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Keywords intraoperative analgesia and p...

intraoperative analgesia and post operative pain

https://read.qxmd.com/read/37644789/pericapsular-nerve-group-block-in-hip-arthroplasty-a-prospective-randomized-trial
#21
JOURNAL ARTICLE
Tarek Abdel Hay Mostafa, Mona Blough El Mourad, Naglaa Khalil Mohamed
OBJECTIVES: This study aimed to evaluate the analgesic effect of the ultrasound-guided pericapsular nerve group (PENG) block in hip arthroplasty (HA) surgery. DESIGN: A prospective double-blinded, randomized study. SETTING: Tertiary institutional clinical care. PARTICIPANTS: Fifty patients, more than 50 years old of both genders, were chosen according to the American Society of Anesthesiologists classification, with physical status I-III, and scheduled for unilateral HA surgeries...
2023: Journal of Opioid Management
https://read.qxmd.com/read/37593599/eeg-derived-pain-threshold-index-guided-versus-standard-care-during-propofol-remifentanil-anesthesia-a-randomized-controlled-trial
#22
JOURNAL ARTICLE
Yu Jiang, Jian-Ming Ding, Xi-Xi Hao, Pan-Pan Fang, Xue-Sheng Liu
PURPOSE: The pain threshold index (PTI), a novel index of nociception based on spontaneous EEG wavelet analysis, has been reported to provide reliable accuracy for predicting postoperative pain and hemodynamic reactivity. The present study is aimed to investigate whether PTI-guided analgesia reduces the pain intensity and rate of remedial analgesia in the post-anesthesia care unit (PACU). METHODS: A total of 122 females undergoing elective gynecologic surgeries had been randomized to receive either PTI-guided analgesia (PTI group) or standard clinical care (control group)...
August 2023: Heliyon
https://read.qxmd.com/read/37556070/intraoperative-sufentanil-consumption-and-the-risk-of-postoperative-nausea-and-or-vomiting-a-retrospective-observational-study
#23
JOURNAL ARTICLE
Ran Zhang, Wei Xin Zhang, Xiao Ran Ma, Yi Feng
INTRODUCTION: Post-operative nausea and/or vomiting (PONV) is a common post-operative adverse reaction and has been associated with post-operative sufentanil injection. The assessment of the relationship between intraoperative opioid consumption and PONV has been understudied. This study examined the relationship between intraoperative sufentanil administration and PONV. METHODS: This was a single-center retrospective observational study. Patients who underwent video-assisted thoracoscopic surgery under general anesthesia with the preoperative thoracic paravertebral block between January 2017 and June 2020 at the Peking University People's Hospital were recruited for this study...
August 9, 2023: Pain and Therapy
https://read.qxmd.com/read/37546118/evaluation-of-pre-emptive-analgesia-in-total-knee-arthroplasty-during-early-post-operative-periods
#24
JOURNAL ARTICLE
Ajay C Ssamy, Bishnu P Patro, Madhan Jeyaraman, Gurudip Das, Arulkumar Nallakumarasamy, Sankalp Yadav
INTRODUCTION: Pre-emptive analgesia is expected to decrease post-operative pain. The degree of soft tissue release is directly related to preoperative deformity; we presume the severity of pain has a similar correlation in patients undergoing total knee arthroplasty (TKA). The main purpose of this research was to evaluate the effects of pre-emptive analgesia of different drugs in TKA with different degrees of preoperative genu varus. METHODS: In this prospective observational study, 67 patients were enrolled with different degrees of genu varus deformity...
July 2023: Curēus
https://read.qxmd.com/read/37525291/a-multidisciplinary-opioid-reduction-pathway-for-robotic-prostatectomy-outcomes-at-year-one
#25
JOURNAL ARTICLE
Michael W Manning, John Whittle, Matthew Fuller, Sara H Cooper, Erin L Manning, Joe Chapman, Judd W Moul, Timothy E Miller
BACKGROUND: Opioid use has come under increasing scrutiny, driven in part by the opioid crisis and growing concerns that up to 6% of opioid-naïve patients may become chronic opioid users. This has resulted in a revaluation of perioperative practice. For this reason, we implemented a multidisciplinary pathway to reduce perioperative opioid usage through education and standardization of practice. METHODS: A single-centre retrospective evaluation was performed after 1 year, comparing the outcomes to those of the 2 years prior to pathway implementation...
August 1, 2023: Perioperative Medicine
https://read.qxmd.com/read/37469958/comparison-of-edge-of-lamina-block-with-thoracic-paravertebral-block-and-retrolaminar-block-for-analgesic-efficacy-in-adult-patients-undergoing-video-assisted-thoracic-surgery-a-prospective-randomized-study
#26
JOURNAL ARTICLE
Xiaoyun Gao, Moxi Chen, Penghao Liu, Shenyuan Zhou, Sai Kong, Junfeng Zhang, Jun Cao
BACKGROUND: A novel ultrasound-guided paravertebral block, the edge laminar block (ELB) was reported recently. However, it was unclear how effective ELB was in comparison with traditional blocking methods. We conducted a trial to compare the analgesic efficacy of ELB with the thoracic paravertebral block (TPVB) and the retrolaminar block (RLB) in patients undergoing video-assisted thoracic surgery (VATS). METHODS: We identified 90 patients who were scheduled for VATS and randomly assigned them to three groups: ELB group (Group E), TPVB group (Group T), and RLB group (Group R)...
2023: Journal of Pain Research
https://read.qxmd.com/read/37465806/intrathecal-adjuvant-midazolam-versus-fentanyl-with-hyperbaric-bupivacaine-for-post-operative-analgesia-in-women-undergoing-total-abdominal-hysterectomy
#27
JOURNAL ARTICLE
Aishwarya Nayak, Sanjot Ninave, Surekha Tayade, Harshal Tayade
Background The administration of adequate analgesia post-operatively has been associated with fewer cardiopulmonary complications, lower morbidity and mortality, lower healthcare costs, and higher patient satisfaction. One of the most effective ways to raise the standard of healthcare would be standardization of multimodal analgesia with enhanced recovery after surgery. Adjuncts to spinal anesthetists can achieve a better post-operative pain relief with less doses of rescue analgesia. Methods This was a prospective, randomized trial conducted on 60 women undergoing abdominal hysterectomy under spinal anesthesia...
June 2023: Curēus
https://read.qxmd.com/read/37385601/comparison-of-incisional-transverse-abdominis-plane-and-rectus-sheath-blocks-in-dogs-undergoing-ovariohysterectomy
#28
JOURNAL ARTICLE
Mahnush Kamyabnia, Hadi Imani Rastabi, Alireza Ghadiri, Mohammad Razi Jalali, Masoumeh Ezzati Givi
OBJECTIVE: To compare the analgesia provided by incisional (Incisional), transverse abdominis plane (TAP), and rectus sheath (RS) blocks in dogs submitted for ovariohysterectomy (OHE). ANIMALS: 22 female mixed-breed dogs were allocated into 3 treatments of Incisional (n = 7), TAP (n = 7), and RS (n = 8) and underwent OHE from April 4 to December 6, 2022. PROCEDURES: After premedication with acepromazine (0.05 mg/kg) and morphine (0.5 mg/kg), anesthesia was induced (6 mg/kg) and maintained (0...
July 3, 2023: American Journal of Veterinary Research
https://read.qxmd.com/read/37346207/evaluating-the-analgesic-efficacy-of-superficial-cervical-plexus-block-for-head-and-neck-surgeries-a-comparative-randomized-control-study
#29
JOURNAL ARTICLE
Himani Patel, Neha Shah, Afroza Syed, Panjari Shah, Sharmy Macwan
INTRODUCTION: In the present study, the advantages of superficial cervical plexus block (SCPB) were evaluated using a landmark-guided method. Our primary aim was to evaluate the analgesic efficacy of SCPB in various head and neck surgeries by observing intra- and postoperative requirements of the total dose of the systemic analgesic, visual analog scale (VAS) score, and the total duration of analgesia; vital parameters and associated perioperative complications were also observed...
May 2023: Curēus
https://read.qxmd.com/read/37323334/intraoperative-ultrasound-guided-transversus-abdominis-plane-catheters-placed-for-post-operative-analgesia-following-pedicled-transverse-rectus-abdominis-myocutaneous-flap-breast-reconstruction-a-case-report
#30
Richard M Missett, Sanaz Beig Zali, Jonathan Winograd, Pascal Scemama de Gialluly, A Sassan Sabouri
Transverse rectus abdominis (TRAM) flap reconstruction of the breast is a procedure in which a flap of skin, fat, and underlying rectus abdominis muscle is used to reconstruct the breast. This procedure is commonly performed after mastectomy and results in significant pain at the donor abdominal site. We present this case of a 50-year-old female undergoing pedicled TRAM flap surgery in which ultrasound-guided transversus abdominis plane (TAP) catheters were placed intraoperatively, in a novel fashion: under ultrasound guidance, directly on the abdominal musculature, without overlying fat, subcutaneous tissue, or dressing...
May 2023: Curēus
https://read.qxmd.com/read/37277703/the-effect-of-erector-spinae-plane-block-on-fentanyl-consumption-during-open-abdominal-hysterectomy-a-randomised-controlled-study
#31
RANDOMIZED CONTROLLED TRIAL
Mohamed Ahmed Hamed, Maged Labib Boules, Mohamed Abd El Moniem Mahmoud, Rana Ahmed Abdelghaffar
BACKGROUND: Perioperative analgesia is very important during an abdominal hysterectomy. Determining the impact of the erector spinae plane block (ESPB) on patients undergoing an open abdominal hysterectomy while under general anesthesia was our aim. METHODS: In order to create equal groups, 100 patients who underwent elective open abdominal hysterectomies under general anesthesia were enlisted. The preoperative bilateral ESPB with 20 ml of bupivacaine 0.25% was administered to the ESPB group (n = 50)...
June 5, 2023: BMC Anesthesiology
https://read.qxmd.com/read/37269351/higher-intra-operative-narcotic-requirements-and-weakness-with-quadratus-lumborum-compared-to-paravertebral-nerve-block-for-total-hip-arthroplasty
#32
JOURNAL ARTICLE
Amelia Hummel, Donald Gaucher, Peter Wang, Dylan R Y Lawton, Samantha N Andrews, Cass K Nakasone
BACKGROUND: This was a prospective single-blinded study comparing the peri-operative opioid consumption and motor weakness for patients undergoing total hip arthroplasty (THA) with either a Quadratus Lumborum Type 3 Nerve Block (QLB) or a Paravertebral Nerve Block (PVB). METHODS: A consecutive cohort of patients undergoing elective anterior approach (AA) THA by a single high-volume surgeon were randomly assigned an anesthesiologist by the charge anesthesiologist...
June 3, 2023: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/37179520/the-initial-experience-of-4-5-6-5-fr-ureteroscopic-laser-lithotripsy-under-topical-intraurethral-anesthesia-supplemented-by-preoperative-and-intraoperative-medications
#33
JOURNAL ARTICLE
Yuan Qu, Quansheng Fu, Xiaoping Qin, Yumin Zhuo, Zheng Chen, Lijun Qu
PURPOSE: To assess the safety and effectiveness of the 4.5/6.5 Fr ureteroscopic laser lithotripsy (URSL) under topical intraurethral anesthesia (TIUA) compared to spinal anesthesia (SA). METHODS: A retrospective study was conducted on 47 (TIUA: SA = 23:24) patients receiving 4.5/6.5 Fr URSL from July 2022 to September 2022. For the TIUA group, atropine, pethidine, and phloroglucinol were used apart from lidocaine. In the SA group, patients received lidocaine and bupivacaine...
May 14, 2023: International Urology and Nephrology
https://read.qxmd.com/read/37159268/the-role-of-liposomal-bupivacaine-in-multimodal-pain-management-following-posterior-spinal-fusion-for-adolescent-idiopathic-scoliosis-faster-and-farther-with-less-opioids
#34
JOURNAL ARTICLE
Stuart Changoor, Alec Giakas, Karen Sacks, Ali Asma, R Scott Lang, Petya Yorgova, Kenneth Rogers, Peter G Gabos, Suken A Shah
STUDY DESIGN: Retrospective controlled cohort. OBJECTIVE: To evaluate the effect of intraoperative liposomal bupivacaine (LB) infiltration on post-surgical pain management in adolescent idiopathic scoliosis (AIS) patients by analyzing postoperative opioid consumption, ambulation, and length of stay (LOS). SUMMARY OF BACKGROUND DATA: Optimal postoperative pain control for AIS patients undergoing posterior spinal fusion (PSF) is challenging...
May 1, 2023: Spine
https://read.qxmd.com/read/37101364/prediction-of-early-postoperative-pain-in-infants-undergoing-primary-cleft-palate-repair
#35
JOURNAL ARTICLE
Geoff Frawley, Courtney Wilkes, Ben Hallett, David Chong
OBJECTIVE: Identification of at risk patients before surgery could facilitate improved clinical communication, care pathways and postoperative pain management. DESIGN: A retrospective cohort study was performed in all infants who had undergone cleft palate repair. SETTING: Tertiary Institutional. PARTICIPANTS: Infants < 36 months of age who underwent primary repair of cleft palate between March 2016 and July 2022...
April 26, 2023: Cleft Palate-craniofacial Journal
https://read.qxmd.com/read/37040227/comparison-of-intranasal-midazolam-fentanyl-with-dexmedetomidine-fentanyl-as-pre-medication-in-the-paediatric-age-group
#36
RANDOMIZED CONTROLLED TRIAL
Tripat Kaur, Parmod Kumar, Tanveer Singh Kundra, Ikjot Kaur
BACKGROUND & OBJECTIVES: Intranasal midazolam-fentanyl is commonly used as pre-medication in paediatric patients, but there is a risk of respiratory depression with this combination. Dexmedetomidine is a drug that preserves respiratory function. The objective of this study was to compare the efficacy of intranasal midazolam-fentanyl and dexmedetomidine-fentanyl in paediatric patients undergoing elective surgeries. METHODS: Hundred children in the age group of 3-8 yr of American Society of Anaesthesiologists physical status grade 1 were randomized into two groups- group A received intranasal midazolam (0...
January 2023: Indian Journal of Medical Research
https://read.qxmd.com/read/37016643/retrospective-evaluation-of-fascial-plane-blocks-in-cardiac-surgery-with-median-sternotomy-in-a-tertiary-hospital
#37
JOURNAL ARTICLE
Filiz Ata, Canan Yılmaz
BACKGROUND AND AIM: Cardiac surgery typically causes moderate to severe postoperative pain and discomfort. Inadequate pain management in the early postoperative period leads to pulmonary complications. The length of intensive care unit (ICU) stay and the hospital is typically prolonged. As a component of multimodal analgesia regimens, fascial plane blocks have become more popular. In our clinic, serratus anterior plane blocks (SAPB), pectoral nerve blocks (PECS I-II), and pectointercostal nerve fascial plane blocks (PIFB) are performed by ultrasonography...
March 2023: Curēus
https://read.qxmd.com/read/36915281/effectiveness-of-thoracic-wall-blocks-in-video-assisted-thoracoscopic-surgery-a-network-meta-analysis
#38
JOURNAL ARTICLE
Giacomo Scorsese, Zhaosheng Jin, Seth Greenspan, Christopher Seiter, Yujie Jiang, Michael B Huang, Jun Lin
INTRODUCTION: Thoracic epidural analgesia (TEA) and thoracic paravertebral blocks (PVB) are well-established techniques for pain management in thoracotomy. Here, we examine the efficacy of various thoracic fascial plane blocks vs TEA and PVB for intraoperative and postoperative analgesia for video assisted thoracoscopy surgery (VATS) with network meta-analysis. METHODS: A search for prospective randomized control studies using adult patients undergoing VATS with general anesthesia...
2023: Journal of Pain Research
https://read.qxmd.com/read/36894055/analgesic-efficacy-of-inter-semispinal-fascial-plane-block-in-patients-undergoing-cervical-spine-surgery-through-posterior-approach-a-randomized-controlled-trial
#39
JOURNAL ARTICLE
Naglaa Fathy Abdelhaleem, Essam M Youssef, Ahmed S Hegab
BACKGROUND: Posterior cervical spine surgery is commonly performed in elderly patients with significant comorbidities and is considered one of the most painful surgical procedures. Accordingly, perioperative pain management during posterior cervical spine surgery represents a unique challenge for neuro-anesthetists. Inter-semispinal plane block (ISP) represents a promising analgesic technique for spine surgeries through the blockade of the dorsal rami of the cervical spinal nerves. The present study aimed to investigate the analgesic effect of bilateral ISP as an opioid-sparing nerve block technique for posterior cervical spine surgeries...
March 7, 2023: Anaesthesia, Critical Care & Pain Medicine
https://read.qxmd.com/read/36820115/effect-of-preemptive-multimodal-analgesia-regimen-on-post-operative-epidural-demand-boluses-in-lower-limb-orthopaedic-surgeries
#40
JOURNAL ARTICLE
Mathew George, Kiran N, Ravi M
Introduction Excruciating pain is associated with lower limb orthopaedic surgeries involving femoral shaft fractures. Postoperative pain management is still ineffective in low-resource settings where the use of epidural and opioid-free analgesia is impractical. Literature is scarce with respect to the effect of a preemptive multimodal analgesia regimen on the requirement of postoperative epidural demand boluses. Hence, the present study aimed to evaluate the effect of pre-emptive multimodal analgesia in reducing the requirement of epidural demand boluses postoperatively, and to find out the time required to receive the first epidural bolus...
January 2023: Curēus
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