keyword
https://read.qxmd.com/read/38518628/addressing-limitations-of-single-gon-blockade-treatment-and-repetitive-intervention-with-gon-block-or-onabotulinum-toxin-a-in-chronic-migraine-part-2-of-three-men-in-a-boat-study
#21
JOURNAL ARTICLE
Mustafa Karaoğlan
This study investigated the effectiveness of three treatment interventions for managing migraine symptoms over a three-month assessment period: single greater occipital nerve block (GON), repetitive GON block, and single GON block combined with onabotulinium toxin A (BoNT-A) treatment. Significant improvements were observed across all treatment groups in various migraine-related parameters, including medication usage, frequency and severity of attacks, and subjective measures such as Headache Impact Test-6 scores and Pittsburgh Sleep Quality Index scores...
March 12, 2024: Clinical Neurology and Neurosurgery
https://read.qxmd.com/read/38514518/evaluating-risk-factors-and-complications-in-mandibular-ramus-block-grafting-a-retrospective-cohort-study
#22
JOURNAL ARTICLE
Ferit Bayram, Gökhan Göçmen, Yaşar Özkan
OBJECTIVES: This retrospective cohort study aimed to identify the complications and risk factors associated with alveolar grafting using autologous mandibular ramus grafts, guided by the research question: What are the complications encountered in patients undergoing alveolar bone grafting using autologous mandibular ramus block and what are the risk factors associated with the development of these complications? MATERIALS AND METHODS: The study included 70 patients who underwent alveolar crest augmentation with autologous mandibular ramus block grafting...
March 22, 2024: Clinical Oral Investigations
https://read.qxmd.com/read/38514357/ultrasound-guided-erector-spinae-nerve-block-for-relief-of-endometriosis-pain-in-the-emergency-department
#23
Robert Stenberg, Kristen Septaric, Erin L Simon
Endometriosis is a debilitating chronic condition often accompanied by severe pelvic pain and infertility issues. When outpatient medical management is not adequate, controlling pain can be challenging for providers in the acute setting. We report the case of a 23-year-old female with a past medical history of endometriosis who presented to a freestanding emergency department with a chief complaint of 10/10 pelvic pain on a numeric rating scale. She had tried non-steroidal inflammatory medications and heat with no success...
March 15, 2024: American Journal of Emergency Medicine
https://read.qxmd.com/read/38513640/-common-and-new-regional-anaesthesia-techniques-under-review-from-head-to-abdomen
#24
JOURNAL ARTICLE
Thorsten Steinfeldt, Andreas Marx, Mark Dauster
By implementation of sonography regional anesthesia became more relevant in the daily practice of anesthesia and pain therapy. Due to visualized needle guidance ultrasound supports more safety during needle placement. Thereby new truncal blocks got enabled. Next to the blocking of specific nerve structures, plane blocks got established which can also be described as interfascial compartment blocks. The present review illustrates published and established blocks in daily practice concerning indications and the procedural issues...
March 2024: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
https://read.qxmd.com/read/38512601/mitigating-factors-in-l4-and-l5-medial-branch-motor-stimulation-during-radiofrequency-ablation
#25
REVIEW
Mihir Jani, Nimesha Mehta, Sandra Yu, Ricky Ju, Ugur Yener, Alaa Abd-Elsayed, Lynn Kohan, Sayed Emal Wahezi
PURPOSE OF REVIEW: Radiofrequency ablation (RFA) is a minimally invasive procedure for facet joint pain. The targets for the procedure are the medial branches of the dorsal spinal nerves which innervate the facet joints. Before RFA, patients undergo diagnostic meal branch blocks to ensure appropriate pain relief and confirm the utility of proceeding to RFA. The success of RFA relies heavily on procedural technique and accurate placement near the medial branch. RECENT FINDINGS: Motor testing is utilized in the lumbar region to assess the response of the multifidus and ensure proper placement of the RFA probe to prevent inadvertent damage to surrounding spinal anatomy...
March 21, 2024: Current Pain and Headache Reports
https://read.qxmd.com/read/38512052/fascia-iliaca-catheters-for-donor-site-pain-after-split-thickness-skin-grafting-for-acute-burn-injury-a-retrospective-review
#26
JOURNAL ARTICLE
Usha Saldanha, Robin Aldwinkle, Amy Chen, Snehal Raut, Deepthi Penta, Yakelin Arroyo Valazquez, Soman Sen
The management of acute burn pain poses significant challenges. Regional techniques have become increasingly popular in perioperative burn pain management. Continuous nerve block catheters are particularly useful for split thickness skin grafts where donor site pain can exceed that of the burn-injured site. Donor skin is frequently harvested from the anterolateral thigh. The fascia iliaca (FI) compartment block provides blockade of both the lateral femoral cutaneous nerve and the femoral nerve and thus, it is a useful modality for burn donor pain...
March 21, 2024: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://read.qxmd.com/read/38510888/sustained-relief-of-complex-regional-pain-syndrome-crps-pain-following-a-60-day-peripheral-nerve-stimulation-a-report-of-three-cases
#27
Genaro J Gutierrez, Claire A Zurn, Nathan D Crosby
Patients who present to pain clinics with complex regional pain syndrome (CRPS) typically have debilitating pain, including hyperalgesia and allodynia, and additional substantial quality-of-life concerns related to the motor and autonomic-related symptoms of CRPS. Present treatments for CRPS such as neuropathic pain medications and sympathetic blocks are often unsatisfactory for managing symptoms. The present cases highlight the use of a 60-day percutaneous peripheral nerve stimulation (PNS) treatment for three patients with CRPS Type I affecting the foot...
February 2024: Curēus
https://read.qxmd.com/read/38510561/efficacy-and-safety-of-pericapsular-nerve-group-block-for-hip-fracture-surgery-under-spinal-anesthesia-a-meta-analysis
#28
JOURNAL ARTICLE
Shukai Li, Jing An, Chengyu Qian, Zhixue Wang
OBJECTIVE: To evaluate the effectiveness and safety of pericapsular nerve group (PENG) block for hip fracture surgery under spinal anesthesia. METHODS: This meta-analysis was registered on INPLASY (INPLASY202270005). PubMed, Embase, Cochrane, CNKI, and Wanfang databases were searched to collect the randomized controlled trials of the PENG block applied to hip fracture surgery in the setting of spinal anesthesia, with the search period from inception to 1 May 2023...
2024: International Journal of Clinical Practice
https://read.qxmd.com/read/38510296/heart%C3%A2-failure-post-myocardial-infarction-promotes-mammary-tumor-growth-through-the-ngf-trka-pathway
#29
JOURNAL ARTICLE
Tetsuya Tani, Masayoshi Oikawa, Tomofumi Misaka, Takafumi Ishida, Yasuchika Takeishi
BACKGROUND: Epidemiological investigations suggest that patients with heart failure have a higher incidence of cancer; however, the causal role of cardiac disease on cancer progression remains unclear. OBJECTIVES: This study aimed to investigate the impact and underlying mechanisms of myocardial infarction (MI)-induced heart failure on tumor cell growth. METHODS: We generated a syngeneic mouse model by implanting mammary tumor-derived 4T1 cells into BALB/c mice with MI resulting from ligation of the left anterior descending artery...
February 2024: JACC CardioOncology
https://read.qxmd.com/read/38510216/evidence-for-combining-conservative-treatments-for-adhesive-capsulitis
#30
REVIEW
Jordan L Hill
Background: Adhesive capsulitis, also known as frozen shoulder, is a challenge to treat clinically. Common first-line treatment options are suprascapular nerve block (SSNB), intra-articular corticosteroid (IACS) injection, hydrodilatation, and physical therapy. This literature review summarizes each of these conservative treatments and discusses the evidence base for combining treatment options for potential additive benefits to improve patient outcomes (ie, pain, range of motion [ROM], and shoulder function)...
2024: Ochsner Journal
https://read.qxmd.com/read/38509745/randomized-clinical-trial-of-continuous-transversus-thoracis-muscle-plane-block-for-patients-undergoing-open-heart-valve-replacement-surgery
#31
JOURNAL ARTICLE
Yanping Zhan, Lei Li, Shibiao Chen, Yongbao Peng, Yang Zhang
The optimal analgesia regimen after open cardiac surgery is unclear. The aim of this study was to investigate the beneficial effects of continuous transversus thoracis muscle plane (TTMP) blocks initiated before surgery on open cardiac surgery outcomes. A group of 110 patients were randomly allocated to either receive bilateral continuous TTMP blocks (TTP group) or no nerve block (SAL group). The primary endpoint was post-operative pain at 4, 8, 16, 24, 48 and 72 h after extubation at rest and exercise...
April 2024: Journal of Cellular and Molecular Medicine
https://read.qxmd.com/read/38508595/peripheral-nerve-blocks-for-through-knee-amputation-in-a-patient-on-extracorporeal-membrane-oxygenation
#32
JOURNAL ARTICLE
Nicholas Seidler, Olivia Terlep, Vendhan Ramanujam
A woman in her 40s with an ischaemic right lower limb, who was on extracorporeal membrane oxygenation (ECMO) following cardiopulmonary failure secondary to bilateral alveolar haemorrhage, was scheduled for through-knee amputation. She was under mechanical ventilation and continuous intravenous medications. Considering her significant comorbidities, peripheral nerve blocks were chosen for anaesthesia. Ultrasound-guided traditional nerve blockade techniques of the femoral and sciatic nerves were not possible because of the presence of an ECMO cannula, altered anatomy following previous surgery on the same side and inability to turn the patient to a lateral position...
March 19, 2024: BMJ Case Reports
https://read.qxmd.com/read/38508589/prospective-evaluation-of-the-safety-of-ultrasound-guided-cervical-medial-branch-blocks-using-the-in-plane-technique
#33
JOURNAL ARTICLE
John-Paul B Etheridge, Roderick J Finlayson, Jan Venter, Frederik De Villiers, Jonathan P Etheridge, Reece Wakefield, Arraya Watanitanon
BACKGROUND: While fluoroscopic guidance is currently the imaging standard for cervical medial branch blocks (CMBBs), ultrasound guidance (USG) offers several potential safety advantages such as real-time needle visualization and the ability to detect and avoid critical soft tissue vascular or neural structures. However, no large-scale trials have examined the safety of USG for CMBB. METHODS: Five hundred patients undergoing 2308 individual block levels were recruited using a prospective cohort design, and blocks were performed in an outpatient office setting using an in-plane USG technique...
March 19, 2024: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/38507156/application-value-of-extreme-flexion-and-abduction-hip-combined-with-stirrup-shaped-multifunctional-leg-frame-in-blocking-obturator-nerve-reflex-in-transurethral-resection-of-bladder-tumor
#34
JOURNAL ARTICLE
Yongjiang Xiong, Tao Zhao, Changlong Li
OBJECTIVE: To explore the effectiveness and safety of the extreme flexion and abduction hip combined with a stirrup-shaped multifunctional leg frame position in preventing obturator nerve reflex during plasma resection of bladder tumors (TUR-BT). METHODS: A total of 112 patients with bladder tumors were included in the study. The control group was placed in a lithotomy position, while the experimental group was placed in an extreme flexion and abduction hip combined with a stirrup-shaped multifunctional leg frame position...
March 20, 2024: International Urology and Nephrology
https://read.qxmd.com/read/38506683/cervical-nerve-root-block-using-a-curved-blunt-needle-and-posterior-approach
#35
JOURNAL ARTICLE
Carl Noe, Michael van Hal, Standiford Helm Ii, Gabor B Racz
BACKGROUND: Cervical transforaminal epidural steroid injections have become less popular due to the risk of catastrophic complications they pose. However, cervical nerve root blocks are useful for surgical planning in patients with cervical radicular pain syndromes. OBJECTIVES: Our aim was to find a method of performing cervical selective nerve root blocks that removed the risk of catastrophic complications. STUDY DESIGN: Retrospective case review...
March 2024: Pain Physician
https://read.qxmd.com/read/38506679/ultrasound-guided-radiofrequency-ablation-for-chronic-osteoarthritis-knee-pain-in-the-elderly-a-randomized-controlled-trial
#36
RANDOMIZED CONTROLLED TRIAL
Yingcun Ma, Yu Si Chen, Botao Liu, Lei Sima
BACKGROUND: Osteoarthritis of the knee (KOA) is the main cause of disability in elderly people. Patients with KOA may often not achieve adequate pain control even after receiving all treatment modalities. OBJECTIVES: The objective of this study was to examine the efficacy of ultrasound-guided radiofrequency ablation (RFA) as a treatment for moderate and severe KOA. STUDY DESIGN: A prospective randomized controlled study. SETTING: The study was performed in the National Pain Management and Research Center of China-Japan Friendship Hospital...
March 2024: Pain Physician
https://read.qxmd.com/read/38506437/comparison-of-analgesic-effects-of-continuous-femoral-nerve-block-femoral-triangle-block-and-adductor-block-after-total-knee-arthroplasty-a-randomized-clinical-trial
#37
JOURNAL ARTICLE
Minghe Tan, Bozhou Chen, Qingshu Li, Siqi Wang, Daiyu Chen, Maoji Zhao, Jun Cao
OBJECTIVES: This study aimed to compare the analgesic effects of continuous femoral nerve block (FNB), femoral triangle block (FTB), and adductor canal block (ACB) following total knee arthroplasty (TKA). The goal was to identify the most effective nerve block technique among these three. METHODS: Patients undergoing TKA were randomly assigned to one of three groups: FNB, FTB, or ACB. Nerve blocks were administered preoperatively, with catheters placed for patient-controlled nerve analgesia (PCNA)...
March 20, 2024: Clinical Journal of Pain
https://read.qxmd.com/read/38506390/anesthetic-approach-to-trauma-patients-in-the-city-hospital-after-the-2023-mara%C3%A5-earthquake
#38
JOURNAL ARTICLE
Aylin Kılınçarslan, Ceyda Özhan Caparlar, Müge Çakırca, Fatma Özkan Sipahioğlu, Funda Atar, Selma Ölmez, Nur Yılmaz, Merve Karaşahin, Derya Özkan
BACKGROUND: The February 6, 2023, Kahramanmaraş earthquake caused significant destruction across our country. More than 50,000 people lost their lives, thousands were injured, and health facilities were damaged. Victims were transferred to hospitals in other provinces for treatment. This study evaluates the anesthesia approach applied to the injured who were transferred to our tertiary hospital. METHODS: We retrospectively reviewed the data of patients who underwent surgery between February 6 and February 20, 2023...
March 2024: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/38504220/comparison-of-diffusion-ranges-at-different-local-anesthetic-volumes-during-superior-laryngeal-nerve-block
#39
JOURNAL ARTICLE
Yin Bao, Huijun Wang, Lifeng Li, Hongbo Xu, Yun Li, Guyan Wang
OBJECTIVES: Ultrasound-guided superior laryngeal nerve (SLN) block is a practical and painless approach to avoid the hemodynamic stress response during endotracheal intubation and relieve sore throat after laryngeal surgery. The main purpose of this study was to establish an optimal dosage of local anesthetic when performing SLN block to help anesthetists balance analgesia and side effects. METHODS: Twenty fresh larynx specimens were obtained immediately after resection and then injected with 2-, 3-, 4-, or 5- mL of a lidocaine-blue dye mixture at bilateral SLN puncture sites...
March 19, 2024: BMC Anesthesiology
https://read.qxmd.com/read/38504035/measurements-of-pupillary-unrest-using-infrared-pupillometry-fail-to-detect-changes-in-pain-intensity-in-patients-after-surgery-a-prospective-observational-study
#40
JOURNAL ARTICLE
Matthias Behrends, Merlin D Larson
PURPOSE: The pupil displays chaotic oscillations, also referred to as pupillary unrest in ambient light (PUAL). As pain has previously been shown to increase pupillary unrest, the quantitative assessment of PUAL has been considered a possible tool to identify and quantify pain. Nevertheless, PUAL is affected by various states, such as vigilance, cognitive load, or emotional arousal, independent of pain. Furthermore, systematically applied opioids are known to reduce PUAL, thus potentially limiting its usefulness to detect pain or changes in pain intensity...
March 19, 2024: Canadian Journal of Anaesthesia
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