures, and, as a result, insufficient anesthesia, along with various complications associated with a dural puncture. OBJECTIVES: This work compares the efficacy and safety of conventional Unilateral Spinal Anesthesia (USpA) and unilateral spinal anesthesia with electrical nerve stimulation (USpA+ENS). METHODS: A total of 134 patients with an upcoming vascular surgery on one lower extremity were randomly assigned to two groups...
April 2023: Anesthesiology and Pain Medicine
https://read.qxmd.com/read/37808102/efficacy-of-lumbosacral-and-sacrococcygeal-epidural-ropivacaine-in-dogs-undergoing-surgery-for-perineal-hernia
#16
JOURNAL ARTICLE
Kati Salla, Tuuli Åhlberg, Jaan Lepajoe, Ira Kallio-Kujala, Sari Mölsä, Daniela Casoni
Epidural anesthesia is commonly administered as part of balanced anesthesia for perioperative analgesia. The main goal of this randomized clinical trial was to compare the efficacy of two epidural approaches in dogs undergoing surgery for a perineal hernia. A secondary aim was to compare motor blockade. Intact ASA 1 and 2 male dogs, weighing ≤25 kg with no previous surgery for perineal hernia were enrolled. After premedication with IM acepromazine 0.02 mg/kg and butorphanol 0.3 mg/kg, general anesthesia was induced with propofol and maintained with sevoflurane in oxygen...
2023: Frontiers in Veterinary Science
https://read.qxmd.com/read/37751885/cryoanalgesia-review-with-respect-to-peripheral-nerve
#17
JOURNAL ARTICLE
Benjamin R Slavin, Moses I Markowitz, Kevin M Klifto, Frank J Prologo, Susan M Taghioff, A Lee Dellon
BACKGROUND: Cryoanalgesia is a tool being used by interventional radiology to treat chronic pain. Within a certain cold temperature range, peripheral nerve function is interrupted, and recovers, without neuroma formation. Cryoanalgesia has most often been applied to the intercostal nerve. Cryoanalgesia has applications to peripheral nerve surgery, yet is poorly understood by reconstructive microsurgeons. METHODS: Histopathology of nerve injury was reviewed to understand cold applied to peripheral nerve...
September 26, 2023: Journal of Reconstructive Microsurgery
https://read.qxmd.com/read/37743099/spinal-anaesthesia-versus-general-anaesthesia-saga-on-recovery-after-hip-and-knee-arthroplasty-a-study-protocol-for-three-randomized-single-blinded-multi-centre-clinical-trials
#18
JOURNAL ARTICLE
Christian Bredgaard Jensen, Kirill Gromov, Nicolai Bang Foss, Henrik Kehlet, Lina Pleckaitiene, Claus Varnum, Anders Troelsen
Mobilisation difficulties, due to muscle weakness, and urinary retention are common reasons for prolonged admission following hip and knee arthroplasty procedures. Whether spinal anaesthesia is detrimental to early mobilisation is controversial. Previous studies have reported differences in post-operative recovery between spinal anaesthesia and general anaesthesia; however, up-to-date comparisons in fast-track setups are needed. Our randomized, single-blinded, multi-centre, clinical trials aim to compare the post-operative recovery after total hip (THA), total knee (TKA), and unicompartmental knee arthroplasties (UKA) respectively when using either spinal anaesthesia (SA) or general anaesthesia (GA) in a fast-track setup...
September 24, 2023: Acta Anaesthesiologica Scandinavica
https://read.qxmd.com/read/37706412/comparison-of-spinal-anaesthesia-and-erector-spinae-plane-block-in-unilateral-inguinal-hernia-randomised-clinical-trial
#19
JOURNAL ARTICLE
Mustafa Kaçmaz, Hacı Bolat, Alirıza Erdoğan
INTRODUCTION: The objective of our study was to compare erector spinae plane block (ESP) with spinal anaesthesia (SA) for inguinal hernia repair with respect to anaesthetic efficacy, post-operative analgesia, mobilisation, discharge, complication and side effects. PATIENTS AND METHODS: The study included 52 patients over 50 years of age, with the American Society of Anaesthesia physical status Class I-III. Group ESP (n = 26) was applied 30 ml of mixed local anaesthetic mixture applied at the L1 level to the plane of the erector spinae and 10 ml of tumescent when necessary, while Group SA (n = 26) was applied 3 ml of 0...
July 5, 2023: Journal of Minimal Access Surgery
https://read.qxmd.com/read/37694976/effect-of-s-ketamine-on-the-intraoperative-surgical-pleth-index-in-patients-undergoing-video-assisted-thoracoscopic-surgery-a-single-center-randomized-controlled-clinical-trial
#20
JOURNAL ARTICLE
Xian Chen, Yumin Zhu, Ke Peng, Qinyun Wang, Changdong Feng
OBJECTIVE: To investigate whether S-ketamine affects the Surgical Pleth Index (SPI) during video-assisted thoracoscopic surgery. METHODS: Eighty-four patients undergoing video-assisted thoracoscopic lung lobectomy were enrolled. They were randomly assigned to an S-ketamine group (group S) and an equivalent normal saline group (group N). SPI values were recorded; and pain score on a numerical rating scale (NRS), the consumption of opioids, rescue analgesia, and post-operative nausea and vomiting (PONV) were evaluated...
September 2023: Journal of International Medical Research
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