keyword
https://read.qxmd.com/read/38532430/needle%C3%A2-based-gastrocnemius-lengthening-a-novel-ultrasound%C3%A2-guided-noninvasive-technique-part-ii-clinical-results
#1
JOURNAL ARTICLE
A Iborra, M Villanueva, H Fahandezh-Saddi Díaz
BACKGROUND: Isolated gastrocnemius contracture has been associated with more than 30 lower limb disorders, including plantar heel pain/plantar fasciitis, Achilles tendinosis, equinus foot, adult flatfoot, and metatarsalgia. Although many techniques are available for gastrocnemius recession, potential anesthetic, cosmetic, and wound-related complications can lead to patient dissatisfaction. Open and endoscopic recession techniques usually require epidural or general anesthesia, exsanguination of the lower extremities and stitches and can damage the sural nerve, which is not under the complete control of the surgeon at all stages of the procedure...
March 26, 2024: Journal of Orthopaedic Surgery and Research
https://read.qxmd.com/read/38502424/feasibility-of-tension-free-repair-of-inguinal-hernia-in-senile-patients-under-ultrasound-guided-local-nerve-block
#2
JOURNAL ARTICLE
Yongkun Wang, Yang Zhang, Zhen Wu, Hailin Sun, Wei Zhang, Ailan Cai, Zhaoqing Cui, Shanping Sun
The clinical characteristics of open hernia repair under local nerve block guided by ultrasound and epidural anesthesia under daytime surgery mode were compared and analyzed, and the safety, rationality and effectiveness of tension-free repair of inguinal hernia in elderly patients under local nerve block guided by ultrasound were discussed. The clinical data of 200 patients who underwent inguinal hernia day surgery in Liaocheng People's Hospital Affiliated to Shandong First Medical University from January 2022 to October 2022 were retrospectively analyzed, including 150 patients who underwent local anesthesia block surgery and 50 patients who underwent epidural surgery...
March 19, 2024: Updates in Surgery
https://read.qxmd.com/read/38455713/liposomal-bupivacaine-for-ultrasound-guided-rectus-sheath-blocks-after-midline-laparotomy
#3
M S Vereen, F Harms, R J Stolker, M Dirckx
Optimal pain management after open abdominal surgery is essential but can be difficult to achieve. The effects of inadequate analgesia go beyond the first few postoperative days; severe acute postoperative pain may contribute to the development of chronic postsurgical pain. Thoracic epidural analgesia is a traditional approach to the management of acute pain after open abdominal surgery but has multiple possible contraindications and can be technically challenging. In our hospital, we typically offer ultrasound-guided rectus sheath blocks with catheters when epidural analgesia is not feasible...
2024: Anaesthesia reports
https://read.qxmd.com/read/38452849/cadaveric-study-of-the-ultrasound-guided-erector-spinae-plane-block-over-the-transverse-process-of-the-twelfth-thoracic-vertebra-in-dogs-transversal-vs-longitudinal-approach
#4
JOURNAL ARTICLE
M E Herrera-Linares, B Rico-Pérez, D Yaffy, R Fernández-Parra, C Llanos, C Parra-Martínez, M E Herrera-Gutiérrez, S Sanchis-Mora
This study describes a transversal (TV) ultrasound-guided erector spinae plane (ESP) block technique over the transverse process of T12. And evaluates the distribution of the dye and affected nerves branches compared to a longitudinal (LNG) approach over the transverse process of T12 in canine cadavers. Secondly, it also compares de anatomy and dimensions of the transverse processes of T12 with T9 and T5. For this double-masked, cadaveric experimental study, 12 adult Beagle cadavers were injected with 0.6mL/kg of dye/contrast...
March 5, 2024: Veterinary Journal
https://read.qxmd.com/read/38388893/analgesic-effect-of-the-ultrasound-guided-thoracolumbar-paravertebral-block-in-patients-undergoing-robot-assisted-laparoscopic-nephrectomy-a-randomized-controlled-trial
#5
RANDOMIZED CONTROLLED TRIAL
Guojiang Yin, Yue Li, Pengxiao Wei, Xuyuan Ma, Bixi Li, Guosheng Gan, Xiaoyang Song
BACKGROUND: Paravertebral block has similar effect as epidural anesthesia, and has good somatic and visceral analgesic effect. Paravertebral block is widely used in thoracic surgery, but rarely used in abdominal surgery. AIMS: This study aimed to evaluate the analgesic effect of thoracolumbar paravertebral block in patients undergoing robot-assisted laparoscopic nephrectomy. METHODS: One hundred patients undergoing elective robot-assisted laparoscopic nephrectomy were included in this study...
February 22, 2024: BMC Anesthesiology
https://read.qxmd.com/read/38388009/real-time-ultrasound-guided-mid-thoracic-epidural-access-using-a-novel-paramedian-cross-px-view-and-drip-infusion-technique-a-brief-technical-report
#6
JOURNAL ARTICLE
T Sivashanmugam, Areti Archana, P Nandhini, P Rani
BACKGROUND: Real-time ultrasound guidance (USG) has been applied for lower thoracic epidural access, but the more challenging mid-thoracic epidural (MTE) access remains underexplored. This report presents a technique of real-time US guidance with a novel paramedian cross view, termed "the PX view," for securing MTE catheters, along with an outcome analysis from a retrospective case series. METHODS: Medical records of patients who underwent USG-MTE catheter placement with the PX view and drip infusion technique from January to December 2022 were reviewed...
February 21, 2024: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/38372143/safety-and-complications-of-landmark-based-paravertebral-blocks-a-retrospective-analysis-of-979-patients-and-4983-injections
#7
JOURNAL ARTICLE
Alberto E Ardon, Emma Curley, Roy Greengrass
OBJECTIVE: This study aimed to determine the incidence of complications after landmark-based paravertebral blocks for breast surgery. METHODS: The medical records of patients that received a paravertebral block for breast surgery between 2019 and 2022 were reviewed. Patient age, gender, type of procedure, number of injections, volume of injected anesthetic, and possible complications were noted. A record was identified as a possible serious block-related complication if there was concern or treatment for local anesthetic systemic toxicity (LAST), pneumothorax, altered mental status, or intrathecal/epidural spread...
February 19, 2024: Clinical Journal of Pain
https://read.qxmd.com/read/38324787/comparison-of-selective-nerve-root-pulsed-radiofrequency-vs-paramedian-interlaminar-epidural-steroid-injection-for-the-treatment-of-painful-cervical-radiculopathy
#8
RANDOMIZED CONTROLLED TRIAL
Gokhan Yildiz, Gevher Rabia Genc Perdecioglu, Omer Taylan Akkaya, Ezgi Can, Damla Yuruk
BACKGROUND: Although there are studies evaluating ultrasound-guided selective nerve root pulsed radiofrequency (ULSD-SNRPRF) and fluoroscopy-guided paramedian cervical interlaminar epidural steroid injection (FL-CIESI) for the treatment of chronic cervical radicular pain, no study has compared the efficacy of these 2 methods. OBJECTIVES: This study aimed to compare the efficacy of these 2 methods, their superiority to each other, and the incidence of adverse events...
February 2024: Pain Physician
https://read.qxmd.com/read/38313739/the-analgesic-efficacy-of-ultrasound-guided-erector-spinae-plane-block-versus-ultrasound-guided-caudal-epidural-block-for-abdominal-surgery-in-pediatric-patients-a-patient-and-assessor-blind-randomized-controlled-study
#9
JOURNAL ARTICLE
Ashutosh Pandey, Zainab Ahmad, Shikha Jain, Abhijit Pakhare, Pramod K Sharma, Vaishali Waindeskar, Pranita Mandal, Sunaina T Karna
BACKGROUND: Literature on the efficacy and safety of erector spinae plane block (ESPB) in pediatric patients is limited. Hence, we aimed to compare ESPB versus caudal epidural block (CEB) in children undergoing abdominal surgery. METHODS: In this patient and assessor-blind study, fifty-two ASA I-II patients, between 1 to 9 years of age, were randomized into groups of 26 each. ESPB group received unilateral or bilateral ultrasound (USG)-guided ESPB with 0.5 ml/kg of 0...
2024: Saudi Journal of Anaesthesia
https://read.qxmd.com/read/38313734/ultrasound-guided-erector-spinae-plane-block-for-awake-spine-surgery-a-case-report-and-review-of-the-literature
#10
Ashwini Reddy, Amiya K Barik, Nidhi Bhatia, Kajal Jain
Percutaneous endoscopic lumbar discectomy is increasingly gaining recognition as an alternative to open microdiscectomy for the treatment of intervertebral disk herniation. Apart from the neuraxial blockade, and general anesthesia, there is literature demonstrating the performance of endoscopic lumbar discectomy under sole local anesthesia infiltration. This is particularly advantageous as an awake patient assists the surgeon by verbalizing and preventing any inadvertent nerve root damage. However, marked pain has been reported during key steps such as endoscope port installation and radiculolysis...
2024: Saudi Journal of Anaesthesia
https://read.qxmd.com/read/38308257/ultrasound-guided-caudal-anaesthesia-combined-with-epidural-anaesthesia-for-caesarean-section-a-randomized-controlled-clinical-trial
#11
JOURNAL ARTICLE
Fangjun Wang, Qi Lü, Min Wang, Hongchun Xu, Dan Xie, Zheng Yang, Qin Ye
BACKGROUND: Although epidural anaesthesia and spinal anaesthesia are currently the general choices for patients undergoing caesarean section, these two neuraxial anaesthesia methods still have drawbacks. Caudal anaesthesia has been considered to be more appropriate for gynaecological surgery. The purpose of this study was to compare epidural anaesthesia combined with caudal anaesthesia, spinal anaesthesia and single-space epidural anaesthesia for caesarean section with respect to postoperative comfort and intraoperative anaesthesia quality...
February 2, 2024: BMC Pregnancy and Childbirth
https://read.qxmd.com/read/38267075/correlation-between-epidural-space-depth-measured-with-ultrasound-and-mri-compared-to-clinical-loss-of-resistance-when-performing-lumbar-epidural-steroid-injection
#12
JOURNAL ARTICLE
Naileshni Singh, Scott Pritzlaff, Barry Bautista, Charley Yan, Machelle D Wilson, Jennifer Chang, Scott M Fishman
BACKGROUND: This prospective study assessed the accuracy of MRI and ultrasound (US) measurements as a preprocedural assessment tool for predicting clinical loss of resistance depth (CLORD) during fluoroscopy-guided lumbar epidural steroid injections (ESIs). MATERIALS AND METHODS: Sixty patients enrolled received lumbar ESIs at an academic chronic pain clinic. The MRI measurement calculated the distance between the skin and the posterior epidural space, while US measurements included transverse and parasagittal oblique views of the interlaminar space...
January 23, 2024: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/38250931/comparison-between-bilateral-ultrasound-guided-quadratus-lumborum-block-and-sacrococcygeal-epidural-in-cats-undergoing-ovariectomy
#13
JOURNAL ARTICLE
José Diogo Dos-Santos, Mário Ginja, João Martins, Patrícia Cabral, Sofia Alves-Pimenta, Lénio Ribeiro, Pablo E Otero, Bruno Colaço
BACKGROUND: Ultrasound-guided quadratus lumborum block (QLB) and sacrococcygeal epidural anaesthesia (ScE) have been used for neutering cats, providing effective pain relief. OBJECTIVES: To compare the effects of the QLB with those of ScE in cats undergoing ovariectomies. METHODS: Feral cats undergoing ovariectomy were premedicated with dexmedetomidine (20 μg kg-1 ) and methadone (0.2 mg kg-1 ) intramuscularly. Anaesthesia was induced with 2-4 mg kg-1 of propofol intravenously and maintained with isoflurane in oxygen...
January 8, 2024: Veterinary Sciences
https://read.qxmd.com/read/38206749/administration-of-combined-spinal-epidural-anesthesia-with-ultrasound-assisted-positioning-in-obese-patients-undergoing-open-hysterectomy-a-randomized-controlled-trial
#14
JOURNAL ARTICLE
Haihong Yang, Qin Zhang, Zuling Zhong, Yangyang Sun, Huaqu Gong, Yinghai Liu, Xuemei Dai, Lu Lin, Jingya Luo, Gu Gong, Yongjian Yang
BACKGROUND: Administration of combined spinal epidural anesthesia (CSEA) with traditional landmark-guided positioning can be challenging in patients with high body mass index (BMI). The popularization of ultrasound technology may effectively solve these problems. However, reports on the administration of CSEA ultrasound-assisted positioning in obese populations are relatively limited and have made inconsistent conclusions. We aimed to investigate the ability of ultrasound-assisted positioning to improve the success rate of CSEA in obese patients...
December 29, 2023: Medicine (Baltimore)
https://read.qxmd.com/read/38205088/double-edge-single-edge-and-intermediate-edge-ultrasound-sign-and-correlation-with-fascial-plane-block-efficacy-an-experimental-study
#15
JOURNAL ARTICLE
Vasileios Boviatsis, Alexios Triantopoulos
Introduction Ultrasound-guided fascial plane blocks are nowadays the gold standard technique for regional anesthesia and postoperative analgesia. Despite their high success rate, cases of partial or total failure of this method have been reported. This experimental study aims to address the corresponding ultrasound signs and their association with fascial plane block efficacy. Methods After capturing the appropriate sonographic image that included muscle layers and their fasciae, an 18-gauge epidural needle penetrated the cadaveric porcine tissue and was forwarded until the tip of the needle reached the target fascial plane...
January 2024: Curēus
https://read.qxmd.com/read/38160017/ultrasound-estimates-of-the-epidural-depth-in-the-paramedian-sagittal-oblique-and-transverse-median-planes-the-correlation-between-estimated-and-actual-depth-to-the-epidural-space-in-children-with-scoliosis
#16
JOURNAL ARTICLE
Yong Seon Choi, Jaewon Jang, Ha Yan Kim, Bora Lee, Eun Jung Kim, Hei Jin Yoon, Jongyun Lee, Hye Jin Kim
INTRODUCTION: The present study aimed to compare the correlation and agreement of epidural depth estimation using ultrasound in the paramedian sagittal oblique (PSO) versus the transverse median (TM) plane relative to the actual epidural depth observed during midline epidural punctures in children with scoliosis. METHODS: In this prospective observational study, we enrolled 55 children aged 3-14 years with thoracolumbar scoliosis (Cobb angle >10°) requesting postoperative epidural analgesia...
December 30, 2023: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/38155223/handheld-ultrasound-assisted-versus-palpation-guided-combined-spinal-epidural-for-labor-analgesia-a-randomized-controlled-trial
#17
RANDOMIZED CONTROLLED TRIAL
Jinyoung Bae, Youngwon Kim, Seokha Yoo, Jin-Tae Kim, Sun-Kyung Park
Preprocedural ultrasound assistance can enhance the efficacy of neuraxial anesthesia in obstetrics. We investigated whether the use of handheld ultrasound can shorten the procedural time of labor combined spinal-epidural (CSE) analgesia compared with conventional landmark-guided methods. Eighty-four women requesting labor analgesia were randomly assigned to either handheld ultrasound-assisted or palpation-guided CSE analgesia. Primary outcome was procedure time of the CSE analgesia. Secondary outcomes included identification time, performance time, number of needle manipulations required for epidural/spinal success, first-attempt success rate, periprocedural pain scores, the incidence of accidental dural puncture, and patient satisfaction...
December 27, 2023: Scientific Reports
https://read.qxmd.com/read/38149062/a-randomized-clinical-study-to-compare-the-perioperative-analgesic-efficacy-of-ultrasound-guided-erector-spinae-plane-block-over-thoracic-epidural-in-modified-radical-mastectomy
#18
JOURNAL ARTICLE
Deepshika R, Aruna Parameswari, Balasubramanian Venkitaraman, Mahesh Vakamudi, Akilandeswari Manickam
Aim This study aims to compare the effectiveness of ultrasound-guided erector spinae block (ESB) with thoracic epidural (TE) in managing postoperative pain among breast cancer (BC) surgery patients. Methods A total of 42 patients were enrolled and randomly divided into two groups, each comprising 21 participants. Primary endpoints assessed included intraoperative fentanyl consumption, postoperative pain scores, and the need for rescue analgesia. Secondary endpoints encompassed intraoperative hemodynamic changes and the incidence of postoperative nausea and vomiting (PONV)...
December 2023: Curēus
https://read.qxmd.com/read/38106731/paraplegia-following-ultrasound-guided-caudal-epidural-block-in-chronic-lumbosciatica-what-can-be-learned-from-this-complication
#19
André Teixeira, Jorge Barbosa
Caudal epidural block is a procedure that involves the injection of anesthetic agents through the sacral hiatus, commonly used for regional anesthesia. It is also valuable for chronic pain management in lumbosacral conditions, trauma, and palliative care. Ultrasound-guided caudal epidural blocks can be an alternative to fluoroscopy-guided techniques and have demonstrated a notably high success rate. However, despite both techniques being generally regarded as safe, they can lead to severe complications, such as abscesses, epidural hematomas, and subdural punctures...
November 2023: Curēus
https://read.qxmd.com/read/38102032/a-comparison-of-the-motor-effects-and-analgesic-efficacy-following-lumbar-plexus-block-combined-with-sciatic-nerve-block-or-epidural-in-dogs-undergoing-tibial-plateau-leveling-osteotomy
#20
JOURNAL ARTICLE
Sophie M Graff, Deborah V Wilson, Loic M Déjardin, Nathan C Nelson
OBJECTIVE: To compare motor effects and analgesic efficacy following an ultrasound-guided lateral approach to lumbar plexus blockade at L7 and sciatic nerve blockade (LPSNB) against epidural injection in dogs undergoing tibial plateau leveling osteotomy (TPLO). STUDY DESIGN: Prospective, randomized, blinded clinical trial. ANIMALS: A total of 27 healthy adult dogs undergoing unilateral TPLO surgery. METHODS: Dogs were allocated to either LPSNB (bupivacaine 2 mg kg-1 , 0...
November 4, 2023: Veterinary Anaesthesia and Analgesia
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