keyword
https://read.qxmd.com/read/38585589/bilateral-indirect-ovarian-inguinal-hernia-in-a-young-female-with-type-1-mayer-rokitansky-k%C3%A3-ster-hauser-syndrome-an-extremely-rare-clinical-context
#21
Sunil Bhatta, Hemant Ojha, Meraj Alam Ansari, Anuj Shrestha
KEY CLINICAL MESSAGE: Incidence of bilateral inguinal hernia encompassing bilateral ovaries in adult female is very thin and concomitant association with Mayer-Rokitansky-Küster-Hauser syndrome is out of ordinary. Along with surgical management of hernia, these females need multidisciplinary slant to manage gynecological, social, and emotional issues. ABSTRACT: In mature females, bilateral ovarian inguinal hernias are a rarity. In this situation, ultrasonography is the basic adjunct to confirm the diagnosis...
April 2024: Clinical Case Reports
https://read.qxmd.com/read/38580339/fluoroscopy-guided-high-intensity-focused-ultrasound-neurotomy-of-the-lumbar-zygapophyseal-joints-a-prospective-open-label-study
#22
JOURNAL ARTICLE
Michael Gofeld, Kevin J Smith, Anuj Bhatia, Vladimir Djuric, Suzanne Leblang, Niv Rebhun, Ron Aginsky, Eric Miller, Brian Skoglind, Arik Hananel
OBJECTIVE: The objective of this study is to investigate safety and effectiveness of a fluoroscopy-guided high-intensity focused ultrasound (HIFU) system for thermal ablation of the lumbar medial branch nerves. METHODS: This dual center prospective cohort study enrolled 30 participants with lumbar zygapophyseal joint syndrome. Each participant previously had a positive response to either a single diagnostic analgesic block or radiofrequency ablation (RFA). The primary effectiveness outcome was individual responder rate, defined as a reduction of two points or more on the pain intensity numerical rating scale without an increase in opioid intake, or a reduction in opioid intake without an increase in pain at 6 months after the intervention...
April 5, 2024: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/38579041/comparing-quality-of-recovery-and-satisfaction-between-spinal-anesthesia-and-nerve-block-in-orthopedic-below-knee-surgery-a-prospective-controlled-trial
#23
JOURNAL ARTICLE
Seon Woo Yoo, Taehoon Kim, Jongmin Seo, Hyunji Oh, Jun Ho Lee
BACKGROUND: Postoperative quality of recovery (QoR) and patient satisfaction have gained increasing significance in medical services. This study aimed to compare these 2 parameters between 2 types of regional anesthetics (spinal anesthesia and combined sciatic-femoral nerve block) in orthopedic lower knee surgery. METHODS: A total of 101 patients were classified into 2 groups (combined sciatic-femoral nerve block, group N; spinal anesthesia, group S) according to patient preference...
April 5, 2024: Medicine (Baltimore)
https://read.qxmd.com/read/38573107/ultrasound-guided-costoclavicular-block-in-pediatric-population-a-prospective-observational-study
#24
JOURNAL ARTICLE
M Ashwin, Kanil Ranjith Kumar, Renu Sinha, Sukriti Jha, Rajeshwari Subramaniam, Debesh Bhoi, Nishant Patel
BACKGROUND: The costoclavicular space serves as an alternative approach to the infraclavicular brachial plexus block, and numerous studies in adults have demonstrated promising outcomes for distal upper limb surgery. Blocking the brachial plexus at this level is potentially advantageous because the cords are relatively superficial, located in close proximity to each other and easily identified using ultrasound. AIMS: This study aimed to assess the success rate and feasibility of costoclavicular block in children undergoing unilateral below elbow upper limb surgery...
April 4, 2024: Paediatric Anaesthesia
https://read.qxmd.com/read/38566169/clinical-efficacy-of-intraoral-ultrasonography-versus-transgingival-probing-for-measurement-of-gingival-thickness-in-different-gingival-biotypes-a-clinical-trial
#25
JOURNAL ARTICLE
Maryam Alizad-Rahvar, Yaser Safi, Mahdi Kadkhodazadeh, Mohammad Parham Ghomashi
BACKGROUND: Transgingival probing is conventionally used for gingival thickness (GT) measurement. However, invasiveness is a major drawback of transgingival probing. Thus, researchers have been in search of alternative methods for measurement of GT. This study compared the clinical efficacy of intraoral ultrasonography and transgingival probing for measurement of GT in different biotypes. MATERIALS AND METHODS: This clinical trial was conducted on 34 patients requiring crown lengthening surgery...
April 2, 2024: Head & Face Medicine
https://read.qxmd.com/read/38563828/building-blocks-a-block-by-block-approach-to-better-emergency-care-in-children
#26
JOURNAL ARTICLE
Yair Katzir, Lior Ganor, Ron Berant, Keren Shahar-Nissan
OBJECTIVE: We describe a case series of regional nerve blocks, which comprise an adapted framework for the pediatric emergency setting and were performed by pediatric emergency medicine physicians. METHODS: A case series of 8 different ultrasound-guided nerve blocks and 1 anatomical block, performed in 11 pediatric patients, aged 7 weeks to 17 years. RESULTS: All blocks resulted in adequate analgesia. No procedural complications were observed...
April 2, 2024: Pediatric Emergency Care
https://read.qxmd.com/read/38558395/evaluation-of-erector-spinae-plane-block-in-patients-undergoing-percutaneous-nephrolithotomy-in-terms-of-postoperative-pain-reduction-and-patient-satisfaction
#27
JOURNAL ARTICLE
Abdulhakim Şengel, Nuray Altay, Mehmet Demir
OBJECTIVES: Intravenous opioids and local anesthetic infiltrations are traditionally used to relieve postoperative pain. With developments in the field of regional anesthesia, several methods are now available for postoperative analgesia. This study aimed to investigate the efficacy of the erector spinae plane block (ESPB) in reducing both intraoperative opioid consumption and postoperative analgesic use in patients undergoing percutaneous nephrolithotomy (PCNL). METHODS: A total of 60 patients who underwent PCNL were divided into two groups: 30 patients who received ESPB (Group I) and 30 patients in the control group (Group II)...
April 2024: Journal of the Turkish Society of Algology
https://read.qxmd.com/read/38558118/liposomal-bupivacaine-for-peripheral-nerve-blockade-a-randomized-controlled-crossover-triple-blinded-pharmacodynamic-study-in-volunteers
#28
JOURNAL ARTICLE
Markus Zadrazil, Peter Marhofer, Philipp Opfermann, Werner Schmid, Daniela Marhofer, Mira Zeilberger, Lena Pracher, Markus Zeitlinger
BACKGROUND: Little is known about the pharmacodynamic characteristics of liposomal bupivacaine. Hypothesizing that we would not identify pharmacodynamic differences from plain bupivacaine during the initial period after administration, but would find better long-term pharmacodynamic characteristics, we designed a randomized, controlled, triple-blinded, single-center study in volunteers. METHODS: Volunteers aged 18 to 55 years (body mass index: 18 to 35 kg/m²) received two ulnar nerve blocks under ultrasound guidance...
April 1, 2024: Anesthesiology
https://read.qxmd.com/read/38550709/interpectoral-and-pectoserratus-plane-block-vs-local-anesthetic-infiltration-for-partial-mastectomy-a-prospective-randomized-trial
#29
RANDOMIZED CONTROLLED TRIAL
Patryk Eisler, Stephan Zimmermann, Ragnar Henningsson
BACKGROUND: Patients undergoing breast surgery are at risk of severe postoperative pain. Several opioid-sparing strategies exist to alleviate this condition. Regional anesthesia has long been a part of perioperative pain management for these patients. AIM: This randomized study examined the benefits of interpectoral and pectoserratus plane block (IPP/PSP), also known as pectoralis nerve plain block, compared with advanced local anesthetic infiltration. METHODS: We analyzed 57 patients undergoing partial mastectomy with sentinel node dissection...
2024: Pain Research & Management
https://read.qxmd.com/read/38548557/ultrasound-guided-and-blind-sciatic-nerve-injection-techniques-comparison-in-rat-cadavers
#30
JOURNAL ARTICLE
Douglas Castro, Toshitsugu Ishihara, Erik H Hofmeister, Stuart Clark-Price, Diego A Portela
OBJECTIVE: To compare the success rate and extent of sciatic nerve staining with a bupivacaine-dye solution using two injection techniques: 'blind' or ultrasound-guided approach. STUDY DESIGN: Prospective, experimental, randomized, cadaveric study. ANIMALS: Adult female Wistar rat cadavers [n = 24, mass 352 g (323-374)]. METHODS: Each sciatic nerve was randomly allocated to one of two groups: 'blind' (group B) or ultrasound-guided approach (group US) to injection...
March 8, 2024: Veterinary Anaesthesia and Analgesia
https://read.qxmd.com/read/38541209/evaluating-the-clinical-utility-of-brachial-plexus-block-for-reducing-opioid-exposure-in-pediatric-elbow-fracture-surgery-a-retrospective-cohort-study
#31
JOURNAL ARTICLE
Kunhyung Bae, Yeon Ju Kim, Hyo Won Lim, Michael Seougcheol Kang, Ha-Jung Kim, Won Uk Koh, Young-Jin Ro, Jooyeon Cho, Hwa Jung Kim, Soo-Sung Park, Yoon Hae Kwak, Hyungtae Kim
Background and Objectives : Reducing opioid exposure in common pediatric surgeries is of paramount importance. This study aimed to assess the efficacy of regional nerve blocks in reducing opioid exposure while preserving high success rates. Materials and Methods : We conducted a retrospective matched cohort study (1:1) including patients with elbow fractures < 12 years old who underwent treatment with percutaneous pinning. Patients were divided into general-anesthesia (GA) and GA-followed-by-supraclavicular-brachial-plexus-block (GA-SCB) groups...
March 14, 2024: Medicina
https://read.qxmd.com/read/38539248/effect-of-ultrasound-guided-lung-recruitment-to-reduce-pulmonary-atelectasis-after-non-cardiac-surgery-under-general-anesthesia-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#32
JOURNAL ARTICLE
Bucheng Liao, Wuhao Liao, Shuang Yin, Shujuan Liu, Xinhai Wu
BACKGROUND: At present, the application of bedside lung ultrasound is increasing gradually, but there is no relevant expert consensus or guidance for its evaluation in the field of perioperative anesthesia. Through this meta-analysis, we tried to determine the impact of ultrasound-guided lung recruitment maneuvers (LRM) on perioperative patients. METHODS: We searched PubMed, Cochrane Library database, Embase, and Clinical Trials gov for the randomized controlled trials (RCTs) published up to December 31, 2022...
March 27, 2024: Perioperative Medicine
https://read.qxmd.com/read/38539076/the-value-of-local-dexmedetomidine-as-an-adjuvant-to-ultrasound-guided-wide-awake-local-anesthesia-no-tourniquet-walant-in-flexor-tendon-repair-surgeries-a-randomized-controlled-trial
#33
RANDOMIZED CONTROLLED TRIAL
Mahmoud Mohammed Alseoudy, Elsayed Mohamed Abdelkarime, Khaled Nour, May Elsherbiny Badr
BACKGROUND: The Wide-Awake Local Anesthesia No Tourniquet (WALANT) technique allows intraoperative motor assessment of tendon repair integrity of the hand compared with general anesthesia or brachial plexus block. No studies have tested the effect of adding dexmedetomidine to lidocaine on the analgesic properties of the WALANT technique, which is the aim of our study. METHODS: A total of 128 patients aged more than 18 years were scheduled for surgical flexor tendon injury repair using WALANT technique...
March 27, 2024: BMC Anesthesiology
https://read.qxmd.com/read/38513641/-old-and-new-regional-anesthesia-procedures-under-review-abdomen-to-toe
#34
JOURNAL ARTICLE
Paul Kessler
Ultrasound (US) technology has significantly expanded the spectrum of regional anesthesiological procedures in recent years. Abdominal wall blocks are becoming an increasingly integral part of a multimodal postoperative pain concept after abdominal surgery, gynecological or urological interventions. Thoracic epidural analgesia remains the gold standard for extensive surgery. The requirement for rapid postoperative mobilization and discharge after lower extremity surgery has led to the abandonment of neuroaxial or plexus blocks in favor of selective, peripheral blocks such as the PENG block or adductor canal block...
March 2024: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
https://read.qxmd.com/read/38513640/-common-and-new-regional-anaesthesia-techniques-under-review-from-head-to-abdomen
#35
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/38508592/fluoroscopy-guided-high-intensity-focused-ultrasound-ablation-of-the-lumbar-medial-branch-nerves-dose-escalation-study-and-comparison-with-radiofrequency-ablation-in-a-porcine-model
#36
JOURNAL ARTICLE
Michael Gofeld, Thomas Tiennot, Eric Miller, Niv Rebhun, Stephen Mobley, Suzanne Leblang, Ron Aginsky, Arik Hananel, Jean-Francois Aubry
BACKGROUND: Radiofrequency ablation (RFA) is a common method for alleviating chronic back pain by targeting and ablating of facet joint sensory nerves. High-intensity focused ultrasound (HIFU) is an emerging, non-invasive, image-guided technology capable of providing thermal tissue ablation. While HIFU shows promise as a potentially superior option for ablating sensory nerves, its efficacy needs validation and comparison with existing methods. METHODS: Nine adult pigs underwent fluoroscopy-guided HIFU ablation of eight lumbar medial branch nerves, with varying acoustic energy levels: 1000 (N=3), 1500 (N=3), or 2000 (N=3) joules (J)...
March 20, 2024: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/38508589/prospective-evaluation-of-the-safety-of-ultrasound-guided-cervical-medial-branch-blocks-using-the-in-plane-technique
#37
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/38504220/comparison-of-diffusion-ranges-at-different-local-anesthetic-volumes-during-superior-laryngeal-nerve-block
#38
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/38485263/erector-spinae-plane-block-espb-for-intractable-non-surgical-abdominal-pain-a-scoping-review
#39
JOURNAL ARTICLE
Ashley Meyer, Campbell Belisle Haley, Eisa Razzak, Amanda Dos Santos, Kyle Dornhofer, Edmund Hsu, Soheil Saadat, John Christian Fox, Megan Guy
Abdominal pain is one of the most common presenting chief complaints in the emergency department (ED). Erector spinae plane block (ESPB) is an ultrasound-guided nerve block with proven effectiveness in treating visceral and somatic abdominal pain. Despite the increasing popularity of ESPB, its role in the management of non-surgical abdominal pain has not yet been characterized. Our scoping review aims to review the current literature on the safety and efficacy of ESPB in the management of patients experiencing intractable, non-surgical abdominal pain...
March 15, 2024: Clinical and Experimental Emergency Medicine
https://read.qxmd.com/read/38480982/the-minimum-effective-concentration-mec90-of-bupivacaine-for-an-ultrasound-guided-suprainguinal-fascia-iliaca-compartment-block-for-analgesia-in-knee-surgery-a-dose-finding-study
#40
JOURNAL ARTICLE
Caner Genc, Serkan Tulgar, Murat Unal, Ahmet Serhat Genc, Lokman Kehribar, Basar Erdivanli, Kris Vermeylen, Ersin Koksal
BACKGROUND: In recent years, the suprainguinal fascia iliaca compartment block (SFICB) has become more common in clinical practice. This assessor-blinded dose-finding study aimed to determine the minimum effective concentration (MEC90, MEC95) of bupivacaine for a single-injection SFICB in patients undergoing arthroscopic anterior cruciate ligament repair. METHODS: This prospective study was conducted at a tertiary hospital (postoperative recovery room and ward)...
March 14, 2024: Korean Journal of Anesthesiology
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